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Home My WebLink AboutE2021-0462 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 a Permit Counter Phone (949)644-3288 v fi s Job Address: 1411 LINCOLN LN Bldg: 1 Floor: Suite: Description of Work: ELEC TEMP POWER POLE Inspector Area: 3 Legal Description: N TR 3851 LOT 23 Owner: OLSON NICHOLAS Contractor: Address: 1411 LINCOLN LN Address: NEWPORT BEACH, CA 92660 Phone: 9496420857 Phone: Con State Lic: Issued Date:08/04/2021 Lic Expire: Bus Lic: Processed By: Lic Exp Date: 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 *E2021-0462* Electrical Permit: E2021-0462 Project No: 1081-2021 t=ffi. Inspection Requests Phone (949)644-3255 GRISSINGER FINE HOMES 11912 ARROYO AVE SANTA ANA CA 92705 949-225-5756 807874 06/31/2022 BT30043274 05/31/2022 Receptacle/Switch/Outlets Receptacles/Outlets: 0 $0.00 Fixtures: 0 $0.00 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 Code Edit: 2019 Worker's Compensation Insurance Carrier: W/C EXEMPT Policy No: (NO EMPLOYEES) Expire 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 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: $38.00 Supplemental Fee: $0.00 Fee Due at Permit Issuance : PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday- Friday7.00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. 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 issuance, also requires the 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 Division 3 of the 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 applicant to a civil penalty of not 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 U 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 improvements 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 improved for the purpose of sale). 1, 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). I am exempt from licensure under the Contractors' State License Law for the following reason: By my signaturabelgw 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 structuPe.Wabl 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 Cgde•ys available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. 916nJure of ProperJ)'Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I flgrg6y affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing ith ction 70g0) of ivision 3 of the Business an Professio de, and my license is in full force and effect. License Class • • •' License No Date �Contractor Signatu JPORKERS'COMPENSATION DECLARATION .... NARNIN6: FAILURE OMPENSMION, DAM WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HU OUSAND DOLLARS ($'I6g660), IN ADDITION TO THI Li}aTCF COMPENSP.PION, DAMAGES AS PROVIDED FOR IN SECTION 3766 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. fi; RDQ affirm under penalty of perjury one of the following declarations: I have and OM mantain 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 �Vtdrmance of tke wppc for which this permit is issued. Policy No. • I 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' compensatic nsurance carrier and policy number are: ie of Agent certify that, in the 1€4 should bacon of Applicant Policy Number Expiration Date Phone # ice of thew or 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 to the w e compe ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Datvision�,. iv i0 CTION LENDING AGENCY Vl�— :reby affirm under penalty o p rj ry at there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ider's Name Lender's Address my signature below, I certify to 96ch of the following: I am the property owner or authorized to act on the property owner's ehalf. I have read this application and the information I have provided i rrect. I agree to comply with all applicable city and county ordinance d stat "s relating to building construction. I authorize representatives of this city or cougto enter th vu ntified property for inspection purposes. ACTION DATE BY DECLARATION OF COMPLIANCE WfTN CODE OF FOR OFFICE USE ONLY ` FEDERAL REGULATIONSPART 61 OF TI7LE40AND ~M RULE 1403. PERMITEXPIRED ❑ I SUBMITTEDASBESTOS NO71FICATION TO:. ❑ EPA ❑ AQMD PERMIT CANCELLED PERMITEXTENDED ASBESTOS P❑ROPOSEDDEMOLITION. RON IS NOT APPLICABLE TO PERMIT FINAL b •'I, CE.RTIRCATEOF OCCUPANCYWUED SIGNATURE.