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Home My WebLink AboutE2022-0218 - Permitssr� City of Newport Beach - Building Division o+ 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 zL�rnu� Job Address: 417 HELIOTROPE AVE Bldg: 1 Floor: Suite: Description of Work: ELEC/PIGGY BACK Inspector Area: 5 Legal Description: CORONA DEL MAR LOT 13 BILK 334(NELY 5 FT LOT 11 BLK334 Owner: 417 HELIOTROPE AVE LLC Address: PO BOX 10398 FULLERTON CA92838 Phone: Issued Date:04/07/2022 Processed IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II Electrical Permit: E2022-0218 E 2 0 2 2 0 2 1 8 Project No : 0638-2020 Contractor: BJ SCOTT & ASSOCIATES INC Address: P 0 BOX 297 YORBA LINDA CA 92885 Phone: 714-779.8886 Con State Lic: 718333 Lic Expire: 01/31/2022 Bus Lic: BT30067214 Lic Exp Date: 04/3012023 New Construction Receptacle/Switch/Outlets Residential 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 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 1000A: 0 $0.00 Time Clocks: 0 $0.00 O/H to U/G 0 $0.00 Additional Fee : $0.00 FEES Inspection Requests Phone (949)644-3255 Code Edit: 2019 Worker's Compensation Insurance° Carrier: NO EMPLOYEES Policy No: BRADLEY SCOTT Expire ii 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: 1 $41.00 Temp Power Pole: 0 $0.00 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: $0.00 Supplemental Fee: $12.00 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. 1mm ••1 • a m • •• m m m m 1• f m90 0 0 9 O• 9 6 • m® O• 0@ m a m m a 1• m � 1•• • • o mm Imm 1 e m1 m r u m � � • 011 mo c cr. o r. • 01 m •J •11 • •• •• 11• 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 th7civilPenalty ble 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 ree 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 Divisioe 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 applicivil penalty ofnot 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 son 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 propided that theimprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Builderwill have the burden of proving ts 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 legal) 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/calaw.htmi. 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/ 1 Contractor Signate WORKERS' COMPENSATION DECLARATION WARNING: 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 ($100,000), 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: ❑ I 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 performance of the work for which this permit is issued. Policy No. ❑1 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' compensatio insurance carrier and policy number are: Carrier Policy Number Expiration Date 14 Name of Agent Phone # 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 th , if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provi Signature of Applicant AV' D el ? Z DECLARATION R Gf RDTNG CONSTRUCT0NNFEENEMING AGENCY I 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). Lender's Name Lender's Address By 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. j-� ZIA t ` 7 I authorize representatives of this city or co to enter the above -identified property for inspection purposes. �> 6:, �7 z Signature of Pro ert Owner or Authorized Age - Print Property Owner's or Authorized Agent's Nam Date ACTION DATE BY DECLARATION OF COMPLtANCEINITHCODE OF FOR OFFICE USE ONLY &EDER4LREGULATIjI4V,rSPMT670�T1TLE40AN0 ••AQMD•Rtft..6 f403. •,�I.15U4MI`FFEDAS&•STOS,NORFtCATiON' PERM17'.EXPIRED .•. • •