Loading...
HomeMy WebLinkAboutELEC18-0203 - PermitsCity of Newport Beach 100 CIVIC CENTER DRIVE NEWPORT BEACH, CA 92660 949-644-3200 Permit No:ELEC18-0203 2/13/2019Final: Job Address:1106 SEA LN, NEWPORT BEACH CA, 92625 Final Inspection by:David Reed Description of Work:Temp power piggy back Legal Description:N-TRACT: 2202 BLOCK: LOT: 9 Owner:Mark Kiesselbach Po Box 2373 La Habra, CA 90632 905510Contractor: BURKHART BROTHER'S CONSTRUCTION INC 12 BALBOA COVES NEWPORT BEACH CA, 92663 Worker's Compensation Insurance: Carrier:SECURITY NATIONAL INSURANCE CO Expire:02/01/2019 Applicant: Amount ($)Fee Description Qty Temp Power Pole 36.00 1 Electrical Issuance Fee 0.00 1 $36.00 The issuance of this permit shall not prevent the Chief Building Official from thereafter requiring the correction of errors in the plans and specifications or from preventing building operations being carried on thereunder when in violation of the California Building Code or of any provision of the Newport Beach Municipal Code . Except as otherwise stated, a permit for construction under which no work is commenced within six months after issuance, or where the work commenced is suspended or abandoned for six months, shall expire, and fees paid shall be forfeited. Owner Builder Declaration You certified to each of the following: ·I am the property owner or am 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 City ordinances and state laws relating to building construction. ·I authorize representatives of this City to enter the above-identified property for inspection purposes. License Contractor Declaration You certified to the following: I 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 that my license is in full force and effect. 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 ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY’S FEES. DOC200Finalpermit_Document_CNB.rpt / version 2015-11-04