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HomeMy WebLinkAboutE2020-0462 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 ' Permit Counter Phone (949)644-3288 e Job Address: 27 GOLETA POINT DR Bldg: 1 Floor: Suite: Description of Work: ELEC INSTALL CIRCUIT FOR ABOVE GROUND SPA Inspector Area: Legal Description: 4 N TR 7386 LOT 39 Owner: CASSIDY DAVID Contractor: Address: 27 GOLETA POINT DR Address: CDM CA 92925 Phone: 949-244-4235 Phone: Con State Lic: Issued Date:O 2020 Lic Expire: Motors/Transformers (HP/KVA) Bus Lic: Processed B Lic Exp Date: New Construction Residential Multi -Family: 1-2 Family: Service 0-600V up to 20OA: 0 0-600V over20OA: 0 Over 600V or1000A: 0 O/H to U/G 0 *E2020-0462* CORNERSTONE CONSTUCTION 15540 ROCKFIELD BLVD STE A 110 IRVINE, CA 92618 949-369-1979 1033864 12/31/2021 BT30061583 12/31/2020 Electrical Permit: E2020-0462 Project No: 1561-2019 Inspection Requests Phone (949)844-3255 INSPECTOR U 1 Code Edit: 2019 eoo. • c Worker's Compensation Insurance Carrier: ACCREDITED SURETY & CASUO&TY Policy No: 1ATCA16211 .... ° Expire: 1112212020 • • . o o . • . • omeo . , • . 00.0 E00C Plan Check Fee: Fee 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. FEES Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) Receptacles/Outlets: 0 $0.00 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: 0 $0.00 $0.00 Fixtures: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: 0 $0.00 $0.00 Sep Circuits: 1 $7.00 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 Signs Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: $0.00 $0.00 Branch Circuit: 0 $0.00 Plan Check Fee: $0.00 $0.00 Each Add Circuit: 0 $0.00 Piggy Back/Temp Power: 0 $0.00 Investigation Fee: $0.00 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $37.00 $0.00 Additional Fee: $0.00 Supplemental Fee: $0.00 Plan Check Fee: Fee 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 1 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 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 Divisic:I 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 appimant to a civil penalty of not more than five hundred dollars ($500). 111. as owner of the property, or my employees with wages as their sole compensation, Will do (_.) all of or U 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 proparty, 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-Builderwill have the burden of proving t:iat it was not built or im roved for the purpose of sale). I, as oviner olithe property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not Ia�ptply io an•coUhB ;of property who builds or improves thereon, and who contracts for the projects with a Iican6ed Conhactor pursuant to the ConVact,,rs' State License Law). y I am exW94from licensure under the Contractors' State License Law for the following reason: If :. • ®g my sigeature below I acknowledge that, except for my personal residence in which I must have resided for ct least one year prior to completion of the Improvement ,,vaned by �fhpee rmit, I cannot legalh a Bil a structAl'�ih`at 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 I ,Section 7044 Business a •• • M91essions Dods, is available upon request when this application is submitted or at the following Web seta:httpJ/www.loginfo.ca.govlcalaw.htmi. 'gnature of&sperty Owner or Authorized Agent Date UCENSED.000PfRACTOR'S DECLARATION {,tie'reby affimlTyjlder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing With Section 7000) of Division 3 of the usiness and P fe ions Code, and tensa is n full force and effect.. • • 1038079 • ` Manse Clats `0 License No 9/9/2020 Contract ignatare ` SRKERS' COMPENSATION DECLARATION .. ... =NG: FAIeE =S SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE D THOUSAND 00 IE' 06,6601, IN ADDmO TO THE COSTOF COMfEVIIAT10N, DAMAGES AS PROVIDED FOR IN SECTION 3766 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. tiwFr by afgrm.Milar penalty of perjury one of the following declarations: • 1 have and -WE inaintain a certificate of consent to self -insure for work s' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 o1 the Labor Code, for th ante of the work for which this permit is Issued. Policy No, have and Will maintain workers' co pensation insurance, as required 6y Section 3700 of the Labor Cade, for the performance of the work for which this per is issued. M7 workers' compensatio ins rence terrier and policy number a Carrier P li Number Expiration Date Name of Agent - Phone # in the Derfolmar(ce\of the work for if I I hereby affbm ander penalty of pthat there is a d Lender's Name By my signature below, I certify i eaph of the following. I am the property owner or auWzed to act on the I have read this application and the information I y .. I agree to comply with all applicable city and egl"it I authorize representatives of this city gLcyunty t 4 ACTION DATE PERMIT EXPIRED PERMITCANCEUED PERMITEXTENDED PERMITFINAt —6—� CERTIFICATE OF OCCUPANCYISSUED i ermit is sued, I shall not employ any person in any manner soas to become subject to the workers' compensation laws of California, and agre' provisio s of Section 3700 of the Labor Code, I shall forthwith comply with those pro v/Igg++tons. be 9/9/2020 kOENC# N Iction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lenders Address 6roperty owners behalf. I s provided Is eorre I. ordinances and stat a StarItheahov ac W to building construction. Jr inspection purposes. or ❑ 1 SVBMITIEDASBESTOS NOTIFICATION TO. ❑ EPA ❑ AOMD ❑ ASBESTOS NOMCAT70NIS NOT APPLICABLE TO PROPOSEDDEM UTION. SIGNATURE: