The URL can be used to link to this page

Home My WebLink AboutE2017-0234 - Permitswhf - City of Newport Beach - Building Division ' 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone(949)644-3288 u fC I "[ E2017-012I1III4j*�feattrical Permit: E2017-0234 Project No: 0 °°a e oo a o nspgtioneRequests Phone (949)644-3255 Job Address: 1910 YACHT ARI{f$ 1 Floor: Suite: - applicable: Description of Work: ELEC - RC ORS ❑ 80% or El 100% refund Inspector Area: 4 Code Edit: 2016 a M C A N%O "0*0 E Lto whom: �n 17_ 01 yr Legal Description: N TR 926 LO Owner: HECHT BEN 1 „ Worker's Crorripens' t ' I Tice Address: 1910 YATCH MART DR s: Carrier ra NEWPORT BEACH CA 66 PPolicy No: i Phone: EExpire : t 1, i Con State Lie: O/B Issued Date:05/10/2 17 Lie Expire: Bus Lie: plan Discard p{� Processed By: te: (work started) (no work started) FEES New Construction Note: Receptacle/Switch/Outlets MotomLTzansf4DF1i16FS4 Residential Receptacles/Outlets: 0 $0.00 0 to 1 HP/KW/KVA: 0 0. 0 Temp Un ro(d: 0 $0.00 Multi -Family: 0 0.00 Fixtures: 0 0.00 1 IigSP- . d�'S•----bub-PerreC t g 0 $0.00 1-2 Family: 0 0. ep Circuits: 2 12.00 0 0 $0.00 o age 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: $0.00 O/H to U/G 0 $0.00 Additional Fee : $0.00 Supplemental Fee: $10.00 TOTAL Fee: $22.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $22.00 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. m OWNER -BUILDER DECLARATION `• I hereby affirm under penalty of perjury thipt lam exempt from the ContracIft 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: Anyy-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%) a i3cegsed pursupnt to to 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 fitm Qcensuro add thebagis forJhe• 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 ,Is cornpehVation, 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 ly 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). exempt from licensure under the Contractors' State License Law for the following reason: y m 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 s a structure that I have built as an owner -build r if it has not been ons, cted 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 requesA�g n I)jai�tion b d o Ilowing Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized `` % C DaeLICENSED CONTRACTOR'S DECLAI I hereby affirm under penalty of perjury that I am licenser provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. - License Class License No Date Contractor Signature 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. hereby affirm under penalty of perjury one of the following declarations: 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 )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: ier - Policy Number - Expiration Date -ee�y that, in the performance of the work for yihich 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 La should becomes ject to worker,' cofn ensaticn revisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions l t -7 nature of Applice[[rrt __ V (p�\at/gJ 6 CLARATION RE RUCTION LENDING AGENCY ereby affirm under penalt perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil 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 stale laws relating to building construction. I authorize representatives of this city or county to enabove- e t ied propert or inspection purposes. ^y nature of PrOUertv Owner or Authorized Aoent /' k �' Print Property Owners or Authorized Agent's Narftl��f_G �&^ �,'-�cL"� Date ACi`lON DATE BY DtLLANA r1Uiv Ur LUMVUAWL_c Kl fn L.UUCC Ur FEDERAL REGULATIONS PART 610FTITLE40AND Al ISUB SUBMITTED ❑ f SU131WFTTEDASBESTOS NOTIFICATION T0: ❑ EPA ❑ AQM0 PERMIT€XPIRED —/7 �/g �� fir. PERMITCANCELLED PERMIT EXTENDED ❑ ASBESTOS NOTIRCATJONJS NOTAPPLICABLE ICABLE TO PROPOSED DEMOLITION. PERMIT FINAL CERTIFICAT€OF SIGNATURE: OCC,IPANCYISSOED