The URL can be used to link to this page

Home My WebLink Aboute2016-0487 - Permits (2)City of Newport Beach - Building Division 11111111111111111111111111111111111111111111111111111 o 4 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 1 8 0 4 8 7 Permit Counter Phone (949)644-3288 - - - Electrical Permit: E2018-0487 Project No: 1347-2018 - Inspection Requests Phone (949)644-3255 Job Address: 936 VIA LIDO NORD Bldg: 1 Floor: Suite: - - Description of Work: ELEC/INCREASE SCOPE OF WORK, REPLACE ELECTRICAL THROUGHT DWELLING 1347-2018,REVIB-1313 - Inspector Area: 1 Code Edit: 2016 Legal Description: N TR 907 LOT 326 Owner: HARDER STEVE & CINDY Contractor: PMR CONSTRUCTION Worker's Compensation Insurance Address: 936 VIA LIDO NORD Address: 2061 FAIRWEATHER RD Carrier: STATE COMP NEWPORT BEACH CA 92660 SANTA ANA, CA 92705 Policy No: 9024949 Phone: Phone: 714-231-7272 Expire : 09/0112018 Con State Lie: 716745 - Issued Date:07/25/2018 Lie Expire: 1213112019 Bus Lie: 30053615 Processed By: Lie Exp Date: 01/31/2019 New Construction Residential Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Service 0-600V up to 20OA: 0 $0.00 0-600V over20OA: 0 $0.00 Over600V or1000A: 0 $0.00 O/H to U/G 0 $0.00 TOTAL Receptacle/Switch/Outlets Receptacles/Outlets: 80 $80.00 Fixtures: 80 $80.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Signs Branch Circuit: 0 $0.00 Each Add Circuit: 0 $0.00 Time Clocks: 0 $0.00 Additional Fee: $0.00 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: 0 $0.00 Plan Check Fee: 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: $10.00 e at Permit Issuance: $170.00 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 S:QO a.m. to 6:OQ p.m • 9 t • • G9 • • ® B B O0 VO V Eud •V VUJ B Y V V O O O O O V O 0 BB6 OBB aBG G !i 030 bJ 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) 1 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 is 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 Irofessions 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 of more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 nprovements 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 nproved 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 pply 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). 7 1 am exempt from licensure under the Contractors' State License Law for the following reason: ly 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, 1 cannot legal ell 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 Irofessions Code, is available upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/mlaw.htmi. - lignature of Property Owner or Authorized Agent. Date LICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing With Section 7000) of Division 3 of the Business a 'ons-6 and my liF ense is in full force nd effect. License Class License No Date , /2'S- 1 g Contractor Sig at r VORKERS' COMPENSATION DECLARATION rARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($1 00), IN ADDITION TO TH UST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 3 1 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 tl erfolinance of the work for which this permit is issued. Policy No. and will m intain 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' carrier a P licy number are: ,. is of Agent III :ion Date JI 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 iat, if I should beco e o ' compens ion r " i ' ns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. iignature of Appli t Datq IECLARATION REGARDING CONSTRUCTION LENDI AGENC hereby affirm under penalty of perjury that there is a cons ructio ending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ender's Name Lender's Address " ly my signature below, I certify to each of the following: I am the property owner or authorized to act on th operty owner's behalf. I have read this application and the information ave 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 city or ccun e a ov - "fig ertfor inspection purposes. ��II �// � �9 tignature of Property Owner or Authorized Agent s Print r rty Owner's or Authorized Agent's Namey}]An1ll� �oa, (LLrSL /D O7 �d f.L ACTION DATE BY IDECLARATION OFCOMPLIANCEiMTNCODEOF FOR OFFICE USE ONLY FEDERAL•REGUL#TIONSPART 6f OF #TLE40AND AdMO RULE 140Z • • • • • PERMITEXP/RED q •I.SUIfTfEDA;BCSTOS NpTIFI1< !70N TO: •❑ -EPA • • • e e [I AQMD PERMIT CANCELLED PERMIT EXTENDED ❑ ASBESTOS NORRCARONIS NOT APPLICABLE TO PRI2P¢SEDVEFLfTJ@N • • s • • • • e PERMIT FINAL CERTrFfCATEOF I • s s• o e e $IG • s • • OCCUPANCYISSUED a o s•s • • eoe e• oee