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Home My WebLink AboutE2022-0290 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 ' Permit Counter Phone (949)644-3288 Job Address: 1411 LINCOLN LN Bldg: 1 Floor: Suite: Description of Work: ELEC/BBQ AREA Inspector Area: 3 Legal Description: N TR 3851 LOT 23 Owner: OLSON/MATTE] Contractor: Address: 1411 LINCOLN LN Address: NEWPORT BEACH, CA 92660 Phone: Phone: Con State Lic: Issued Date:06/06/2022 Lic Expire: 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 over 20OA: 0 $0.00 Over600V or1000A: 0 $0.00 O/H to U/G 0 $0.00 TOTAL Fee: II�EII�� I 0�� I��I�III0��I 0 II SCHWARZ POOLS PO BOX 28437 SANTA ANA CA 92799 714-241-7665 967325 09/30/2022 BT30038738 03/31/2023 Receptacle/Switch/Outlets Receptacles/Outlets: 6 $10.50 Fixtures: 0 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Signs Branch Circuit: 0 $0.00 Each Add Circuit: 0 $0.00 Time Clocks: 0 $0.00 Additional Fee : $0.00 Electrical Permit: E2022-0290 Project No : 1211-2022 Inspection Requests Phone (949)644-3255 Code Edit: 2019 Worker's Compensation Insurance `aoc.• y'�"' Carrier: BENCHMARK INS CO • a Policy No: CST5020416 O... a°O9 a J J @ • Q Expire:1012912022 a• 099° a a a a m°va a e m cecaa 00 0 0 aecma 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 Plan Check Fee: a°ate,• 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 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. 'NER-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) ction 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 (commenping with Section 7000) of Division 3 of the Business and `essions 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 (_) all of or U portior iness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, thn rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of roved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section'. ly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Cont I am exempt from licensure under the Contractors' State License Law for the following reason: my signature below I acknowledge that, except for my personal residence in which I must have resided for at I I a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contra rfessions Code, is available upon request when this application is submitted or at the following Web site:http://' nature of Propw6yOwner or Authorized Agent TENSED CbNTRRCTOR'S DECLARATION lrp. >; affirm uw4wpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectic i eff?Ct. ense Class .. License No Dater, )I@?CERS' MP,ENSATION DECLARATION 11RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. rig4y affirm W&Vr penalty of perjury one of the following declarations: •9rtrsve and willl maintain a certificate of consent to self -insure for workers' compensation, issued by the Dire wfoirslance of the work for which this permit is issued. Policy No. ha\A and A: yfbiriain workers' compensation insurance, as required by Section 3700 of the Labor Code, for s I% carriernd policy number are: Elti@I• •,�• _ Policy Number ame of Agent I certify that, in the performance of the wor or which this permit is issued, I shall not employ any person in any It, if I should become subject t9,I;"or compensation provisions of Section 3700 of the Labor Code, I shall nature of Applican( CLARATION REGARDING-OaNV5 CTION LENDING AGENCY areby affirm under penalty of perju that there is a construction lending agency for the performance of the work 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 ow r behalf. I have read this application and the information I have pr ed s orrect. I agree to comply with all applicable city and count an a laws relating to building construction. I authorize representatives of this city or counjk a er o e-identified propel for inspection purposes. of Property Owner or of the work, and the structure is not intended or offered for sale (Section 7044, 7h employees' or personal effort, builds or improves the property, provided that the �mpletion, the Owner -Builder will have the burden of proving that it was not built or Business and Professions Code: The Contractors' State License Law does not pursuant to the Contractors' State License Law). ie year prior to completion of the improvements covered by this permit, I cannot I understand that a copy of the applicable law, Section 7044 of the Business and Iginfo.ca.gov/calaw. htm1. Date [of Division 3 of the Business aon ode, and my license is in full force Z 2-Contractor Signatur %LTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE of Industrial Relations as provided for by Section 3700 of the Labor Code, for performance of the work for which this permit is issued. My workers' Date so as to become subject to the workers' compensation laws of California, and agre I comply with those provi//sio''�I11s. / Cat 2- 1 this permit is issued (Secti n 3097, Civil Code). TvH !'Pr/�Vf n"r�f�f 6 AC77ON DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFRCE USE ONLY FEDERAL REGULATIONS PART $7 OF TITLE 40AND AQMD RULE 1403. 1 PERMIT EXPIRED ❑ / SUBMFTFED ASBESTOS NOTIFICATION TO:. ❑ EPA ❑ AQMD PERMIT CANCELLED PERM17EXTEM170EO ❑ ASBESTOS NOTIRCA770M IS NOT APPLICABLE TO PROPOSED DEMOUTION. PERMIT FINAL . CERTIFICATEOF SIGNATURE: OCCUPANCYISSUED