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Home My WebLink AboutE2018-0426 - Permits0City of Newport Beach - Building Division I 11111Jill 11111p11111p1Jill 111111p1111111111111111 JillElectrical Permit: E2018-0426 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 1 8 0 4 2 6 Project No: 0829-2018 F Permit Counter Phone (949)644-3288 `�"+[rr+ti�"w Inspection Requests Phone (949)644-3255 Job Address: 1806 PORT SHEFFIELD PL Bldg: 1 Floor: Suite: Description of Work: ELEC TEMP POWER POLE (X2018-1026) Inspector Area: 4 Legal Description: N TR 6620 LOT 2 Owner: CLARKE GREG Contractor: CLARKE GREG CONSTRUCTION INC Address: PO BOX 8181 Address: P O BOX 8181 NEWPORT BEACH, CA 92658 Receptacles/Outlets: NEWPORT BEACH CA 92658 Phone: Phone: 714-904-0692 $0.00 Con State Lic: 819840 Issued Date:06/21/2018 Lic Expire: 09/30/2018 (�n Bus Lic: BT30018564 Processed By: EN Lic Exp Date: 02/28/2019 New Construction 0 $0.00 Receptacle/Switch/Outlets Residential $0.00 10 to 50 HP/KW/KVA: Receptacles/Outlets: 0 $0.00 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1-2 Family: 0 $0.00 Sep Circuits: 0 $0.00 $0.00 Investigation Fee: Low Voltage 0 $0.00 Service $33.00 Supplemental Fee: Signs $0.00 0-600V up to 20OA: 0 $0.00 Branch Circuit: 0 $0.00 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Over 600V or 1000A: 0 $0.00 Time Clocks: 0 $0.00 O/H to U/G 0 $0.00 Additional Fee: $0.00 Fee : Code Edit: 2016 INA 64A UK Worker's Compensation Insurance Carrier: W/C EXEMPT Policy No: (NO EMPLOYEES) Expire : Motors/Transformers (HP/KVA) 0 to 1 HP/KW/KVA: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 Over 100 HP/KW/KVA: 0 $0.00 Piggy Backrremp Power:- - 0-- $0.00 Temp Power Pole: 1 $36.00 Plan Check Fee: 0000 ce0000 ° a °°moo oeso 0000 m P00000 M.06" Sub Panel: 00=0° $0°00 900 0 $me-, n0 oc • o s o o e e Fee Due at Permit PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. ce0000 o�pO ° oeso Temp Underground: ° 0 M.06" Sub Panel: 00=0° $0°00 900 0 $me-, ° 08° $0.0ir- Record Mgmt Fee: $0.00 Plan Check Fee: $0.00 Investigation Fee: $0.00 Issuance Fee: $33.00 Supplemental Fee: $0.00 Fee Due at Permit PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items) Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for le permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of got more than five hundred dollars ($500). 7 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the nprgvements,ar>r not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or nproved for the purpose of sale). 1 as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not only to an owner of property who buildg or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt from licensure under the Contractors' State License Law for the following reason: ly my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements cov d by this permit, I cannot legal ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Se on 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://e .leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Butn ss and Pr s e, and my license is in full force nd effect. icense Class License No �D�e --2,1 Cure YORKERS'CtWegNSATION DECLARATION o ctor i 'ARNSNS•FAILURE T"WURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THI DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Hbjeby. ffirm unde?6enalty of perjury one of the following declarations: 1 li•ve and v{ ll maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for tl ance of -the work for which this permit is issued. Policy No. • • e e and wiY mai;ain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatic s„ nce carrigiO& -policy number are: ie of Agent cirjify that, in the p r ?should becoine Policy Number Expiration Date Phone # for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with ovisions. Mote CLARATION REGARDING CONSTRUCTION LENDING AGENCY weby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ider's Name Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the propert el o er's behalf. I have read this application and the information I ha pro de is correct. I agree to comply with all applicable city and county c and state laws relating to building construction. I authorize representatives of this city or county to ove-identified property for inspection purposes. AC77ON DATE I BY I PERMITEXPIRED I I I PERMITCANCELLED PERMIT E7CT€LADED OCCUPANCYISSUED AOMORULE1403. ❑ I SUBUT7EDASBESTOS MD77FICATION TO: ❑ EPA ❑ AOMD ❑ ASBESTOS NOANCA170NIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: