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HomeMy WebLinkAboutE2018-0338 - PermitsCity of Newport Beach - Building Division *E2018-0338* of �+ 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 v Y Job Address: 20272 SPRUCE AVE Bldg: 1 Floor: Suite: Description of Work: ELEC INSTIL OUTLET FOR TAN KLESS WATER HEATER (P18-0160) Inspector Area: Legal Description: N TR 1506 LOT 24 Owner: BRIGHT DEEANA S Contractor: M M PLUMBING Address: 20272 SPRUCE Address: 21731 MALDEN ST NEWPORT BEACH CA 92660 CANOGA PARK CA 91304 Phone: Phone: ` New Construction Con State Lic: 751003 Issued Date:05/0912018 Lic Expire: 01/31/2020 Bus Lic: BT30062148 Processed By: i Lic Exp Date: 02/28/2019 Electrical Permit: E2018-0338 Project No : Inspection Requests Phone (949)644-3255 Cade Edit: 2016 It,TOR Worker's Compensation Insurance Carrier: EXEMPT Policy No: Expire : ° oc000c 0 0 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. FEES ` New Construction Receptacle/Switch/Outlets Motors/Transformers(HP/KVA) Residential Receptacles/Outlets: 1 $1.00 Oto 1 HP/KW/KVA: 0 $0.00 Temp Underground: 00 00 $b°®d Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1to10HP/KW/KVA: 0 $0.00 Sub Panel °°00©0 Maeo 1-2 Family: 0 $0.00 Sep Circuits: 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 0 $0°06 ° Low Voltage 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 0 $100 < < Service Signs Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: o°©o° O.06 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/TempPower: 0 $0.00 Investigation Fee: °°°° $'0.00°` Over 600V or 1000A: 0 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: ° ° ° $33.00 O/H to U/G 0 $0.00 Additional Fee : $0.00 Supplemental Fee: $0.00 TOTAL Fee; $34.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $34.00 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. )WNER-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 (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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). -11 1, 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). 1 am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 ell 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 'rofessions 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 .ICENSED 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 B iness and Prof ' s e, and my license is in full force nd effect. �_ p/ ,,, % $ icense Class License No (Date f I �) Contr o nature COMPENSATION DECLARATION ARMING: 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 1$100,0001, IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 1111 alDot and gvjll,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 erformance of the -work, for which this permit is issued. Policy No. 1 11 Levv% 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' compensatior Isurdrfce carrier ogq policy number are: ,dryer' _ ' 0 Policy Number Expiration Date df Agent certify that, in-the=perjury rk fo hich 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 t Tshould becomensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisi ns 11• 1 (Tofu(¢ of pl1 0 a ZZREGN LENDING AGENCY =re�byraffirm utlerthere is a construction lending agency for the performance of the work for which this permit is iss Section 3097, Civil Code). IeersName 1 11 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 owner's behalf. I have read this application and the information I have pr ed is correct. I agree to comply with all applicable city and county o antes state laws relating to building construction. I authorize represe s of this city or county to v = roparty for inspection purposes. -- nature of Property O e (Authorized Agent Print Property Owner's or Authorized A ent's ftaroa ./jJ&te X^f ACTION DATE BY DECLARATION OF COMPLIANCE INITN CODE OF FOR OFFICE USE FEDERAL REGULATIONS PART fit OF 77TLE40AND AQM0 RULE 1403. PERMITEXPFRED ❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMIT CANCELLED PERMITiEXTENDED ❑ ASBESTOS NODFFCAIIONIS NOT APPLICABLE TO PROPOSEDDEINOLITION- PERMITFRVAL — CERTIRCATEOF OCCUPANCYISSUED SIGNATURE: