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Home My WebLink AboutE2021-0246 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 1848 PORT KIMBERLY PL Bldg: 1 Floor: Description of Work: ELEC/BBQ Inspector Area: 4 Legal Description: N TR 7029 LOT 29 Owner: HYKES AMY Address: 1846 PORT KIMBERLY PL NEWPORT BEACH, CA 92660 Phone: Issued Date: �( Processed Bv: �11 L"-2-021 -07-46 rovt V_ Vn In V1 Suite: Contractor: INSTANT POOLSCAPES Address: 833 DOVER DR #24 NEWPORT BEACH CA 92663 Phone: 949-795-0648 Con State Lie: 1009644 Lie Expire: 12/31/2021 Bus Lie: BT30053469 Lie Exp Date: 12/31/2021 Electrical Permit: E2021-0246 Project No: 0766-2021 Inspection Requests Phone (949)644-3255 Code Edit: 2019 Worker's Compensation Insurance Carrier: WC EXEMPT Policy No: (NO EMPLOYEES) Expire : LC1 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours:0Mondpy - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. m o 0 0 0 0 J O G G D V 4 J ) O G fP o: e<c a r, c oco y C O ec oco a e ccs n(. cuo FEES New Construction Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) Residential Receptacles/Outlets: 2 $3.50 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: 0 $0.00 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: 0 $0.00 1-2 Family: 0 $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 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: $37.00 O/H to U/G 0 $0.00 Additional Fee: $0.00 Supplemental Fee: $0.00 TOTAL Fee : $40.50 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $40.50 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours:0Mondpy - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. m o 0 0 0 0 J O G G D V 4 J ) O G fP o: e<c a r, c oco y C O ec oco a e ccs n(. cuo OWNER -BUILDER DECLARATION 1 hereby affirm under penally 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 im roved 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 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 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 legal) 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://w .leginfo.ca.gov/calaw.html. 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) of Division 3 of the Business and PG essions Code, an my license is in full force and effect. License Class License No Date `I O \ Contractor Signature NORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPL YER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HU ED T US LARS ($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 3erformance 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: Policy Number Expiration Date Agent 0; aCnto the twhReorwkeorrsk' fcoor m ich Nthis ApGerEmNitCisY issued, I s'ehan3ll n9o'0t0 e-6mFpthl—oey ' haanyoprerosoen -iTn salsnaylimfoartnhnweirthsocoams ptoly bweicthomtheosseubDpjareocvtistoiotnhse. lw�o`r k�ers�' com�penZsat ion laws of California, and agree of erj h Is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). 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 pr ided is correct. I agree to comply with all applicable city and countyor In cels and state laws relating to building construction. �r I authorize representatives of this city or county to a ert e a Aidentifie Inspection purposes. W .Zl nature of Prooertv Owner or Authorized Aaent % / �� Print ProDertv Owner's or Authorized Aqent's Name/ \ Date ACTION I DATE IPERMITEXPIRED I I I /V I PERMlT CANCELLED / P RMITEXTE VD I —1HI —II CERTIFICATEOF OCCUPANCYISSUED FEDERAL REGULATIONSPART 61 OP`VTLE J0AND• • AQMD RULE 1403. • • ••e • s ❑ ISUBMTFEDASBESTOSNOT/FZCATIZIriorO ❑ EPA AQMD ❑ ASBESTOS M017FICATIONISNOT APPLICABLETO PROPOSED DEMOLITION. •'• SIGNATURE. : •' .' r • w • es s a a e s