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Home My WebLink AboutE2021-0344 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 '+ Permit Counter Phone (949)644-3288 Job Address: 2290 LA LINDA CT Bldg: 1 Floor: Description of Work: ELEC/ADD LIGHT FIXTURES Inspector Area: 3 Legal Description: N TR 9353 LOT 7 Owner: PHAM NQOC Address: 2290- k-61NDA CT CA 92660 669-600-7279 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 over 20OA: 0 $0.00 Over600V or1000A: 0 $0.00 O/H to U/G 0 $0.00 TOTAL Fee: $49.25 Suite: IIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIII II Electrical Permit: E2021-0344 Project No : Inspection Requests Phone (949)644-3255 Code Edit: 2019 I I V S 1 ECTO R Contractor: BAUM CONSTRUCTION & DEVELOPMENT Worker's Compensation Insurance Address: 2900 FIDLER AVE Carrier: STATE COMP. INS ^ LONG BEACH, CA 90815 Policy No: 9111257 Phone: 562-424-2286 Expire : 08/29/2021 Con State Lic: 1003379 Lic Expire: 05/31/2021 , ^ Bus Lic: BT30054653 Lic Exp Date: 04130/2022 _ Receptacle/Switch/Outlets Receptacles/Outlets: 0 $0.00 Fixtures: 7 $12.25 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 : $0.00 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 ie at Permit Issuance: $49.25 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. IWNER-BUILDER 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 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 'rofessions 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, 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 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). I am exempt from licensure 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, I cannot legally ell a structure 'ha`.' 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 'rofessions Code, iP available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. ignature of Propertv Owner or Authorized Agent Date ICEHSED 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 license is in full force nd ehect. I ? —��? Z— icense Class _ _ License No 1003JT Date J� 2J Contractor Signature g:f WORKERS' COMPENSATION DECLARATION ARNING: FAILURE TO SE^URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADDITION TO THE DST OF COMPEr:SATIJ::, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. nereoy affirm under penalty of perjury one of the following declarations: J, I 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 the erformance oft; it wo.K for which this permit is issued. Policy No. e and wi'! Tzictain 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 J carzier and p'blicy number are: /�G Policy Number Q� 12,5_1 �Z � Expiration Date �/.5� ZAgent Phone # ]I certify that, in the performance of the work for which thi 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 tat, if I should become subject o rs' co p s n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provis. ss. ignature of ApplicanlAl Dat- _—) �Z ECLARATION REGA IN C STRUCTION LENDIN AGENCY hereby affirm under pe alty 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). ender's Name Lender's Address y 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 mad this application and the information I have 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 county to ente�r�r�tfprye bove- led property for inspection purposes. }}'',, �� 7/' �� /1 ignature of Property Owner or Authorized Agent lNll(7 0 144 Print Property Owners or Authorized Agents Name4> YC.K " Y UI AA r [)A ACTION DATE I BY DECLARATION OFCOMPLIANCE WITH CODE OF FOR OFFICE USE ONLY - FEDERAL REGULATIONS PART 61 OF TITLE40 AND AQMDRULE 1403. PERMIT EXPIRED ❑ ISUBMITTED ASBESTOS NOTIFICATION TO:. ❑ EPA ❑ AQMD PERMIT CANCELLED PERMIT EXTENDED ❑ ASBESTOS NOIIRCA17ON IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL CERTIFICATEOF SIGNATURE: OCCUPANCYISSUED