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Home My WebLink AboutE2017-0660 - Permits& City of Newport Beach - Building Division �* •100 Civic Center Drive, Newport Beach, CA 92660 µ < Permit Counter Phone (949)644-3288 `�Mz�rzaxic"A'v , Job Address: 2407 BUCKEYE ST Bldg: 1 Floor: Suite: Description of Work: ELEC TEMP POWER POLE Inspector Area: 8 Legal Description: N TR 4893 LOT 101 Owner: ZEHNER RICHARD/BARBARA Contractor: OWNER/BLDR Address: 7 VINCENNES Address: ZEHNER RICHARD NEWPORT COAST, CA 92657 Phone: Phone: •. Con State Lie: O/B Issued Date:12/19/2017 Lie Expire: Motors/Transformers (HP/KVA) Bus Lie: Processed By: Lie Exp Date: New Construction Residential Multi -Family: 1-2 Family: Service 0-600V up to 20OA: 0 0-600V over 20OA: 0 Over 600V or1000A: 0 O/H to U/G 0 TOTALFee: *E2017-0660* Electrical Permit: E2017-0660 Project No : 2833-2017 Inspection Requests Phone (949)644-3255 v: Cade Edit: 2016 Worker's Compensation Insurance Carrier : Policy No: Expire : Plan Check Fee: Fee Due at Permit Issuance : 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. FEES •. m••• Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) m ° • ° ° Receptacles/Outlets: 0 $0.00 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: .0 $0'.h• $0.00 Fixtures: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: ° P. $O.QO $0.00 Sep Circuits: 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 0 $O.QQ Low Voltage 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 0 • ®° $0.09 Signs Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: ° °°•• $0 QQ $0.00 Branch Circuit: 0 $0.00 Plan Check Fee: $0.00 Each Add Circuit: 0 $0.00 Piggy Back/Temp Power: 0 $0.00 Investigation Fee: ° ° ° ° Roo $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 1 $36.00 Issuance Fee: $33,QQ, $0.00 Additional Fee: $0.00 Supplemental Fee: •••• o $"Q. Plan Check Fee: Fee Due at Permit Issuance : 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. ,t\I\Gf\��VILVL,� vLV L��• •v,• 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 item(s) lection 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 tire, applicant for ie 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 of more than five hundred dollars ($500). - 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U 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 nprovements are 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 proved for the purpose of sale). I, 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 pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 7 1 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 9bvered by this permit, I cannot legally 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, S ction 7044 of the Business and 'rofessions Code, is available upon reque n this.applic ' 's t a he following Web site:http://www.leginfo.ca.gov/calaw.html. signature of Property Owner or Authorize gent 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 Busine a d Professio Code, and my license is in full force nd effect. .!cense Class License No 9fa Contractor Signa VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($1100,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I have and will 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, ormance of tlii for which this permit is issued. Policy No for wo and wol mViptain 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' compensatiol nsurance carrier and policy number are: h rier . . . Policy Number Expiration Date j '--. Phone # JarrT�+of Agent R; ,_cel/ify that inllie performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subj t to the workers' compensation laws of California, and agre +gp,e it I should e subject or rs' compensa 'on provisions of Section 3700 of the Labor Code, I shall forthwith comply with thos visions. i '-'7 Ftp/he�y�I/5�� J D to �'�[ . ygrlaarlfreofA alit /i!ou�� / 112,q ARATION REGARDI G CONSTRUCTI ENDING AGENCY here yy affirm undo 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). _ender's Nam€ _ Lender's Address YrI%J ^4ignaturp bejo.% I certify to each of the following: " 15m the pMpbrty owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county o ces and state laws relating to building construction. I authorize representatives of this city or county to a e- i property for inspection purposes. '�(/ signature of Property Owner or rized Agent Print Property Owner's or Authorized Agent-; aMe Y��- ACTION DATE BY DECLARATIONOFCOMPLIANCEWITHCODEOF FOR OFFICE USE ONLY FEDERAL R ----..OHS PART 69 OF 717LE40AND I PERMITEXTENDED 1 I I CERTIFICATE OF OCCUPANCYISSUED 1SUBMITTEDASBESTOS NOTIFICATIONTO: ❑ EPA ❑ AOMD ❑ ASBESTOS MOIIRCATIONIS NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: