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Home My WebLink AboutE2020-0093 - Permitst� City of Newport Beach - Building Division 5 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 437 ACACIA AVE Bldg: 1 Floor: Suite: Description of Work: ELEC /BBQ Sep Circuits: Inspector Area: 5 $0.00 Legal Description: N TR 682 LOT 51 0 Owner: ACACIA PROPERTIES I LP Contractor: Address: 437 ACACAI AVE Address: NEWPORT BEACH, CA 92625 0 Phone: Phone: 0 Con State Lic: Issued Date:02/18/2020 Lic Expire: $0.00 Bus Lic: Processed By: ely Lic Exp Date: New Construction Residential Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Service 0-600V up to 20OA: 0 $0.00 0-600V over20OA: 0 $0.00 Over 600V or 1000A: 0 $0.00 0/H to U/G 0 $0.00 TOTAL Fee: $37.00 J R C COMPANY 21822 KANEOHE LN HUNTINGTON BEACH CA 92646 714-625-1551 656317 10/31/2020 BT30063997 07/31/2020 Receptacle/Switch/Outlets Receptacles/Outlets: 2 $2.00 Fixtures: 0 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Signs $0.00 10 to 50 HP/KW/KVA: Branch Circuit: 0 $0.00 Each Add Circuit: 0 $0.00 Time Clocks: 0 $0.00 Additional Fee : $0.00 Electrical Permit: E2020-0093 Project No : 0003-2018 Inspection Requests Phone (949)644-3255 Code Edit: 2019 Worker's Compensation Insurance Carrier: EXEMPT Policy No: no employees Expire : FEES Motors/Transformers (HP/KVA) 0 $0.00 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 Back/Temp Power: 0 $0.00 Temp Power Pole: 0 $0.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction HPurs: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. , fld O p G C y • 4 O - OG OE OOf� O G f OG 000 OO OG4 O •O •00 • q • 00 O YO qp Yp0 Temp Underground: 0 $0.00 Sub Panel: 0 $0.00 0 $0.00 0 $0.00 Record Mgmt Fee: $0.00 Plan Check Fee: $0.00 Investigation Fee: $0.00 Issuance Fee: $35.00 Supplemental Fee: $0.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction HPurs: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. , fld O p G C y • 4 O - OG OE OOf� O G f OG 000 OO OG4 O •O •00 • q • 00 O YO qp Yp0 LDER 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 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 1e 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). 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, 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 n roved 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 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). I am exempt from licensure under the Contractors' State License Law for the following reason: iy 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 covered 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, Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. lignature 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 Sectio 000) of Division 3 of the Business and Profs ons , a my license is in full force nd effect. icense Class License No Date 6 Contractor Signat e IIORKERS' COMPENSATION DECLARATION DARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE GRED THOUSAND DOLLARS ($700,0001, IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 7706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: ] 1 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, for the e'ifgrmance of the work for which this permit is issued. Policy No. 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 urIve nce carrier and policy number are: mer Poy Number Expiration Date me of Agent Phone # I certify that, in the performance o the fo h this permit is issued, I shall not employ any person in any manner so as to became subject to the workers' compensation laws of California, and agree t, if I should become subject to e w e sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. mature of Applica Daily CLARATION RE AR IN O LENDING AGENCY ;reby affirm under penalt of erjury at there is a construction lending agency for t Pe performance of the work for which this permit is issued (Section 3097, Civil Code). ider's Nameminder'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 provided is ITS . I agree to comply with all applicable city and county ordina s to s relating to building construction. I authorize representatives of this city or coun t enter props inspection purposes. r fig. Lire& nature of Pro erty Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name r Date ACT70AI DATE &V DECLARATION OF COMPLIANCE INITH CODEOF FOR OFFICE USE ONLY FEDERAL RE GULATIONSPART61 OFTITLE40AND AQMD RULE 1403. ❑ 1 SUBMfTTEDASBESTOS NOTIFICATION TO: ❑ EPA PERMIT EXPIRED • • • • • ; ° • • • . PERMITCANC€LLED • • ` •' • • ❑ AQMD PERMITEXTENDED • a ASBESTOS N017RCA770NIS NOT APPLICABLE TO PROPOSEDDEMOLITION. PERMITFINAL CERTIFICATE OF • • • ° OCCUPANCYISSUED : �• i : ;. : SIGNATURE: