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Home My WebLink AboutE2020-0573 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 �"a.IrniF�� Job Address: 2501 LIGHTHOUSE LN Bldg: 1 Floor: Suite: Description of Work: ELEC A/C DISCONNECT Inspector Area: i 0 Legal Description: N TR 6385 LOT 16 Receptacle/Switch/Outlets Owner: DUFFY STEPHEN J Contractor: Address: 2501 LIGHTHOUSE LN Address: CORONA DEL MAR, CA 92625 $0.00 Phone: Phone: $0.00 Con State Lie: Issued Date:10/15/2020 Lie Expire: 1-2 Family: Bus Lie: Processed By: Lie Exp Date: 1111N1111111111111111111111111111111111111u 111 Electrical Permit: E2020-057311111111Project No: Inspection Requests Phone (949)644-3255 " P E v—IF®' • Code Edit: 2019 SIRIUS MECHANICAL INC 16692 MARIPOSA RIVERSIDE CA 92504 951-640-5097 851512 11130/2021 BT30053205 11/30/2020 New Construction 0 $0.00 Receptacle/Switch/Outlets Residential 0 to 1 HP/KW/KVA: 0 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 $37.00 Supplemental Fee: Low Voltage 0 $0.00 Service Signs 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 TOTAL Plan m ..mm Worker's Compensation Insurance ®Oe Carrier: STATE COMP. INS Policy No: 9055133 Expire : 05/01/2021 m o� FEES 0 $0.00 Motors/Transformers (HP/KVA) 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 BackrFemp Power: 0 $0.00 Temp Power Pole: 0 $0.00 ese000 m m m m mmmmm� e mmmo Temp Underground: 0 $0.00 Sub Panel: 1 $28.00 0 $0.00 0 $0.00 Record Mgmt Fee: $0.00 Plan Check Fee: $0.00 Investigation Fee: $0.00 Issuance Fee: $37.00 Supplemental Fee: $0.00 Fee Due 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. 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 (_) 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 im 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 apply to an ownsuof1maperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 0 M pnlr'exempt from licensure under the Contractors' State License Law for the following reason: �y my sgnature,beiow 16 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 legal) sell a gtructure th2Pl'flave 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 P,rofe"lbns Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Prop�e�rtyy �O�wner or Authorized Agent Date kIOE9SED c6 f17{iCTOR'S DECLARATION rhereliy affirm urw*r penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wit Sectiogn� 7000) of Division 3 of the Business and P 66fessions Code, and licen is In full force �ieerrse Class License No Dat Contractor Signa e VgRKVRS' CQMPANSATION DECLARATION 'AARNING!FAILURP'j0 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 OO "J'.OMPENS N, dAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. rtw% gJ'affirm yrM@f jlgnalty of perjury one of the following declarations: .. 111 have and wi.11.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 =p ormance 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' compensation insurance carrier and policy number are: Policy Number Date ne of Agent r""". n certify that, in the performance 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 agreE t, if I should become su ect to workers' com en/saa n p/ro�yi'g(_dna ofSection 3700 of the Labor Code, I shall forthwith comply with those provisionsf nature of Applicant I p�^r- 5 - `t",) Date CLARATION REG DIN TRUC N L'E DING AGENCY \b Ireby 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 309 7,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 informatiokntrdinanc ovided' correct. I agree to comply with all applicable city and c nd state laws relati o building construction. I authorize representatives of this city or counth / ove-i a ltifie rop y Inspection purposes. (\ Ltd/ py �/�n�yba� l%rnature of ProDertv Owner or Authorized AGent � . Print Property Owner's or Authorized Agent's Name x d7'1VA T �"ut/ tE�(l AC77ON DATE `RY ui:L,u intirivm ur r.vmrvs as _ v, FEDERAL REGULATIONS PART 01 OF T17LE40AND AQMD RULE "1403. ❑ i SUSMITTEDASBESTOS NO7IF/CATION TO: ❑ EPA ❑ AQMD PERMIT€XPlR€D PERMITCANCELLED PERMITEXTENDED ❑ ASBESTOS NOIIRCA170NIS NOTAPPLICABL.E TO PROPOSED DEMOLITION. SIGNATURE: PERMITFINAL / —) TZ TZ-- CERTIRCATEOF OCCUPANCYISSUED