HomeMy WebLinkAboutE2020-0296 - PermitsC,ow � City of Newport Beach - Building Division
0 .ti 100 Civic Center Drive, Newport Beach, CA 92660
r. Permit Counter Phone (949)644-3288
vt
Job Address: 3915 MARCUS AVE Bldg: 1 Floor: Suite
Description of Work: ELEC - EXTERIOR 1 OUTLET
Inspector Area:
Legal Description: CANAL SECTION BLK 339 LOT 7
Owner: ZUCCATO MICHAEL
Contractor:
Address: 11 COASTAL CANYON DR
Address:
NEWPORT COAST CA 92657
Phone:
Phone:
Con State Lic:
Issued Date:06/18/2020
Lic Expire:
Motors/Transformers (HP/KVA)
Bus Lic:
Processed By:
Lic Exp Date:
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
Fee :
111111111111111111111111p�11111p1111111111111p1JillElectrical Permit: E2020-0296
E 2 0 2 0 0 2 9 6 Project No: 0450-2019
SEA POINTE CONSTRUCTION
576 WALD STREET
IRVINE CA 92618
949-279-0421
665114
02/28/2021
BT30016203
07/31/2020
Inspection Requests Phone (949)644-3255
Code Edit: 2019
NO CONSTRUCTION NOISE
Worker's Compensation Insurance
Carrier: EVEREST NATIONAL
Policy No: 7Ig18APTUR®AYS
Expire :03/01 2 21
� C_.1 1
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.
f 9J00 B OAC OHO, 4 4
O a O C
O 6 O O O C O O E C
O 4 O O O G 0 OC C O
oe O O O 04 O
p0 F,00 O G O 000
D G O O
6 C O C
OC C O
0 O p O O O
fi iG9 R Y YY G4 VO0
FEES
Receptacle/Switch/Outlets
Motors/Transformers (HP/KVA)
Receptacles/Outlets:
1
$1.00
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:
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
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:
$35.00
$0.00
Additional Fee:
$0.00
Supplemental Fee:
$0.00
36.00
Plan Check
Fee_: $0.00
Fee Due at Permit Issuance:
$36.00
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.
f 9J00 B OAC OHO, 4 4
O a O C
O 6 O O O C O O E C
O 4 O O O G 0 OC C O
oe O O O 04 O
p0 F,00 O G O 000
D G O O
6 C O C
OC C O
0 O p O O O
fi iG9 R Y YY G4 VO0
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 (_) 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
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).
❑ I, 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
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 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 legally
sell 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
Professions 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
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section;/7000) fDiDiviision 3 of the Businessandannd Professions Cotle and my license is in full force
and effect.
License Class License No Date / 3- /h..-' Contractor SignatdrA/ .a
WORKERS' COMPENSATION DECLARATION
NARNING: 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 ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
q.1 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 the
ood rmance of the work for which this permit is issued. Policy No.
SIIve 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' compensation
ihdu nce carrier and policy number are:
Policy Number
Date
lame of Agent rnune n
]I certify that, in the performance of the work for ich 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
iiat, if I shot ld become
can bject t wo s9 �nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those D
IECLARATION REGARDING CONSTRUC i LENDING AGENCY provisions._
v� �✓
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
ly 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 ordinances an "fate laws relating to building construction.�`�
I authorize representatives of this cit or county toe he abo d ntified property for inspection purposes./- /j//
..,-_ Pu...,...__ -_-....:._.:_Y. P P Y DP,aDr—Pd, n..,ner. n A,:fhnrived AnonF. nla i%l ,i� / =� .�� Date V15/�L�.r
ACTION
PERA41TEXPIRED
PERMIT FINAL
CER77FICATEOF
OCCUPANCYISSUED
DATE BY/
OFT17LE40AND
❑ l SUBMITTEDASBESTOS NOTIFICATION TO:
EPA
❑ AQMD
❑ ASBESTOS 11017RCARONIS NOT APPLICABLE TO
PROPOSED DEMOLITION,
SIGNATURE: