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Home My WebLink AboutE2017-0651 - Permits9 City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Job Address: 504 Description of Work: Date: /1-1-17 Electrical Permit: E2017-0651 If applicable: Inspection-Reques Phone (949)644-3255 El80% or O 100% refund V to whom: Inspector Area: 5 Code Edit: 2016 in Legal Description: PM 31 RO 20 -``,) 38 0 tRg_E TOGETHER Owner: COLOVER HEA1 AER SHAINA� Contractor: D S C ELECTRIC INC Address: 504 NARCISSUS AVE Address: 315 1/2 APOLEN Worker's Compensation IIsurance CORONA DEL R, 25 • Carr' r WESCO INS y ORT BEA 92 62 { ► °� rd Phone: a 4-1362 OdC�t��x/C3274 90 Con Statgggg: 1018417 Pr M1�2018 Issued Date:12/18/2017 (workcSdiRlea) 09/30/2018 (no Work started) Bus Lic: BT30056615 Processed By: Lic Exp Date: 09/30/2018 Insp. initials: PA "P°"7 7ftsidennflal 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 $0.00 Fixtures: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: 00 $0.00 Sep Circuits: 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 $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 0-600V up to 200A: 1 $41.00 Branch Circuit: 0 $0.00 0-600V over 200A: 0 $0.00 Each Add Circuit: 0 Plan Check Fee: $0.00 Over60or OA: 0 $0.00 Time Clocks: 0 $0.00 Piggy BackfTemp Power: 0 $0.00 Investigation Fee: $0.00 O/H to U/G 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $33.00 $0.00 Additional Fee : $0.00 Supplemental Fee: $0.00 TOTAL Fee : $74.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $74.00 PERMITS4VIf ft ;.180 DAYS Ai;TER ISjgA jCE OR LAST VALID INSPECTION Construction Hours: M0W1ay! Friday F.00ma.En, to t.,30ep.m. and Saturday from 8:00 a.m. to 6:00 p.m. . . • • a4 • O •p •p• B4 O • i 4 E •40 oa.c m se• •• � e enc c,•o m m m c� • cv DWNER-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 in uanc , also requires ir of the applicant and the permit to file a signed statement that he or she is licensed u uan to a C3Q Professions Code) or that he rom Icensure an a asis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit bjects the applicant to a civil penalty of not more than five hundred d llars ($500). /1— / — / �t rtro ki{{✓$the structure is not intend or offered for sale (Section 7044, J I, as owner of the ptbpe 3usiness and ProfessiOlis C mprovements are not ASTI mproved for the purpose of I, as owner of the pr"ape apply to an owner of proper J I am exempt from I By my signature below sell a structure that I N Professions Code, is a Signature of Property C LICENSED CONTIR I hereby affirm under p and effect. License Class OST OF COMPENSATION, DID,IAG hereby affirm under pen@Ity I have and will maintain erff�nce of the work for, 71 have and wijfmaintain isurance carrier rid policy or r 61fttPes with wages as their sole compensation will do_( 1 an of or U po n ;: The Contractors' State License Law does not apply to an owner of property who, through employees' �or npee�rs.go�na��l �effort, builds or oer or offered for sale. If, however, the buildin or im rove tis so hin ne yearE7S ®�n�i t. --I I M70r yg�fyh e). am xclusivel[Ontr ing with li C constru of (Section 7044, Business and Professions Code: Theonfc *hbMnt to the Contractors' State Lia ,ho ilds or ives re o a r c li C aun ctors' L rise L or the ollowmg reason: - - Nledge that, except for my personal residence in which I must In for atactora. I undersleast one year tand that a copy of therior to i�ompletion of happl cable as ftp(^Pru^r' i'!er if o�eer oe: improveii ed i tY r rg a i,r wwwJeoinfo.ca.00v/calaw.htmI. -- License No perjury one of the LIREcertificate of condc�lara P sa9FY ch this permit is. issued. Policy No. of Chap er 9 (commencing with Section 7000) of Division 3 of the Business a e. Date — do— Contractor Signature N RESTEAND AE P FE CRI Ij8 Tai vl FINP[aff DRED' n�. world starte�Ir i �� rkers' compensation, issued by a vector o Industrial a ations as provided for proves the property, provided that the 'den of proving that it was not built or State License Law does not Law). scovered by this permit, I cannot Section 7044 of the Business and Date my license is in full force DOLLARS ($700,000), IN ADDITION TO Section 3700 of the Labor Code, for which this p mit is issued. My workers' ne of Agent' certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree if I should become subjec the workers' c mpensat, provisions of Section 3700 of the Labor Code, I shall forthwith comply with those p ovisions. )) 1 7 nature of Applicant CLARATION REGAR ONSTRUCTION LENDING AGENCY weby affirm, pegalty of perjury that there is a construction lending agency for the performance Lender's Address of the work for which this permit is issued (Section 3097, Civil Code). Ider's Name my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this cit or count i ter the ab identified property for inspection purposes. �T ,,,ter„rA �f arnnerty Owner or Authorized Agent Print Property Owner's or Authorized Agent's Napes-I�Q D i I``� a ACTION DATE 8Y - FEDERAL RCGOCATfON.SP/[RIMOFh7P•Ed6AND b AQMD RULE•1403. PERM/TExPiRED �/_ (,- / 0 ��.w �o+l `� j] f SUad[TTEdAS$ESNS AVOCATION TEfk PF1iMITCANC€LLEO ❑ 'E'pA ❑ AQMD PERMtTE Tr D€D ❑ ASBESTOSNONFICA'UONtSNOTAPPGCA�:.ETO FERMITFINAL FROPOSEQbt IQN. ••e • • •i CERTIFICATEOF SIGNATURE: i • i i i OCCUPANCYISSUED •• ••• • • •• •• •••