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Home My WebLink AboutE2019-0540 - PermitsCity o Newport Beach ortBh - Building g Division IIIIIIIIIIIIIIIIIII Electrical Permit: E2019-0540ovfeach, CA boIIIIIIIII Permit Counter Phone (949)644-3288 Project No : 1638-2017 Inspection Requests Phone (949)644-3255 Job Address: 39 OVERLOOK DR Bldg: 1 Floor: Suite: Description of Work: ELEC INSTL OUTLET FOR BBQ Inspector Area: Legal Description: 6 N TR 15400 LOT 51 Owner: SHAOPING YANG Contractor: Address: 23041 AVENIDA DE LA CARLOTA #2 Address: LAGUNA HILLS, CA 92653 $0.00 Phone: Phone: $0.00 Con State Lic: Issued Date:08/06/2019 Lic Expire: 0-600V over20OA: Bus Lic: Processed By: Lic Exp Date: New Construction Residential Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Service 0 $0.00 0-600V up to 20OA: 0 $0.00 0-600V over20OA: 0 $0.00 Over 600V or 10o0A: 0 $0.00 O/H to U/G 0 $0.00 TOTAL Fee: $36.00 SIERRA LANDSCAPE 41010 LANGERFIELD CT LAKE ELSINORE CA 92532 951-293-9176 1032547 11/30/2019 BT30054552 09/30/2019 Receptacle/Switch/Outlets Receptacles/Outlets: 1 $1.00 Fixtures: 0 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Signs $0.00 10 to 50 HP/KW/KVA; Branch Circuit: 0 $0.00 Each Add Circuit: 0 $0.00 Time Clocks: 0 $0.00 Additional Fee: $0.00 Plan Code Edit: 2016 INSPECT'® Worker's Compensation Insurance Carrier: NATIONAL LIABILITY INS',,,,, e Policy No: A9WC030284 11 1 °,.,,r Expire : 07/06/2020 cc FEES m a a e o 000m Motors/Transformers (HP/KVA) e a 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 Back/Temp Power: 0 $0.00 Temp Power Pole: 0 $0.00 a m a a e o 000m mo e a o 0 ecoo o m 0000 00 i O C O OOOOC 60 O O $0.00 10001. 0 $0.00 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. Temp Underground: ��«�° 0 0..66 Sub Panel: 0 $0.00 0 $0.00 0 $0.00 Record Mgmt Fee: $0.00 Plan Check Fee: $0.00 Investigation Fee: $0.00 Issuance Fee: $35.00 Supplemental Fee: $0.00 e at Permit Issuance : s3a_nn 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. DWNER-BUILDtR utcLHRA I IUR 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-f&— 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 ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or im roved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds orimproves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Date Signature of Property Owner or Authorized Agent LICENSED CO$MACTOR'S DECLARATION I Hereby affirm undbl pAnalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of a Business and Profession Code, and my license is in full force ar+Idreffact: • • to —L r)9 C actor Signature Litense bass • . • License No /VdRKERS' COMPENSATION DECLARATION pRNING: FAILURE TV SSCCRE 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 C(:Si OF C7MPENsP1r(pV•r]p.MAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby -affirm undgl;IlValty of perjury one of the following declarations: ita*va and will meiataln 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 t efM"Ifoce of the v(ork for which this permit is issued. Policy No. •Y.•• heve and willdliplw 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' compensa to surance carrier and policy number are: aFrier �+ • • • Policy Number Expiration Date C Phone # Name of Agent • • • • I certify that, in the performance 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 agree that. if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with thoseyrovisions. k -i9 of CLARATION REGARDING eMSTRUG I IUN LC:INUIN" AUCIM� r Ireby affirm under 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). 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 owner's 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 laws relating to building construction. I authorize representatives of this city or county to enter the abo e -identified property for inspection purposes. mature of Property Owner or Aut gent Print PropertyOwner's or Authorized nt's Name w✓C 4� q Dat ncrl ADA nN ng rnmP IANCF MTIt CODEOF FOROFFlCEUSEONIY ACT701V I DATE I BY PERMITEXPIRED OCCUPANCYISSUED 61 f SUBMITTEDASBESTOS NOTIFICATION T0: ❑ EPA ❑ AQMD ❑ ASBESTOS NOIIRC—AI70MIS NOT APPLICABLE TO PROPOSED DEMOLITION.. SIGNATURE: