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Home My WebLink AboutE2020-0066 - Permitsy of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II .,i0 Civic Center Drive, Newport Beach, CA 92660 E 2 0 2 0 0 0 6 6 x Permit Counter Phone (949)644-3288 �'��xurzm+Pw� Job Address: 12 BURNING TREE RD Bldg: 1 Floor: Su[ a: Description of Work: ELEC- TEMP POWER ikWzE di`Q ffl� 9k2A Inspector Area Legal Description: N TR 7638 LOT 96 Owner: BURGENERADAM Contractor: Address: 12 BURNING TREE RD Address: NEWPORT BEACH, CA 92660 Phone: Phone: Con State Lic: Issued Date:02/03/2020 Lic Expire: Motors/Transformers (HP/KVA) Bus Lic: Processed By: Lic 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 O/H to U/G 0 PATTERSON CONSTRUCTION 15 CORPORATE PLAZA STE.150 NEWPORT BEACH CA 92660 949-723-1800 802367 07/31/2020 BT02110534 09/30/2020 Electrical Permit E2020-0066 Project No : 2390-2019 Inspection Requests Phone (949)644-3255 Code Edit: 2019 Worker's Compensation Insurance Carrier: STATE COMP Policy No: 9065406 Expire : 08/01/2020 Plan Check Fee: Fee 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, o E m o o 0 0 FEES Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) Receptacles/Outlets: 0 $0.00 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: 0 $0.00 $0.00 Fixtures: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: 0 $0.00 $0.00 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 Signs Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: $0.00 $0.00 Branch Circuit: 0 $0.00 Plan Check Fee: $0.00 $0.00 Each Add Circuit: 0 $0.00 Piggy Back/Temp Power: 0 $0.00 Investigation Fee: $0.00 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 1 $39.00 Issuance Fee: $35.00 $0.00 Additional Fee : $0.00 Supplemental Fee: $0.00 Plan Check Fee: Fee 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, o E m o o 0 0 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 appliva' (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 tI the 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 oft.,_ _ __.._es and Professions 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 not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business 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 improvements 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). ❑ 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 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' State License Law for the following reason: By 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 sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/ca[aw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing ection 7000) of Division 3 of the Business and Profs; ions Code, a d my license is in full force and effect. License Class License No Datewith Contractor Sign WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,OOD), IN ADDITION TO THE COST 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: ❑ 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 tha N rmance of the work for which this permit is.issued. PolicyNo. 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 ante carrier and policy number are: Policy Number of Agent Date I certify that, in the performance 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 agre t, if I should become subje to the wor compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. .nature ofApplicantlt/ Datewl / 3 / z O CLARATION REGA CONSTRU N 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). ider'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 provided is correct. I agree to comply with all applicable city and county or 'nances and st to laws relating to building construction. I authorize representatives of this city or county to gate the_ab 'd tified roper y for inspection purposes. T D nnhlre of Prnnerty owner dr Authorized ADer. Print Property Owner's or Authorized Agent's NaDate ACTION DATE BY DECLARATION OFCOMPLIANCEWLTH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PARfTJOi- TLE46AND.._ „• , AQMD RULE 9403. . . • , , '; , PERMlTEXF1RED ❑ ]SUBMITTED ASBESTOS "FiCBTION70• • • . . . . r • . . . PERMITCANCELLED ❑ EPA • PERMITEXTENDED ❑ AQMD ❑ ASBESTOS M077RCAIIONIS NOT APPLICABLE TO PERMIT FINAL W)07�4, PROPOSED DEMOLITION. • • • • • • • . CERTIFICATE OF' SIGNATURE: •• OCCOFANCYlSSUED •,• •• •.• _ •