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Home My WebLink AboutE2018-0306 - PermitsCity of Newport Beach - Building Division 1111EII111I111111111111111111111111111111111111111Electrical Permit: E2018-0306 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 1 8 0 3 0 6 Project No : 1026-2018 Permit Counter Phone (949)644-3288 u<rrae�' Job Address: 37 BURNING TREE RD Bldg: 1 Floor: Suite: Description of Work: ELEC TEMP POWER POLE $0.00 Inspector Area: 4 Residential Legal Description: N TR 7638 LOT 56 10 to 50 HP/KW/KVA: Owner: CANNERY SAILHOUSE LP Contractor: Address: 37 BURNING TREE RD Address: NEWPORT BEACH, CA 92660 $0.00 Phone: Phone: $0.00 Con State Lic: Issued Date:05/01/2018 Lic Expire: Sep Circuits: Bus Lic: Processed By: Lic Exp Date: LEGACY CUSTOM HOMES INC 1000 QUAIL ST, STE 250 NEWPORT BEACH CA 92660 949-887-4750 986194 08/31/2019 BT30045036 10/31/2018 New Construction 0 $0.00 Receptacle/Switch/Outlets Residential $0.00 10 to 50 HP/KW/KVA: Receptacles/Outlets: 0 $0.00 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1-2 Family: 0 $0.00 Sep Circuits: 0 $0.00 c o Supplemental Fee: Low Voltage 0 $0.00 Service e e Signs ceo•o• o 0 0-600V up to 20OA: 0 $0.00 Branch Circuit: 0 $0.00 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Over 600V or 1 OOOA: 0 $0.00 Time Clocks: 0 $0.00 O/H to U/G 0 $0.00 Additional Fee: $0.00 Fee: Inspection Requests Phone (949)644-3255 Code Edit: 2016 Worker's Compensation Insurance Carrier: STATE COMP Policy No: 9118909 Expire : 12/02/2018 Motors/Transformers (HP/KVA) 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: 1 $36.00 Plan Check Fee : Temp Underground: 0 $0.00 Sub Panel 0 • m e�a� mmeoca • <el vl • a ;tP` 0 0 e me m $0.00 Plan Check Fee: $0.00 e �"momoo c oo010 Issuance Fee: c o Supplemental Fee: e ( e e o o n ceo•o• o 0 e oo•mco 00 e C O 0 O O OJ()O OG O 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: $33.00 Supplemental Fee: $0.00 Fee Due at Permit 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. OWNER -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 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 ,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 of the Business 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 L) 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). ❑ 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 own%r gfsroperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am exema %WQ Lcensure under the Contractors' State License Law for the following reason: �y �Y signaturebel 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 PW a structuredhat I hNeve 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/calaw.html. FIMMVIdfe of Proparty Owner or Authorized Agent Date LICENSED C�OIdWCTOR'S DECLARATION kDRE1 affirm underpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with ec 'on 7000) of Division 3 of the Business and5nd Pact. (y��LTd2RSP�CIass°'°°': License No - Date I /� OCOntractor SignsWORI(ERS'COMPENSATION DECLARATION QJAIIf111(j FAILUREJO SEWREWORKERS'COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLO ND CIVIL FINES UPTOONE HUUSAND OOLLA�B' '100,0001, IN ADDITION TO THE COST OrCOMPENIRA71ON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ►Yerebyaffirm underhenalty of perjury one of the following declarations: -- 13014Mave and°;ff 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 th1 performance 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' carrier and policy number are: rrier Policy Number Expiration Date me of Agent Phone # certify that, in the pert rmance of the wofor which this permit is issued, I shall not employ any person in any manner so as to become subject to th orkers' compensation laws of California, and agree t, if I should become bject to the ers' compensat' n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisi/ ( // �. nature of Applicant Dat L CLARATION REG RDI AGENCY :reby affirm under enalty of perjury that there' 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 rovided is correct. I agree to comply with all applicable city and county rdinances aate laws relatum to building construction. I authorize representatives of this city or county t an ect ove-identifie for inspection purposes. nature of Prooertv Owner or Authorized ADe rint Prooertv Owner's or Authorized 1// AC77ON DATE BY UL� rIVIV Ur LViWYLKrVLL VVI r R IVU Ur I PUK UPPILt USI IMLr FEDERAL REGULATIONS PART 61 OF 711LE40AND AQMD RULE 1403. PERMIT €WIR€D ❑ I SUBMITTEDASSESTOS N077FICATION TO: ❑ EPA ❑ AQMD P€RMITCANCELLED PERM(TEXTENDED P❑ROPOSEDDEMOLIT1ON.ASBESTOS T70NI5NOTAPPLfCA&-E TO PERMITFINAL %.f)($ CERPFICATE OF OCCOPANCYISSItED SIGNATl1REJ—