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Home My WebLink AboutE2020-0584 - PermitsCity of Newport Beach - Building Division 11111111111111p11111111p1111111p111111111111111111Electrical Permit: E2020-0584 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 2 0 0 5 8 4 Project No : 1914-2020 (9) Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Job Address: 850 SAN CLEMENTE DR Bldg: 1 Floor: Suite: Description of Work: COMM - 600 AMP TEMP POWER POLE (X2019-2738) Inspector Area: Legal Description: 7 PBK81 PG8PAR 2 Owner: VIVANTE NEWPORT CENTER LLC Contractor: Address: 1 MACARTHUR PL #300 Address: SANTA ANA CA 92707 Phone: Phone: Con State Lic: Issued Date:10/20/202 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 over 20OA: 0 $0.00 Over600V or1000A: 0 $0.00 O/H to U/G 0 $0.00 TOTAL Fee : $113.67 Code Edit: 2019 POWER PLUS Workers Compensation Insurance 1210 N RED GUM ST Carrier : EXECUTIVE RISK ANAHEIM CA 92806 Policy No: 5439650 714-765-7551 Expire : 03/31/2021 980589 01 /31 /2021 BT30029399 09/30/2021 Rece pta c I e/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 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 BackfFemp 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: $35.67 Investigation Fee: $0.00 , Issuance Fee: $37.00 Supplemental Fee: $0.00 Fee Due at Permit Issuance : $113.67 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturr+r y from 8:00 a.m. to 6:00 p.m. OWNER -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 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 `) 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 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 im roved 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 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 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 legal) sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION 1 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 Pr fessions d my license is in full force and effect. - A License Class C License No-�J2'S l Date �� Contractor Signet WORKERS' COMPENSATION DECLARATION ■r WARNING: 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 ($100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 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 th BE rmance of the work for which this permit is issued. Policy No. I have and will maintain workers' compensation urance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatio anrngr and �p�licy�rI ber are: ��L'''�r�� Carrier 1�U'CI(C JL cL ,(.YtiYi Cl�_ Policy Number ` �t Lct2L. Expiration Date Name of Agent Phone # I certify that, in the performa ce 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 that, if I should becomes ect o the workers' co en i provisions of Section 3700 of the Labor Code, I shall forthwith comply with those ��_�p��_�ro�vis))))ions. Signature of Applicant Cri _ - uL� `gin' �...(�' DECLARATION RE DI G CONSTRUCTION LE G AGENCY I hereby affirm underpenalty of perjury that there is a construction lending agency for the performance of the work for which this permit is iss (Section 3097, Civil Code). Lender's Name Lender's Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state ws relating to building construction. I authorize representatives of this city Or count I�ter the above-i I property for inspection purposes. cn lyre ,.F or.... , n,.,ne — A,nh, id A A—f 71 �1 1�" , Pnnf crnn, %i n,.,,,or' a nr A,ahnri7=H A„o V� Id— � P \ Mt `�_r II 11i�-4 XW ✓nor> � � 'd U'� ACTION DATE BY DECLARATION OF COMPLIANCE LMTN CODE OF FOR OFFICE USE ONLY • FEDEPAI RE sULATIONS PART 61 OF TITLE40 AND 4QMG RULE 1433. PERMIT EXPIRED ❑ I SUJMTT_D-ASbESTJS NORFICATION TO: ❑ EP9 ❑ AQMD PERMIT CANCELLED _ PERMITEXTENDED ASOESTOSMOTIFICAPERMITFINAL P OPOBEO OFMO170N.RONIS NOT APPLICABLE TO f '/ — 3 f�'------- CERTIFfCATEOF Slri,tATUPE: OCCUPANCYISSUED