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HomeMy WebLinkAboutE2017-0531 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 7210 OCEAN FRONT W Bldg: 1 Floor: Si Description of Work: ELECT TEMP POWER POLE (X16-4273) Inspector Area: *E2017-0531* Electrical Permit: E2017-0531 Project No: 2932-2016 Legal Description: SEASHORE COLONY TR LOT 6 BILK L SWLY 60 FT -INC POROF ST ADJ- Owner: REEVES KYLE & JODI Contractor: Address: 323 CANAL ST Address: NEWPORT BEACH, CA 92663 mm ° Phone: 949-610-3681 Phone: Motors/Transformers (HP/KVA) Con State Lic: Issued Date:10/12/2017 Lic Expire: Receptacles/Outlets: 0 Bus Lic: Processed I3"y: 1n- .,%_Lic 1 Exp Date: New Construction Residential Multi -Family: 1-2 Family: Service 0-600V up to 20OA: 0 0-600V over20OA: 0 Over 600V or1000A: 0 0/H to U/G 0 TOTAL Fee: OWNER/BLDR O/B Inspection Requests Phone (949)644-3255 Code Edit: 2016 Worker's Compensation Insurance Carrier : Policy No: Expire : 000emm ¢ ¢600 a0°mmP a m "am¢a 0 m m ¢V •m � o a Plan Check Fee: Due at Permit Issuance : PERMITS EXPIRE 980 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 mm ° Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) Receptacles/Outlets: 0 $0.00 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: 0 $0°dd° $0.00 Fixtures: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel $0.00 Sep Circuits: 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 °""® $8.00 Low Voltage 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 ° ° ° g $Xdtf ° Signs Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: ° m; $00dd ` $0.00 Branch Circuit: 0 $0.00 Plan Check Fee: $0.00 $0.00 Each Add Circuit: 0 $0.00 Piggy BackfFemp Power: 0 $0.00 Investigation Fee: $0.00 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 1 $36.00 Issuance Fee: $0.00 $0.00 Additional Fee : $0.00 Supplemental Fee: $10.00 Plan Check Fee: Due at Permit Issuance : PERMITS EXPIRE 980 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. DWNER-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 item(s) (Section 70315, 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 R2ffW=MMZZ=proving o 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 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 subjectsthe applicant to a civil penalty of an five hundred dollars ($500).ner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, nd Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improvesthe property, provided that the nts 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 improved 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 apply 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). ❑ 1 am exempt from licensure under the Contractors' Statek' e se Law for the following reason: By my signature below I acknowledge that, except for my rson I residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal sell a structure that I have built as an owner -builder if it as t San constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Secti n 7044 of the Business and Professions Code, is available upon reques an ' pp a' n is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized A 1e me. 11 LICENSED CONTRACTOR'S DECLARATI N I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions ode, and my license is in full force and effect. License Class License No Date Contractor Signature WORKERS' CQVeeVSATION DECLARATION AY'ARNING:,FAILURE TO SECARE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUWECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO TH. WSW BG OOMPENSATDSI.AAMAGES AS PROVIDED FOR IN SECTION 5706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm uhderpenalty of perjury one of the following declarations: 5 t 7$ft 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, for tl performance of the w orlls for which this permit is issued. Policy No. III %:e 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' compensatic iggu„raWe carriej 2nq policy number are: Wkr. 0 ' • Policy Number Expiration Date ertify that, irethc pelf anc of the work 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 If Rhould be ome's j t the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those �ei slons. •.• atur pD46nt jt7 2s iCLA 1 NREGARDI TRUCTION LENDING AGENCY �reby 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). fder'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 property owner's behalf. I have read this application and the information I have Ided is correct. 1� I agree to comply with all applicable city and count 11J1din nces and state laws relating to building construction. i�YLE fes£ ��S I authorize representatives of this ' y or county to e fere above -identified property for inspection purposes. mature of Prooertv Owner or Au or d Aaent II ��/��/ ^-int Property Owner's or Authorized A e Name JD4encT JI ACT70N DATE BY - IJCULAb fIVIV Ur a VmrUAIVv c1V11n �—Lr ' FEDERAL REGULATIONS PART fit OFTITLE40AND AQMDRULE 1403. I SUBMITFED ASBESTOS NOTIFICATION TO: ❑ EPA [3AQMD PERMlTEXPIRED PERMITCANCELLED PERMITEXTENDED ❑ ASBESTOS NOTfRCARONIS NOT APPLtCABLE TO PROPOSED DEMOLITION. SIGNATURE: PERMITFINAL/y / G.. '�-'� CERRFICATEOF OCCUPANCYISSUED