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Home My WebLink AboutE2020-0627 - Permits03 City of Newport Beach - Building Division 11111111111111111111111111111111111111111111111111 Jill JillElectrical Permit: E2020-0627 '� d 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 2 0 0 6 2 7 Project No: 1999-2020 * Permit Counter Phone (949)644-3288 r +iw,a'' Inspection Requests Phone (949)644-3255 JobAddress: 5 POINT SUR R Bldg: Floor: Suite: INSPECTOR Description of Work: ELEC FOR BBQ/FIRE PIT Inspector Area: 4 Legal Description: N TR 7510 LOT 61 Owner: WHITEHEAD JENNIFER Contractor: Address: 5 POINT SUR DR Address: CORONA DEL MAR, CA 92625 Phone: Phone: 1 Con State Lie: Issued Date:10/30/2020 Lie Expire: $0.00 Bus Lie: Processed By: Lie Exp Date: CRYSTAL POOLS 19631 BROOKHURST ST #13 HUNTINGTON BEACH CA 92646 714-420-5473 867770 11/30/2022 BT30063161 11/30/2021 New Construction Receptacle/Switch/Outlets Residential Worker's Compensation Insurance Receptacles/Outlets: 1 $1.75 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1-2 Family: 0 $0.00 Sep Circuits: 0 $0.00 m common Low Voltage 0 $0.00 Service mm000 Signs mmmm<o e o n m m oe0000 o 0 0-600V up to 20OA: 0 $0.00 Branch Circuit: 0 $0.00 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Over 600V or 1000A: 0 $0.00 Time Clocks: 0 $0.00 O/H to U/G 0 $0.00 Additional Fee: $0.00 Code Edit: 2019 Motors/Transformers (HP/KVA) o • ommmmm 0 Worker's Compensation Insurance e a m••••• e o c•eomo o Carrier :STATE COMP m $0.00 Policy No: 9089361 0 e o • • m Expire: 12/19/2021 m <m� mm` • e m Over 100 HP/KW/KVA: seem mm m common 000m o e mm000 eo m e o o mom mmmm mmmm<o e o n m m oe0000 o 0 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 Back/Temp Power: 0 $0.00 Temp Power Pole: 0 $0.00 Temp Underground: Sub Panel: Record Mgmt Fee: Plan Check Fee: Investigation Fee: Issuance Fee: Supplemental Fee: 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. 75 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $37.00 $0.00 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) 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 ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or im roved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below (acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a structure 01141 h9le built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and F�gfg{{sjTns Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Slgnaiuro of ProporlyOwner or Authorized Agent Date LICENSED CONTRA$TOR'S DECLARATION I $ePeby affirm undrir penalty of perjury that I am licensed under provisions of Chapter 9 (commencing XTO coon 7000) of Division 3 of the BusinessVDRED ns Code, and my license is in full force an(j effgct. • •; License Class • • • License No Date' Z Contractor Signatur hQW" RS' COMPENSATION DECLARATION W�1LlNING:'FAILURE TOSECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYRIMINAL PENALTIES AND CIVIL FINES UP TO ONUSAND DOLLARS ($100,000), IN ADDITION TO THE CMddCOMPENSATIQN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I bIg$bg'gffirm un jer pegalty of perjury one of the following declarations: d 1 have and wifl4aintain 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 thr . ...a�I. er�ormce of tha wetk for which this permit is issued. Policy No. 7have and will"ditltain 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' compensatior su ce carrier and policy number are: Policy Number is of Agent Date ]I certify that, in the perf mance of the work for 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 rat, if I should become bje to the wo ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provision ll 'signature of Applicant Dale b( L� IECLARATION REG DI TRU ION LENDING AGENCY hereby affirm under p natty e' ry that there is a construction lending agency for the performance of the work for which this permit is issued (Se io 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 Ikvepded is correct. I agree to comply with all applicable city and cou�e�.and tatetate lag to building construction. I authorize representatives of this city or county t T�T,,Sjve-id f 'ed rope for inspection purposes. innnture of Prooertv Owner or Authorized ADentt/V�r L� Print Property Owner's or AC77ON DATE yurr.Lsrrwi rvn ur a.vmruvrrva.c rri r rs wv� yr I FEDERAL REGULATIONSPART6I OFTITLE40AND AQMDRULE1403. �f PERMITEXPIRED ❑ I SUBMITFEDASBESTOS NO7TFICATION TO:. ❑ EPA ❑ AQMD PERMfT CANCELLED PERMfTEXTENDED E3 ASBESTOS NORTICARONIS NOT APPLICABLE TO PROPOSED. DEMOLITION. PERMITEINAL p Z'j — dL j IL-- I �-a- CERTIFICATEOE SIGNATURE., OCCUPANCYISSUED