The URL can be used to link to this page

Home My WebLink AboutE2021-0331 - PermitsCity of Newport Beach - Building Division "E2021-0331* 100 Civic Center Drive, Newport Beach, CA 92660 (9) Permit Counter Phone (949)644-3288 I S 1 EE T "t I Job Address: 1721 MARLIN WAY Bldg: 1 Floor: Suite: Description of Work: ELEC A/C DISCONNECT Inspector Area: Legal Description: 3 N TR 3097 LOT 35 Owner: EMMEL DREW& CHRISTINE Contractor: Address: 1721 MARLIN WAY Address: NEWPORT BEACH, CA 92660 Phone: 949-285-3292 Phone: Con State Lic: Issued Date:05/20/2021 Lic Expire: C Bus Lic: Processed By: v Lic Exp Date: New Construction Residential Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Service 0-600V up to 20DA: 0 $0.00 0-600V over20OA: 0 $0.00 Over600V or1000A: 0 $0.00 O/H to U/G 0 $0.00 Electrical Permit: E2021-0331 Project No: Inspection Requests Phone (949)644-3255 SUBJECT TO FIELD INSPECTOR'S REV1EWAND APPROVAL Code Edit: 2019 OWNER/BLDR Worker's Compensation Insurance ' Carrier Policy No: Expire O/B Receptacle/Switch/Outlets Receptacles/Outlets: 0 $0.00 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 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 Pole: 0 $0.00 Fee : Temp Underground: 0 $0.00 Sub Panel: 1 $28.00 0 $0.00 o $0.00 Record Mgmt Fee: $0.00 Plan Check Fee: $0.00 Investigation Fee: $0.00 Issuance Fee: $37.00 Supplemental Fee: $0.00 Fee Due at Permit Issuance: $65.00 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. OWNER -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 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 L) all of or L) 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 improved for the purpose of sale). 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 p 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). I am exempt from Iicensure under the Contractors' State License Law for the following reason: By my ,.ignature 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 cover d by this permit, I cannot legally sell a structure thct I have built as an owner-builde if ha not been constructed in its entirety by gcensed contractors. I understand that a copy of the applicable law, Bec i 7044 of the Business and Professions Code, is available upon request when ' ap I i s bmitted at the followin Web site:http://www.leginfo.ca.gov/calaw.html. IV Signature of Property Owner or Authorized Agent I - D e�-G LICENSED CONTRACTOR'S DECLARATI hQrebj affirm u.ider penalty of perjury that I am I ensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Cod , and my license is in full force and erfect. u�cei Ise Class _ _ _ _ License No Date Contractor Signature VVURKERS' COMPENSATION DECLARATION WARNINP: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUB.IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE :OST OF COMPEKSATICN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ' �crelhy affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for IN performance of the work for which this permit is issued. Policy No. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' Lance carrier and policy number are: Policy Number Expiration Date me of Agent _ I certify that, in the performance of the work forwhich this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agref it, if I should becom s ttjo�tt^he�wworr�keem' compensjaj�io�n provisions o(y/$action 3700 of the Labor Code, I shall forthwith comply with those provisio I (nature of Applicant 1 /<✓4' 11 \U /) I "ll AA [/L4 Jam— Date 51, 2V 1 ZA :CLARATION REGAFIDN CONSTRUCTION LENDING AGENCY I areby affirm under p alty o erjury that there is a construction lending agency for the performance of the work for which this permit is issued (S ct n 3097, Civil Code) nder'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 Didinances and state laws relating to building construction. I authorize representatives of this city or count a Ily rph ,,�be^-identif tlpropertyf 'section purposes. �A,`1 /\.ILI ,( (nature of Property Owner or Authorized Agent y A'' G L'"L 1 f�C. Pnt Property Owner's or Authorized Agent's Nanh¢\ l/ n y' f w ACTION DATE BY DECLARATION OF COMPLIANCE ANITN CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE40 AND AQMD RULE 1403. PERMIT EXPI RED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO:. ❑ EPA ❑ AQMD PERMIT CANCELLED PERMITEXTENDED ❑ ASBESTOS NORRCABON ISNOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED SIGNATURE: