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Home My WebLink AboutE2021-0177 - Permits(9) City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 74 LINDA ISLE Bldg: 1 Floor: Suite: Description of Work: ELEC TEMP POWER POLE (X2021-0564) Inspector Area: 2 Legal Description: N TR 4003 LOT 74 Owner: MUMMAJULIE Contractor: Address: 74 LINDA ISLE Address: NEWPORT BEACH CA 92660 Phone: Phone: Con State Lie: Issued Date:03109/2021 Lie Expire: Bus Lie: Processed By , � i Lie Exp Date: `E2021-0177' Electrical Permit: E2021-0177 Project No : 0516-2021 RDMSINC 250 E BAKER ST # 300 COSTA MESA CA 92626 714-448-9835 815872 12/3112022 BT30008726 01 /31 /2022 Inspection Requests Phone (949)644-3255 1PTo R Code Edit: 2019 Worker's Compensation Insurance Carrier: EVERSTREMIER INS CO Policy No: 7600015443191 Expire : 09/01/2021 NO C ''pper� dd ggUqq'� Wryi', FEES fY SA DAyo New Construction Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) 1 lJr` Residential Receptacles/Outlets: 0 $0.00 0 to 1 HP/KW/KVA: o $0.00 Temp Underground: 0 $0.00 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: 0 $0.00 1-2 Family: 0 $0.00 Sep Circuits: 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 0 $0.00 Low Voltage 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 0 $0.00 Service Signs Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: $0.00 0-600V up to 20OA: 0 $0.00 Branch Circuit: 0 $0.00 Plan Check Fee: $0.00 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Piggy Back/Temp Power: 0 $0.00 Investigation Fee: $0.00 Over 600V or 1000A: 0 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 1 $41.00 Issuance Fee: $37.00 O/H to U/G 0 $0.00 Additional Fee: $0.00 Supplemental Fee: $0.00 TOTAL Fee: $78.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $78.00 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 8:00 a.m. to 6:00 p.m. 'NER-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) ,tion 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 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 tha Business and 'essions 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 more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do C_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, iness 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 rovements 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 roved for the purpose of sale). I, as owner rf 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 Iy to an owner ofp�operty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). J I am exempr frrm i censure 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 tl s3II 3 stricture 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 Professions Code, 's Evailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signatur? of PropPrtv Owner or Authorized Agent, , _ LICENSED CONTRACTOR'S DECLARATION I ;ia, 6ay affirm under psoalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Pro essions Code, and my license is in full force Erj �'f:ct. L icen�P glass License No D q, "1 Contract nature IYORKERS' COMP ENSATION DECLARATION A'!n'!I'Ir: 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 J$100,000), IN ADDITION TO THE COST OF LOMPENSA'.ION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under pmialty 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 the dprformance of the work for which this permit is issued. Policy No. law, Section 7044 of the Business and Date 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: er Policy Number Expi B of Agent Phor ertity tVcant ormpance of the work for which this permit is issued, I shall not employ any person in any manner so as to become if I shobje t to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with the ature o Date the workers' compensation laws of California, and I hereby affirm unider 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). 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 owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable and county ordinances and state laws relating to building construction. I authorize representatives of th' or county toe err the above -identified property for inspection purposes. r -7 e �' Signature of Property Owner or Au zed Agent�— Print Property Owner's or Authorized Agent' _ _ Dat J AC77ON DATE BY DECLARATION OF COMPLIANCE MTH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONSPART 61 OF TITLE 40 AND AQMO RULE 1403. PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMO PERMITC.4NCELLEO PERMIT EXTENDED ❑ ASBESTOS NOTIFICATIONIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL). DA-e- V61-9 CERTIFICATED€ SIGNATURE: OCCUPANCYISSUED