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HomeMy WebLinkAboutE2013-0296 - Permits (3)City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIII II Electrical Permit: E2013-0296 of 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 1 3 0 2 9 6 � Q Project No: 0339-2013 Permit Counter Phone (949)644-3288 V Inspection Requests Phone (949)644-3255 Job Address: 2300 ARALIA ST Bldg: 1 Floor: Suite: uAF cAOh� Description of Work: SFR -EXTERIOR ELECTRICAL FOR WATER FEATURE Inspector Area: 4 Code Edit: 2010 Legal Description: N TR 4705 LOT 116 Owner: IANNINI EVELYN Contractor: ELITE CUSTOM POOLS & SPAS Worker's Compensation Insurance Address: PO BOX 8928 Address: 25871 VICAR WAY Carrier: STATE FUND NEWPORT BEACH, CA 92658 LAKE FOREST CA 92630 Policy No: 1137574 Phone: - Phone: 714.6064007 Expire : 06/01/2014 Con State Lic: 529870 Issued Date:07/12/2013 Lic Expire: 05/31/2014 Bus Lic: BT30031210 Processed By: Lic Exp Date: 03/31/2014 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 : $65.00 Receptacle/Switch/Outlets Receptacles/Outlets: 4 $4.00 Fixtures: 8 $8.00 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 FEES Motors/Transformers (HP/KVA) 0 to 1 HP/KW/KVA: 3 $18.00 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 Plan Check Piggy Back/Temp Power: 0 $0.00 Temp Power Pole: 0 $0.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Temp Underground: - 0 $C.33 • - Sub Panel: 0 $0.00 0 $0.00 0 $0.00 Record Mgmt Fee: $1.00 Plan Check Fee: $0.00 Investigation Fee: $0.00 Issuance Fee: $34.00 Supplemental Fee: $0.00 Fee Due at DWNER-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 applica�ie Rem(::) (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 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). ❑ 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). ❑ 1 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 legally 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.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRf.CTOR'S DECLARATION I. hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of ivision 3 of the Business and Pro sl ns de d my 's is in full force Hrid efieot. License Class License No Date y Contractor Signature WORKERS' COIAPENSATION DECLARATION NARNINA: FAILURE, ' O SECORE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COS- OF ^OMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under renalty of perjury one of the following declarations: V I have and w,ll 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 thi p'€PFprmance of the work for which this permit is issued. Policy No. a -aad 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' ice carrier and policy number are: is of Agent'_ certify that, in the pf if I should become lature of Applicant _ Policy Number Date e the f h thietmit 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 th er c pens K n provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. Date 7Z IiLARAIIVIV RCVf1RY ry YVrvOI RUN11Vry LCry Y11YV MV CIYV r Ireby affirm under penal of perjury that there is a construction lending agency for the performance of the work for which this permit 1s issued (Section 3097 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 owners behalf. I have read this application and the information II have correct I agree to comply with all applicable city and county Ina n fate I relating to building construction. I authorize representatives of this city or county rer a e-Iden d property for inspection purposes. I of Property Owner or C- Print Property Owner's or Authorized Civil Code). ?/2, Date ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONL Y FEDERAL REGULATIONS PART 61 OFTTILE40 AND AQMD RULE 1403. PERMIT EXP/RED ❑ ISUBbUTFEDASBESTOSNOTIFICATIONTO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMIT EXTENDED PROPOSED DEMOUT NT70NI5 NOT APPLICABLE TO PERMIT FINAL '/ CERTIFICATE OF f SIGNATURE: OCCUPANCYrSSUED