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Home My WebLink AboutE2021-0715 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 1822 BUTTONSHELL LN Bldg: 1 Floor: Suite: Description of Work: ELEC TO BBQ Inspector Area: 3 Legal Description: N TR 3763 LOT 69 Owner: SHEA PETER Contractor: Address: 1822 BUTTONSHELL LN Address: NEWPORT BEACH, CA 92660 Phone: Phone: Con State Lic: Issued Date:10/19/2021 Lic Expire: Bus Lic: Processed By: Lic Exp Date: 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 over20OA: 0 $0.00 Over 600V or 1000A: 0 $0.00 O/H to U/G 0 $0.00 AL Fee : $41.50 II �IE III II� III�� IIIII1 IIIII I�I�I IIIII 1�I�I 5II II LANDCRAFTERS INC 29512 ANA MARIA LANE LAGUNA NIGUEL CA 92677 949-249-1086 754071 09/30/2022 BT30039467 05/31/2022 Receptac I e/Switch/Outlets Receptacles/Outlets: 2 $3.50 Fixtures: 0 $0.00 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 Additional Fee : $0.00 Electrical Permit: E2021-0715 Project No : 2460-2021 Inspection Requests Phone (949)644-3255 Code Edit: 2019 Worker's Compensation Insurance Carrier: EMPLOYEE SERVICE GROUP Policy No: WC5897031 Expire : 12/01/2021 FEES Motors/Transformers (HP/KVA) 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 Backlremp Power: 0 $0.00 Temp Power Pale: 0 $0.00 Plan Check Fee: Temp Underground: 0 $0.00 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: $38.00 Supplemental Fee: $0.00 Fee Due at Permit Issuance: $41.50 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. a a oc maa m o mv ae wa � � a�a •�� •o• 1NER-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 Aam(s) ction 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 fcx 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 fessions 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). j J I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, throu nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of a nproved for the purpose of sale). 1 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7C pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contra 7 I 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 D ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:11www.1f 'signature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Seytion 7 0 effect. is 1 /, � �( icense Class License No Date / // COMPENSATION DECLARATION ING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. �y affirm under penalty of perjury one of the following declarations: Eve and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Dire, rmance of the work for which this permit is issued. Policy No. the work, and the structure is not intended or offered for sale (Section 7044, employees' or personal effort, builds or improves the property, provided that the Dletion, the Owner -Builder will have the burden of proving that it was not built or Business and Professions Code: The Contractors' State License Law does not pursuant to the Contractors' State License Law). year prior to completion of the improvements covered by this permit, I cannot understand that a copy of the applicable law, Section 7044 of the Business and Date of Division 3 of the Businepanles—s sCo and nse is in full forceContractor Signat .LTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE of Industrial Relations as provided for by Section 3700 of the Labor Code, for /have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for th� performance of the work for which this permit is issued. My workers' compensatior �ce carrier and policy number are: 'rier Policy Number Expiration Date ne of Agent Phone # certify that, in the perfo nce of . rk f Ich t ermf is issued, I shall not employ any person in any manner so as to become subject to the work rs' co pensation laws of California, and agree t, if I should become su ct tot worke mpe ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. fa ,+� nature of Applicant Date '�I CLARATION REGAR IN C RUCTION LENDING AGENCY �reby affirm under pen of perjury that there is a construction lending agency for the performance of the work for whl ich 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 b I have read this application and the information ve rov d is r 1 agree to comply with all applicable city and ounty o antes fate s relating to building construction. I authorize representatives of this city or co my to the a -i if d pro arty for inspection nature of Property Owner or Authorized Agen Print Property Owner's or Authorized Agent's Name Date ACTION DATE BY DECLARATION OFCOMPLIANCE IMITH CODE OF FOR OFFICE USE ONLY r „• ,•• FEDERAL REGULATIONS PART BS OF TIRE 40 AND AQMDRULE1403. PERMITEXPiREIT• • • • • •• • ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMO PERMIT CANCIL•IED • • • • • • " • PERMIT EXTENDED ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSEDDEMOLITION. PERMIT FINAL „ CERTfRCATEOF ��• • • • • • • e• i i OCCUPANCYISSUED • i o s • • SIGNATURE.