The URL can be used to link to this page

Home My WebLink AboutE2022-0143 - Permitsscfr City of Newport Beach - Building Division " 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 2707 BLUE WATER DR Bldg: 1 Floor: Description of Work: ELEC/PIGGY BACK Inspector Area: Legal Description: TR 6385 LOT 43 AND POR OF LOT 42 Owner: LAKE Contractor: Address: 10601 CALM HILL CIR Address: SANTA ANA CA 92705 Phone: Phone: Con State Lic: Issued Date:03/09/2022 Lic Expire: Bus Lic: Processed B �� Y Lic Exp Date: *E2022-0143* LONGMAN CONSTRUCTION CO INC 2782 CIRCLE DR NEWPORT BEACH CA 92663 949-722-7711 393881 08/31 /2023 BT00001921 03/31/2022 New Construction Receptacle/Switch/Outlets Residential Receptacles/Outlets: 0 $0.00 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1-2 Family: 0 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Service Signs 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 Fee : Plan Electrical Permit: E2022-0143 Project No : 1507-2020 Inspection Requests Phone (949)644-3255 ° R U°rJ0 Code Edit: 2019 O • O O ° 0 J p°°° 3 ° : • a °°ao 0 o a ao 0 aoao a Worker's Compensation Insurance o 0 °° °• Carrier: STATE COMP INS FUND oocaa° °°a°° ° Policy No:9062475 a Expire : 07/01/2022 ° ° o °o °woco ° • o °• o 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: 1 $41.00 Temp Power Pole: 0 $0.00 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: $38.00 Supplemental Fee: $0.00 e at Permit Issuance : $79.00 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. 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) lion 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 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 Fessions 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 more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, iness 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 rovements 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 roved for N purpose of sale). a•.. [.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 tyto an 4vngr ofproperty 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 t'rom licensure under the Contractors' State License Law for the following reason: 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 a structure-th.lM 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 feSsions Code -is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.htmi. Mature of PrOpert}bOwner or Authorized Agent Date IENSED rQI:TIiACTOR'S DECLARATION rr<by affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with motion s00) ;vision 3 of the Business and Profe e, and my license is in full force .�: License No TION DECLARATION Date Iq1.494& FAILUiE TOSMURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CI :OST OF COMPENt&ION!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: Contractor Signature • PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO Id 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 of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Number Date lame of Agent Phone # ]I certify that, in the performance ork for permit is issued, I shall not employ any person in any manner so as to become subject to the workers' co sat; , aws of California, and agree Iat, if I should become subjec orkersation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant Date IECLARATION REG DING CO STRUCTION ENDI ENCY hereby affirm under penalty of perjury that there is a co struction 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 corr I agree to comply with all applicable city and county ordi as an ws relating to building construction. I authorize representatives of this city or county to h b tified property for inspection purposes. / lignature of Property Owner or Authorized Agen Print Property Owner's or Authorized Agent's Name ° (�( W Date Gf ACTION DATE BY DECLARATION OF COMPLIANCE IMTN CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONSPART 69 OF THLE40AND AQMDRULE1401 ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMIT EXPIRED PERMIT CANCELLED PERMITEXTENDED ❑ ASBESTOS NOTIRCA17ONISNOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: PERMIT FINAL L —1 Z-ZZ titi- CERTIFICATEOF OCCUPANCYISSUED