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E2019-0617 - Permits
City of Newport Beach - Building Division 4 100 Civic Center Drive, Newport Beach, CA 92660 ' Permit Counter Phone(949)644-3288 Job Address: 37 BURNING TREE RD Bldg: 1 Floor: Suite Description of Work: ELEC - TO BBQ Inspector Area: 4 Legal Description: N TR 7638 LOT 56 Owner:. CANNERY SAILHOUSE LP Contractor: Address: 37 BURNING TREE RD Address: NEWPORT BEACH, CA 92660 Phone: Phone: Motors/Transformers (HP/KVA) Con State Lic: Issued Date:09/09/2019 Lic Expire: r Bus Lic: Processed By: Lic Exp Date: II�IIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIII itElectrical Permit. E2019-0617IIIIIIIIIProject 1990-2019 Inspection Requests Phone (949)644-3255 LEGACY CUSTOM HOMES INC 1000 QUAIL ST, STE 220 NEWPORT BEACH CA 92660 949-887-4750 986194 08/31/2021 BT30045036 10/31/2019 Code Edit: 2016 Worker's Compensation Insurance Carrier: OAK RIVER INSURANCE Policy No: LEWC912262 Expire : 1210212019 0 P, 2102/2019 i 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. c ° c• • o _ co coc c • �oo •" ° e � • ono ea • o o u •o ° a. o° c° cOc occ FEES New Construction Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) Residential Receptacles/Outlets: 2 $2.00 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: 0 $0.00 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1 to 10 HP/KW/KVA 0 $0.00 Sub Panel: 0 $0.00 1-2 Family: 0 $0.00 Sep Circuits: 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 0 $0.00 Low Voltage 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 0 $0.00 Service Signs Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: $0.00 0-600V up to 20OA: 0 $0.00 Branch Circuit: 0 $0.00 Plan Check Fee: $0.00 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Piggy Back/Temp Power: 0 $0.00 Investigation Fee: $0.00 Over 600V or 1000A: 0 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $35.00 O/H to U/G 0 $0.00 Additional Fee: $0.00 Supplemental Fee: $0.00 TOTAL Fee: $37.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $37.00 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. c ° c• • o _ co coc c • �oo •" ° e � • ono ea • o o u •o ° a. o° c° cOc occ IWNER-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) 1 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 ie 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 'rofessions 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 of 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 nprovements 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 nproved for the purpose of sale). 1 1, 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 pply town 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). 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 one year prior to completion of the improvements covered by this permit, I cannot legall ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professio ode, an my license is i e nd effect. a icense Class License No Da a t -t --lei Contractor Signa: VORKERS'.COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLA 5100,0001, IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I have he nd 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 t e'fr gr nce of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number Date lame of Agent -vnone s 3I certify that, in the performance of thewor 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 tat, if I should become subject to th cers' cc?m�p"�,aetlon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �} 4 signature of Applicant / Date /� l / r Z 15 IECLARATION REG 11 SJ.RU TION LE IN AGENCYUn hereby 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). Ender's Name Lender's Address ;y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners 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 a state laws relating to building construction. I authorize representatives of this city or county to enter th ve-Iden ''fes oparty for inspection purposes. � :nnnf — of Drnnarfv nu,nnr nr A„fhnrlmd Ananf � +�_�� Print Prooertv Owner's or Authorized Agent's Name 1/ /fi/1l �' (.� DateA l el ACTION DATE &Y FEDERAL REG UyLrA TIQNSPART Of OFTtTCE6ftAND PERMITEXPIR€D • . �. •• AQMD RULE 1603. 1 SUBMTTED ASBESTOS NORFICATION TO: PERMITCANCELLED • • •• • • : • • • • . © EPA P€RMITEXTENDED • . • •.• • © AQMD ASBESTOS NOARCARONIS NOTAPPLICABL.E TO PERMITFINAL PROPOSEDDEMOUTIOM CERTIFICATEOF SIGNATURE: OCCUPANCYISSUEQ • • • _ • , • • • _• : :