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Home My WebLink AboutE2019-0497 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 F Permit Counter Phone (949)644-3288 c s a4AYfkti� Job Address: 2415 NOVIA Bldg: 1 Floor: Suite: Description of Work: ELEC/BBQt4REVISED 03/02/2020 Inspector Area: Legal Description: 8 N TR 7052 LOT 7 Owner: WULFF JEFF Contractor: Address: 2415 NOVIA PL Address: NEWPORT BEACH, CA 92660 a Phone: 562-577-1662 Phone: $0.00 Con State Lic: Issued Date:07/19/2019 Lic Expire: WULFF JEFF Carrier : Bus Lic: Processed By: Lic Exp Date: New Construction Residential Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Service 0-600V up to 20OA: 0 $0.00 0-600V over20OA: 0 $0.00 Over 600V or100oA: 0 $0.00 O/H to U/G 0 $0.00 TOTAL Fee: $37.00 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II Electrical Permit: E2019-0497 E 2 0 1 9 0 4 9 7 Project No: 2440-2018 Inspection Requests Phone (949)644-3255 Receptacle/Switch/Outlets Receptacles/Outlets: 2 $2.00 Fixtures: Z $0.00 C.0 Code Edit: 2016 a Low Voltage M $0.00 0 OWNER/BLDR Worker's Compensation Insurance 10 to 50 HP/KW/KVA: WULFF JEFF Carrier : 0 Policy No: Expire Each Add Circuit: O/B $0.00 Receptacle/Switch/Outlets Receptacles/Outlets: 2 $2.00 Fixtures: 0 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Signs $0.00 10 to 50 HP/KW/KVA: Branch Circuit: 0 $0.00 Each Add Circuit: 0 $0.00 Time Clocks: 0 $0.00 Additional Fee : $0.00 $0.00 FEES 0 $0.00 Motors/Transformers (HP/KVA) Sub Panel: 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 Plan Check Fee: $37.00 Temp Underground: 0 $0.00 Sub Panel: 0 $0.00 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 �� Ve o • a o as• as a•a • o amo ae )WNER-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 is 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 Irofessions 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). 7 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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, 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 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: 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, Ipannot legally ell a structure that I have built as an owner -builder if it has not been, const cted in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the usiq ss and Irofessions Code, is available upon request when t ' , i ted or at the following Web site:http:/Aw .leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent R �l .ICENSED CONTRACTOR'S DECLARATI // hereby affirm under penalty of perjury that I am ice a under provisiollP of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force nd effect. V - icense Class License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION 'ARNING: 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 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 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 erformance of the work for which this permit is issued. Policy No. have 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' rance carrier and policy number are: ler Policy Number Expiration Date of Agent .ertify that, in the performance of the work for which tII77 s permit is issued, I shall not employ any person in any manner so as to become subject to the workers' comp nsation laws of California, and if I should become subprpP cophpegsa'j�pn provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. mature of Applican / C _ / / _ / "L CLARATION RE A G NS RUCTION LEN I AGENCY :reby affirm unde pe. alt Yperjury that there is a truction lending agency for the performance of the work for which this permit is issued (Section 30 7, Ciit Code). ider's Name - Lender's Address 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 and stile laws relating to building construction. I authorize representatives of this city or county to )d /�ified property for inspection purposes. Y,, �(' ( �, ` f ..nature of Property Owner or Authorized Agent �/ �! / Print Property Owner's or Authorized Agent's Nar?Iy )t K v V�if ACTION DATE BY DECLARATION OF COMPLIANCEtMTN CODEOF FOR OFFICE USE ONLY FEDERAL REGULATIONSPART 61 OF TITLE40AND AQMDRULE9401 .++ ..0 •• ••. .•+ ElI SUBMfTT✓ ISBOTOS N®TIFkj;TION 70: ❑ EPA : : : • + . • . + • •• : ❑ AQMD • • • + PERMITEXPIRED PERMIT CANCELLED PERMIT EXTENDED ❑ ASBESTOS NOTIFICATIGNIS NOTAPPLtCABLE TO PERMIT FINAL i PROPOSED DEMOLITION. •• ••• • •...••• CERTIFICATEOF SIGNATURE: : + OCCUPANCY75SUED . . ..