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Home My WebLink AboutE2018-0108 - Permitsw,r City of Newport Beach - Building Division I�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II Electrical Permit: E2018-0108 t+'t 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 1 8 0 1 0 8. Project No Permit Counter Phone (949)644-3288 9sa 4r -�w� ai�� Inspection Requests Phone (949)644-3255 Job Address: 400 REDLANDS AVE Bldg: 1 Floor: Suite: $0.00 1-2 Family: 0 Description of Work: ELEC/DISCONNECT (H2O18-0110) Service 0 $0.00 0-600V up to 20DA: 0 $0.00 0-600V over20OA: 0 $0.00 Over 600V or 1000A: 0 $0.00 O/H to U/G 0 Inspector Area: 2 Additional Fee : $0.00 Code Edit: 2016 Investigation Fee: $0.00 Issuance Fee: gas..„:tl Legal Description: FIRST ADD TO NEWPORT HEIGHTS BLK 24 LOT 1 $0.00 Owner: HOWELL R & D Contractor: BASIC AIR INC Worker's Compensation Insurance Address: 400 REDLANDS AVE Address: 1157 SALINAS AVENUE Carrier: STATE FUND_ NEWPORT BEACH CA 92663 COSTA MESA CA92626 Policy No: 9086207 Phone: Phone: 714-469-4542 Expire : 10/22/2018 Con State Lic: 909834 Issued Date:02/20/2018 Lic Expire: 01/31/2020 Bus Lic: BT30045172 Processed By: Lic Exp Date: 10/31/2018 New Construction Residential Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Service 0 $0.00 0-600V up to 20DA: 0 $0.00 0-600V over20OA: 0 $0.00 Over 600V or 1000A: 0 $0.00 O/H to U/G 0 $0.00 TOTAL Fee: Receptacle/Switch/Outlets Receptacles/Outlets: 0 $0.00 Fixtures: 0 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Signs 0 $0.00 Branch Circuit: 0 $0.00 Each Add Circuit: 0 $0.00 Time Clocks: 0 $0.00 Additional Fee : $0.00 $0.00 FEES 0 $0.00 Motors/Transformers (HP/KVA) Sub Panel: 1 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 Backrremp Power: 0 $0.00 Temp Power Pole: 0 $0.00 Plan Check Fee: Temp Underground: 0 $0.00 Sub Panel: 1 $25.00 U`U Upp � CpC C `Go OU 0 $0.00 7 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 Issuance: 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. U`U Upp � CpC C `Go OU p G m VG 7 r. 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 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 legall) 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:hftp://www.leginfo.ca.gov/calaw.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 with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. �� / License Class License No Date L 2� Contractor Signatul� WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I 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 th pe ormance of the ork for which this permit is issued. Policy No. I have and will ai tain 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' compensatioi insurance carrier an p�licy number alai- 1 Date of 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 ,if I should become subject to the wor rs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. lature of Applicant / /�.. _ Data—�� ' hereby 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). ender's Name Lender's Address ly 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 ordinances and state laws relating to building construction. I authorize representatives of this city or countyt nter the abov entified property for inspection purposes. .f �nl I1nnnhlre of Prnnerty owner nr Authorized ADent _- - Print Prooertv Owner's or Authorized Agent's Name Y I / rfI key1 ACTION DATE BY tI LAK FJI V vrUvewr"Aiv(C •rrrn wuc ur FEDERAL REGULATIONS PART 61 OFTITLE40AND PERMIT EXPIRED AQMDRULE 1403. ❑ iStIBMfT(gDitSB�STQ5f10IIF1C.4TION4a; ,•, PERMIT CANCELLED ❑ EPA ,•, �, • , •• PERMITEXTENDED ❑ AQMD• • ••• ❑ ASBESTOS NOTIFICATION IS 140T APPLICABL.E•70 PERMIT FINAL PROPOSED DEMOLITION CERTIFICATE OFSIGNATURE: `s • . • • : • • • • • • •: • OCCUPANCYISSUED