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Home My WebLink AboutE2018-0531 - PermitsCity of Newport Beach - Building Division *E2018-0531* c 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 - Electrical Permit: E2018-0531 Project No :. 1941-2017 1 Inspection Requests Phone (949)644-3255 Job Address: 1236 OCEAN FRONT W Bldg: 1 Floor: Suite: Description of Work: ELEC LIGHTING FIXTURES AND OUTLETS IN GARAGE Inspector Area: 1 Code Edit: 2016 Legal Description: N TR 234 BLK 12 LOT 10 Owner: CAMPANIAED Contractor: GREGORY LYNN MCCORMICK Worker's Compensation Insure nce �� m•••• Address: 1236 W OCEAN FRONT Address: 18015 BRIAR STREET Carrier :EXEMPT • o NEWPORT BEACH CA 92661 FOUNTAIN VALLEY, CA 92708 Policy No: • • •m Phone: Phone: 9513151081 Expire : •• o • Con State Lic: 1029992 m+�� • Issued Date:08/09/2018 � /� Lic Expire: 30 +" •• Bus Lic: `eJ BT BT3000060663 • •"� • • • • • m Processed By: Lic Exp Date: 09/30/2018 mmmoo moomoo m ••® m m m o FEES New Construction Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) Residential. Receptacles/Outlets: 2 $2.00 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: 0 $0.00 Multi -Family: 0 $0.00 Fixtures: 14 $14.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: 0 $0.00 1-2 Family: 0 $0.00 Sep Circuits: 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 0 $0.00 Low Voltage 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 0 $0.00 Service Signs Over 100 HP/KW/KVA: 0 $0.00 Record MgmtFee: $0.00 0-600V up to 20OA: 0 $0.00 Branch Circuit: 0 $0.00 Plan Check Fee: $0.00 0-600V over 2OOA: 0 $0.00 Each Add Circuit: 0 $0.00 Piggy Back/Temp Power: 0 $0.00 Investigation Fee: $0.00 Over 600V or 1000A: 0 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $33.00 O/H to U/G 0 $0.00 Additional Fee: $0.00 Supplemental Fee: $0.00 TOTAL Fee: $49.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $49.00 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. 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) ction 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 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 fessions 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 more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, ;iness 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 rovements 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 roved 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 ly 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). I am exempt from licensure under the Contractors' State License Law for the following reason: 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 t a structure t0ffi91r6Ye built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the ifessions Code? is.evailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. raiurg of P.ropertKOwner or Authorized Agent 3EN3ED COyTRACTOR'S DECLARATION !Wb%iffirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Be ion 7000) of Division 3 of the Busine� Class ...... _ License No DECLARATION Date Contractor law, Section 7044 of the Business and Date and Professions Code, and my license is in full force MIMS: FAILURETO 911i WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 15100,000I, IN ADDITION TO THE i 9F� COMPENSA?IDR;4AMAGEs As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. rgepy giffirm under penalty of perjury one of the following declarations: n. ,.: have and WQl.rraiatain 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 IN prLWce of the worltfor which this permit is issued. Policy No. -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' compensatior Trance carrier anrf policy number are: Policy Number Date e of Agent Phone # �'gTtffy that, in the perforrrr99dince of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to a workers' compensation laws of California, and agree if I should become su4l(=ct eworkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those prove ons. 3ture of Applicant ) D CLARATION REGAFPING CONSTRUCTION LENDING AGENCY Heby affirm under p nalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, CIvit Code). ider's Name Lender's Address my signature belovt, I certify to each of the following I am the property owner or authorized to act on the I have read this application and the information I N I agree to comply with all applicable city and count,. I authorize representatives of this city or county to nature of Property Owner or Authorized Agent owner's behalf. led is correct. ,as and state laws relating to building construction. §bovgylentified property for inspection purposes. ACT70N DATE If RY DECLARATION OF COMPLIANCE WITH CODEOF FOR OFFICE USE 01117 FEDERAL REGULATIONS PART 61 OF T17LE40AND AQMDRULE1403. PERMITEXPIRED 0 I SUBMfTTEDASBESTOS NOTIFICATION TO. ❑ EPA ❑ AQMD 0 ASBESTOS N077RC4170KIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT CANCELLED P€RMITEXTENDED PERMITFINAL CERTIFICATEOF SIGNATURE. OCCUPANCYISSUED