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HomeMy WebLinkAboutE2019-0572 - Permits9City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Electrical Permit; E2019-0572 100 Civic Center Drive, Newport Beach, CA 92660. E 2 0 1 9 0 5 7 2 Project No: 2824-2017 t Permit Counter Phone (949)644-3288 flan[c,� - Inspection Requests Phone (949)644-3255 Job Address: 901 ALMOND PL Bldg: 1 Floor: Suite: Description of Work: ELEC PIGGY BACK Inspector Area: B Code Edit: 2016 V& Legal Description: N TR 4705 LOT 14 `� • ° ••o°o Owner: HILLANDREW Contractor: SVATEK BUILDERS INC Worker's Compensation Insurance °° •°� °°° Address: 901 ALMOND PIL Address: 13547 VENTURA BLVD #223 Carrier: EXEMPT ° • • ° NEWPORT BEACH, CA 92660 SHERMAN OAKS, CA 91423 Policy No: Phone: Phone: (818j`81T-1737' Expire: Con State Lic: 1037007 • • ° ° ° Issued Date:08/19/2019 Lic Expire: 03/31/2020 Bus Lic: BT30063365 Processed By: Lic Exp Date: 05/31/2020 0 ° ° ° ° ° ° o cc<o 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 New Construction Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) Residential Receptacles/Outlets: 0 $0.00 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: 0 $0.00 Multi -Family: 0 $0.00 Fixtures: D $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel 0 $0.00 1-2 Family: 0 $O.OQ Sep Circuits: 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 0 $0.00 Low Voltage 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 0 $0.00 Service Signs Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: $0.00 0-600V up to 20OA: 0 $0.00 Branch Circuit: 0 $0.00 Plan Check Fee: $0.00 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Piggy Backrremp Power: 1 $38.00 Investigation Fee: $0.00 Over 600V or 1o0OA: 0 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Feer $35.00 0/H to U/G 0 $0.00 Additional Fee : $0.00 Supplemental Fee: $0.00 TOTAL Fee : $73;00: Plan Check Fee: $0.00 Fee Due at Permit Issuance : $73.00 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. INNER -BUILDER 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) fiction 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 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 ifessions 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 more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, ;iness 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 movements 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 (roved 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 )Iy 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). I am exempt from licensure, under the Contractors' State License Law for the following reason: my signature 58160TI acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally a structure ttWt 1 clave 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, Section 7044 of the Business and f8g4ons Code, isavailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. njure of Peope¢y Owner or Authorized Agent Date y,NSED CONTRACTOR'S DECLARATION lreby affirm tinder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wi Section 7000) of Division 3 of the Business and of .ssions Code, and my license is in full force I ef✓iect. ...... f ( Contractor 94se Class License No Date Signature 5NAERS'•COMISENSATION DECLARATION ANG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ON HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE 1111 OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. �rEby affirgln.d p�penalty of perjury one of the following declarations: T J1ave and will ihaintain 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 IN Ibrmance.&14e Ifork for which this permit is issued. Policy No. .... have and will maintain 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' compensatior trance carrier and policy number are: of Agent rtify that, in the p ,should become ure of Aoolicant Policy Number Expiration Date lance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to a workers' compensation laws of California, and agree ct to he workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisi s. Date 3 CONSTRUCTION LENDING AGENCY ?reby affirm underp¢nalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued action 3097, Civil Code). ider's Name i Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I 1Pve provided is correct. I agree to comply with all applicable city and cou ty ordinances and state laws relating to building construction. I authorize representatives of this city or county o ante the ove-Identified property for inspection purposes. nature of Property Owner or Authorized AGent Print Property Owner's or Authorized ACTION DATE ( BY EJCLJLQH TIVJV yr t.ulnruJalya.c ewrn weir air I tux urrl- Uat urvcr/ FEDERAL REGULATIONSPART 61 OFTITLE40AND AQMDRULE1403. PERMITEXPIRED D ISUDMIT EDASBESTOS M071FICATION TO. ❑ EPA ❑ AQMD PERMITCA.NCELLED PERMITEXTENDED M07TION RONIS NOT APPLICABLE TO EOPOSEASBESTOS PERMfTFINAt i2 - CERTIFICATE OF SIGNATURE. OCCUPANCYISSUED