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Home My WebLink AboutE2019-0396 - PermitsIva City of Newport Beach - Building Division o`� d 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 III' IIILII0IIIIIIID9IIIII 0III3IILI9 III II Electrical Permit: E2019-0396 Project No: 1231-2018 Inspection Requests Phone (949)644-3255 Job Address: 3506 CATAMARAN DR Bldg: 1 Floor: Suite: Receptacle/Switch/Outlets $0.00 Receptacles/Outlets: 2 Description of Work: ELEC FOR BBQ & HEATERS $0.00 Fixtures: 0 p $0.00 Sep Circuits: 0 $0.00 $0.00 K 0 $0.00 Over 100 HP/KW/KVA: Signs $0.00 Issuance Fee: Inspector Area: 4 Branch Circ4t: 0 Code Edit: 2016 .� Each Add Circuit: 0 $0.00 $0.00 Time Clocks: eeee $0.00 Legal Description: N TR 6152 LOT 12 Additional Fee: $0.00 °. • e e ° Plan eoom o•uoo Owner: MARTIN VALINDA JEAN Contractor: OWNER/BLDR Worker's Compensation Insurance °e•° e Address: 3506 CATAMARAN DR Address: MARTIN VALINDA JEAN Carrier: •° •e� CORONA DEL MAR, CA 92625 Policy No: e • • ° Phone: 949-433-6070 Phone: Expire : `� • ° ° Con State Lic: O/B ° e ee o IssuedDate:06/11/2019 Lic Expire: Bus Lic: Processed By: Lic Exp Date: c°omom o 0 •ommoo o m m omen New Construction Residential Multi -Family: 1-2 Family: Service 0-600V up to 20OA: 0 0-600V over 20OA: 0 Over 600V or1000A: 0 O/H to U/G 0 FEES Receptacle/Switch/Outlets $0.00 Receptacles/Outlets: 2 $2.00 $0.00 Fixtures: 0 $0.00 $0.00 Sep Circuits: 0 $0.00 $0.00 Low Voltage 0 $0.00 Over 100 HP/KW/KVA: Signs $0.00 Issuance Fee: $0.00 Branch Circ4t: 0 $0.00 $0.00 Each Add Circuit: 0 $0.00 $0.00 Time Clocks: 0 $0.00 $0.00 Additional Fee: $0.00 37.00 Plan FEES 0 $0.00 Motors/Transformers (HP/KVA) 0 $11.00 Oto 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 Backrremp Power: 0 $0.00 Temp Power Pole: 0 $0.00 Fee : Temp Underground: 0 $0.00 Sub Panel: 0 $11.00 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 Fee Due at Permit Issuance: 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 reasons) 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 penally 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 roved for the purpose of sale). s 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 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: By my signature foWl acknowledge that, except for my personal re den a in which I must have resided for at least one year prior to completion of the improvements covered y this permit, I cannot legally sell a strycture thOtN-have built as an owner -builder it has not been ons clad in its entirety by licensed contractors. I understand that a copy of the applicable law, Section f th Business and Professions Cod" is�auailable upon request when is application is ub i ed at the following Web site:http://w .leginfo.ca.gov/calaw.htmi. / Signature of Pr4eh)<oner or Authorized Agen Da it LACENhED CONTRACTOR'S DECLARAT ON 11 ereby affirm Unger penalty of perjury that I a licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force 80 effect. •••••. license Mass License No Date Contractor Signature WORKS RS' COMPASATION DECLARATION VI OMIN I 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 ($700,000), IN ADDITION TO THE WT DE QOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I:lefeby:tffirm ujiVer penalty of perjury one of the following declarations: i clave and will ma stain 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 thl peOppygnce of JA%org for which this permit is issued. Policy No. 1:1.. I have and will .m.aintain 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' compensation insurance carrier and policy number are: Carrier F Policy Number Expiration Date Name of Agent Phu.. certify that, in the performancete; f th work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre that, if I should become ubject t0 kers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those orovisi s. Signature of Applicant Date DECLARATION REG RDING CONSTRUCTION LENDING AGENCY - 1 hereby affirm under enalty of perjury that there is a construction lending agency for the performance of the work for which this permit is sued ( action 3097, Civil Code). Lender's Name Lender's Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on the loperty owner's behalf. I have read this application and the information I he provided is correct. I agree to comply with all applicable city and county rdinances and state laws relating to building construction. I authorize representatives of this city or county to ter a above -identified property for inspection purposes. r (� Sianature of Property Owner or Authorized Agent PropertyPrint . Owner's or Authorized Agent's Name AU Date ACTION DATE BY DECLARATION OF COMPLIANCEWITH CODEOF FOR OFFICE USEOAICY FEDERAL REGULATIONS PART 61 OFTI R.E40AND AQMORULE '1401 PERMITEXPIRED ❑ I SUBMfTTEOASBESTOS NORFICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMITEXTENDED ❑ ASBESTOS NORFICARON/S NOT.APPLLCABLE TO PROPOSED. DEMOLITION. PERMITFINAL CERTIFICATEOF SIGNATURE: OCCUPANCYISSUED