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HomeMy WebLinkAboute2020-0490 - PermitsCity o Newport Boah- Building Division IIII1IIII�IIInIIIIIIIIIII9IIII1IIII1I� IIIcenter DIIIIIII t_ Permit Counter Phone (949)644-3288 o � Job Address: 307 ONYX AVE Bldg: 1 Floor: Suite: Description of Work: ELEC -TEMP POWER POLE (X2020-2033) Inspector Area: 2 Legal Description: BALBOA ISLAND SEC 3 LOT 34 BLK 18(AND S1/2 LOT 33 BLK 18 Owner: BINDER RHONDA Contractor: Address: 217 ONYX AV Address: BALBOA ISLAND CA 92662 Phone: Phone: Con State Lic: Issued Date:09115/2020 Lic Expire: Bus Lic: Processed By: _Lic Exp Date: CALIFORNIA PACIFIC BUILDING SVCS 11620 WILSHIRE BLVD #900 LA CA 90025 949-701-9997 1010268 01/3112022 BT30072853 0913012021 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 200A: 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 Electrical Permit: E2020-0490 Project No: 0994-2020 Inspection Requests Phone (949)644-3255 Code Edit: 2019 Worker's Comp�ensa�tionn Insurance 1�' 946:Policy No:9— 258066 UCTION NOSE Expire: 07/27/2021 FEES 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: 0 $0.00 Temp Power Pole: 1 $41.00 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: $37.00 Supplemental Fee: $0.00 Fee Due at Permit Issuance: PERMITS EXPIRE 180 DAYS AFTER ISSUANCE oR LAST VALID 1NSPECT1oN 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. oo� 00 uo 0 m 0 ° oe. ° 0 m oo. m o o am o 0 ° of 000 �°o 0 o I here ay 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 fiem(s) (Section T031.5, Business and Professions Code: Arty city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to as issuance, also requires the applicant for the perm Ito 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) Gr 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 cavil penalty of not more than five hundred dollars ($500). ❑ I, as ownm 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, 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 Unproven gents are not Intended or offered for sate. 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 irre{�roveo for the purpose of sale). LJ 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 en 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 ixempt from licensure under the Gontractors' State License Law for the following reason: By my sic nature below l acknowledge that, except for my personal residence in which 1 must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a stn cture that I have built as an Gwnar-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:httpYlwww.leginio.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent Date MEWED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provlsions-of-OhagtP.f A (r(jntoing with Section 7 of, Bivisien3of the Business and Pro es o S CGdc%M r�ry ryA f II o `�P• and effect. License Class B License No IL.JJ LLDD IIU IULOO Dat fULfGULU Contractor Signatur 7zGi-[JLCL� // WORKERS' COMPENSATION DECLARATION WARNING: .:ALLURE TO SECURE WORKERS' COMPENSATION CGWRAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRU.UNAL PENALTES AND CNfL FINES UP TO ONE HUNDRED THOUSAND DOLLARS f$100,000j, IN ADMION TO THE hereby mr fly of perjury one of the following declarations: 1 h� Intaln a certificate of consent to self -Insure for workers' compensation, issued by the Director of Industrial Relations as provided Tor by Section 3700 of the Labor Code, for �er;Dv" � -t" a work forwhich this permit is issued. Policy No. have and wilt maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. W workers' ranccj�arder a? polio gU6roare: 9258066 07/27/2021 ter state Ull 51.:�t' Policy Number Expiration Date of Agent cerih that, In the performance of the work forwhich this permit Is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, R I SAOUld become Subj the woricer ' compen no��'}}'��provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. iature of Applicant}( Ate"' Dat)<-09/02/2020 areby affirm under penalty'6f perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code) ider's .Jame Lenders Address my siSnature below, I cedily to each of the following: I am he property owner or authorized to act on the property owner's behalf. I hav,: read this application and the information I have provided is correct. I agrL a to comply with all applicable city and county ordinances and state laws relating to building construction.:K �Be;9l I BUD orize representatives of this city or coun to r the ab identhi ro rty for inspection purposes. FOR OFFICE USE ONLY OF TITLE 40 AND AOMD RULE PERMIT E (TENDED I WOMB PfRM/Tr•wAL 0 • A%BEST05 MGTIFICATION IS NOT APPLICABLE TO CERTIFIC: TE OF �Cu Z! • P§IOPOSEDD 101$ • • Q OCCUPAf'CYISSUED AA G SiafJITITR !L�GL/LCL1�: �L44 •eee• •• s c ee e o coo ee e e ooe see