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Home My WebLink AboutE2019-0585 - Permits0Inspection City of Newport Beach - Building Division 1111111p11p111111111111JlJJlp1111111111111Jil 11Electrical Permit: E2019-0585 100 Civic Center Drive, Newport Beach, CA 92660 I II�E 2 0 1 9 0 5 8 5 Project No : 0532-2019 Permit Counter Phone (949)644-3288 Requests Phone (949)644-3255 NO CONSTRUCTION NOISE .; Job Address: 108 PEARL AVE Bldg: 1 Floor: Suite: Description of Work: ELEC TEMP POWER POLE ON THE WEEKEND,-. Inspector Area: 2 ltjaaeEt 2016? INSPEC� Legal Description: BALBOA ISLAND RESUB SEC 1 BLK 7 LOT 30 1/,.y Owner or LISSOY SCOTT Contract ' FAR WESTJND119TRIES (J 0 orker's Compensation Insurance Address: 108 PEARL AVE A 2922 DAIMLER STRPiET�IrN' 6CarrQer: OAK RIVER INSURANCE m NEWPORT BEACH, CA 92662SANT ANA;GA `r.'& Vic;''' � Uy' No: FAWC911529 Phone 949-224-1970 / 949 2 A4747 s y y Ex ire : 12/01/2019 o e c IC33t{73 Issued Date:08/2312019 pire 08/310021 p esu Bus 2k Y �1008$63Cf Processed By: {a(et) xp Da$e, 108? 1/2020 01,161 ..lf!✓ it � �j. C� y H 1.r'F`Y`' L1� � ,fin �� ® � °Co00° °COmp� �Mg FEES! 3 }�l. New Construction ecept�wl ns Motors/Tr or ) c�� Residential ` ecept �oI putl� $0.00 0 to 1 /K V )C $0.00 r nd: 0 $0.00 Multi -Family: 0 00 glow uresF� 0 $0.00 1 to 101} kVA:��O 4 $0.00 Su 0 $0.00 1-2 Family: 0 $ 00Circ0 $000 10 to 50 HP/KW/KVA. 0 $0. `�'5 0 $0.00 Logi¢ oltage 0 $0 08 50 to 100 HP/KW/KVA: 0 .00 �01L `. 0 $0.00 Service" is e �1 Over 100 HP/KW/KVA: $0)Q1D1g ecord Mgmt Fee: $0.00 0-600V up to 200A: 0 $0.0 Branch Circuit: �F Q.00 /' Plan Check Fee: $0.00 0-600V over 20OA: 0 $0.00 Each AdI05irOUis D "Co Piggy Bac p Power: �0 1$0 Investigation Fee: $0.00 Over 600V or 1000A 0 $0.00 °1 tomilakaploltiks a ¢:ti 1$b.00 Tem war Pole-� $38.00 Issuance Fee: $35.00 O/H to U/G 0 $0.00 dfr ae` �( $0.00 Supplemental Fee: $0.00 TOTAL Fee: $73.00an Check ,rOPI)0 Fee Due at Permit Issuance : $73.00 y�jl MIS1-80 TER ISSUANCE OR LAST VALID INSPECTION Constructfo ours: M�qn y - i[7ay 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. INER-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) ction 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 fessions 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 applico.-for akpermit subjects the applicant to a civil penalty of more than five hundred dollars ($500). - -. ,r.I- I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (,portions of the iness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through em "ovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of corpplet "oved for the purpose of sale). , I, as owner of the property, am exclusively contracting with licensed Contractors to construct the proje,Gto{ , y to an owner of property who builds or improves thereon, and who contracts for the projects with of 116ensed I am exempt from licensure under the Contractors' State License Law for the following reason: nysignatylre tielav I acknowledge that, except for my personal idence in whir�-1•I- t have resided for at a structurEtTl9fl have built as an owner -builder if it has not been strut d'tri its entirety by liceflsed contr assions CedL- It available upon request when this applica on is s 'ilt(e'�or at the follow' gib site:http:i mfure of Propariy Owner or Authorized Agent .+ ENSED CONTRACTOR'S DECLARATION sE° leby affirm ynftpenalty of perjury that IIaaTJJ'geNi�`e Chapter 9 (41Fp1it1'bn ifJ� W h affect. '..� : 3(, e �•1 1 s� ,� rA Class License N pIWG: FAILURE TO SECURE WOR RS' Cdj,71j@RSATION COVERAGR!�$`Ur�1}iAWF4, Ail SH 11L T OF COMPENSIRION, DAMAGES A ROVI D FOR IN SECTION 3T OF THE Ll�PS%U1`i�- �i reb: afflrm.LC-Ilj%rJpnalty of pe Wry one of in iJh, Claracct��t''�@n9i - 4liave and wi�l m �intain a cert) 'cafe co , self - for worker ' ,t>p grpfance of M work for which thj pe Is a licy No. .b,ave and will maintain workers' c. pe nsurance a@�fsgrfiredlb', ,✓yact trance carrier and policy number are -r,,.r ��;�� n.d rier i` ' Po ( Num a,. .. 1e of Agent certify that, in the performance of the 3v k forhi tKL$,rp' rmlt is issued, I shall if I should become sgbject to the work/ corn hS'a't!on provisions of Sectig lature of Applicant / L/�—�s�`t`� areby affirm under 9enalty of perjury that they s dhstrMon Bantling agelp lder's Name my signature below, I certify to each of the folioing: &shJ �`" I am the property owner or authorized to act on �e property owner's behalf. I have read this application and the information 1 ave rovided is correct. ,. 1 agree to comply with all applicable city and coun rdinancep anq[ Is I authorize representatives of this city or county to tP�r,1( eyoy entifiec AN 3700 of the Labor Code, k, ag$8he structure is not irhended or offered for sale (Section 7044, Des' or personal effort, build&..or improves the property, provided that the the Owner -Builder will have tR.g burden of proving that it was not built or §'s and Pr g�g8�00,,6ode: The contractors' State License Law does not ant S4 tt�lrectors' Slate Lice Pa e Law). - tCV � Ur to completion "o—Improvernerilf covered by this permit, I cannot lega id that a co the applicable law, FAection 7044 of the Business and )o Division 3 of the (I Con(5 f TIES AND CIVIL FINES .0 of Industrial r¢Relell�,tigYrlpo(v�i,�ei rfo iNrW ortfh�e�d9y�HRer�Vorwlih 14Rc�Ci etiion Date arson in any manner so as to Code, I shall forthwith compit the performance of Ripwft for Lender's Addre purposes. and my license is in full force. ($100,000(, IN ADDITION TO THE by Sect,n 37001Qf the Labor Code, for sued (5`ection 3097, Civil Code). Name �t e" I h S 5 laws of California, and agn AC17ON DATV I Eby - DECLARATION OFCOUIDUANCEMTNCODEOF FOR OFFICE USE ON ,:- FEDERAL REGULATIONS PART 61OF77TL.E40AND AQMD RULE 1403. .. - PERMIT EXPIRED ❑ 1SUBMITTEOASBESTOS NOTIFICATION TO: PERMITCANCELLED $ ❑ EPA ❑ AQMD PERMITEXTENDED ElASBESTOS OPOSE6DEMOLITION.U�NIS NOT APPLICABLE TO PROPOSED - PERMITFINAL CERTH'ICATEOF SIGNATURE: OCCUPANCYISSUED