HomeMy WebLinkAboutE2021-0715 - 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
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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.
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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
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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.