HomeMy WebLinkAboutE2021-0858 - Permits0JCity of Newport Beach - Building Division IIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIII II Electrical Permit: E2021-0858
d 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 2 1 0 8 5 8 Pro ect No : 2934-2021
°" ' � Permit Counter Phone (949)644-3288
r+.r Inspection Requests Phone (949)644-3255
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Job Address: 1707 NEWPORT HILLS DR W Bldg: 1 Floor: Suite:
Description of Work: ELEC TO BBQ
Inspector Area
Legal Description: N TR 7032 LOT 2
Owner: QUARTARARO
Contractor:
Address: 1707 W NEWPORT HILLS DR
Address:
NEWPORT BEACH CA 92660
Phone:
Phone:
Con State Lie:
Issued Date:12/15/2021
Lie Expire:
.171
Bus Lie:
Processed By:
Lie Exp Date:
New Construction
Residential
Multi -Family:
1-2 Family:
Service
0-600V up to 20OA: 0
0-600V over 20OA: 0
Over600V or1000A: 0
O/H to U/G 0
INSTANT POOLSCAPES
833 DOVER DR #24
NEWPORT BEACH CA 92663
949-795-0648
1009644
12/31/2021
BT30053469
12131/2021
Receptacle/Switch/Outlets
Receptacles/Outlets:
2
$3.50
$0.00
Fixtures:
0
$0.00
$0.00
Sep Circuits:
0
$0.00
Low Voltage
0
$0.00
Signs
$0.00
Branch Circuit:
0
$0.00
$0.00
Each Add Circuit:
0
$0.00
$0.00
Time Clocks:
0
$0.00
$0.00
Additional Fee :
$0.00
TOTAL Fee: $41.50
Code Edit: 2019
Worker's Compensation Insurance
Carrier: WC EXEMPT
Policy No: (NO EMPLOYEES)
Expire :
FEES
19
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 :
Temp Underground:
Sub Panel:
Record Mgmt Fee:
Plan Check Fee:
Investigation Fee:
Issuance Fee:
Supplemental Fee:
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 Saturdav from 8:00 .m. to 6:00 p
°
.50
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$38.00
$0.00
OWNER -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
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 U all of or U portions of thelwork, 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
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).
❑ 1 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 legall:
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I under'stand 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:11www.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 a else is in full force
and effect. - ��.
LicensnsCl ,Z
e Class License No Date � Z � Contractor Signaturci �—
COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
K
J
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
hereby affirm under penalty of perjury one of the following declarations: I
7 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
erformance of the work for which this permit is issued. Policy No.
3 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' compensa
Isurance carrier and policy number are:
er Policy Number
V Agent
:ertify that, in the perform a of the k for which this permit is issued, I shall not employ any person in any manner so
if I should become sub
j t fo }ha wor�kerr co Sect ^�^�%^'.+tee �f Section 3700 of the Labor Code, I shall forthwith c
ature of Applicant/1�
Date
to become subject to the workers' compensation laws of California, and agre
31y with those provisions.
DateA
CLARATIONREGAR9RMP0t= OT DING AGENCY / I
Ireby affirm under pe Ity of perjury that there is a constrLct'lenleh�ing 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 c or Ina an relating to building construction.
I authorize representatives of this city or c my to enter e-identified property for inspection purposes.
ACTION
PERMITEXPIRED
PERMIT CAAICELLED
PERMITEXTENDED
PERMIT FINAL
CERTIFICATE CIF
OCCUPANCYISSUED
or Authorized Aoent's Name
UtLLAKAI IUN Uh LUMPLIANLI: VW r r! LUUL Ut-
'"' "• ' BY ••• FEDERAL REGULATIONS PART 61OF TITLE 40AND
• • • ., RQMD RULE'I40J.
❑ I SUBMITTED ASBESTOS N071FICATION TO:
❑ EPA
❑ AQMD
❑ ASBESTOS M07IRCA770N IS NOT APPLICABLE TO
Z • • • = • • i • « PROPOSEDDEMOLITION.
e e t e• m o a• c o cI SIGNATURE.,
eee a ee e c c cc
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Date
FOR OFFICE USE ONLY