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HomeMy WebLinkAboutE2020-0458 - PermitsCity of Newport Beach - Building Division II III�IIII�IIIIIIII�Iu�IIIIIIIIIIII�IIII�IIIIIIII 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 2 0 0 4 5 s Permit Counter Phone (949)644-3288 Job Address: 3902 CHANNEL PL Bldg: 1 Floor: Suite: Description of Work: ELEC -ELECTRICAL TO REAR YARD FOR SUMP & DOCK POWER Inspector Area: 1 Legal Description: Owner: 3900 CHANNEL PL #1, LLC Contractor: Address: 15 CORPORATE PLAZA Address: NEWPORT BEACH CA 92660 Phone: Phone: Con State Lic: Issued Date:09/03/2020 Lie Expire: Bus Lie: 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 TOTAL Fee: $40.50 PATTERSON CONSTRUCTION 15 CORPORATE PLAZA STE.150 NEWPORT BEACH CA 92660 949-723-1800 802367 07/31/2022 BT02110534 , 09/30/2020 1�*® Receptacle/Switch/Outlets Receptacles/Outlets: 2 $3.50 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 Electrical Permit: E2020-0458 Project No: 2172-2018 Inspection Requests Phone (949)644-3255 Code Edit: 2019 Worker's Compensation Insurance Carrier: STAIRafMP 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: ■. •. s 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 : e a . PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION *A ® �tru tion4aurs: Monday- Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. E© ° o ° ° -Sq OZ 1 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 aopliceble item(s) ;ection 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, priorto 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 of the Business and rofessions Code) or that he or she is exempt from licerlsure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the appl cart to a civil penalty of A more than five hundred dollars ($500). 11, 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 iSectian 7044, usiness 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 proparq , provided that the aprovemenfs 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). 1 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 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). ] I am exempt from Iicensure under the Contractors' State License Law for the following reason: y 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 all 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 lke Business and rofessions Code, is available upon request when this application is submitted or at the following Web site:http:liw .leginfo.ca.gov/calaw.html. ignature of Property Omer or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION 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 lwense is in full force nd effect. icense Class License No Dateu 7 f L�61'L(i Contractor Signatu yORKERS' COMPENSATION DECLARATION IARNING: FAUARE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUWEC7 AN EMPLOYERTO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (510A,0001, IN ADDITION TO TH OSTOF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION OTOS OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES, hereby affirm under penalty of perjury one of the following declarations: 1 rya a and will maintain a certificate of consent to sel"nsure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for t o f2frn nca of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Number Expiration Date of Agent certify that, in the performance of the work for which this permit is issued, I shall not employ any personinany manner so as to become subject to the workers' compensation laws of California, and agree 1, if I should become subject to the,w�orrkkAerrs' 5"pensatio_n�provisions �ro/f/Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicants "`07✓' T `� ' / ./fl--'!/� �- Date/ CLARATION REGAR13ING CONSTRUCTION LENDING AqPCY - 7� Ireby 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). Ider's Name Lender's Address 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. agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county Aenteythea ah;Ng0aDEified property for inspection purposes. ACTION I DATE PERMITDODIRED PERMITRNAL BY H WMunuLC l4UJ. • • ❑ ISUBMRTEDASBESTOS NOTIRCATioRibr • • • ❑ EPA ❑ AQMD ❑ ASBESTOS N01I13CA77ONIS NOTAPPLICAAR&TO PROPOSED DEMOLITION. • •', SIGNATURE: e e • • • • k � -POB RCE USE ONLY • ��� C/fur • s e me o 0 0 0 0