HomeMy WebLinkAboutE2022-0128 - Permitswnrsp City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-�288
Job Address: 2401 WINDWARD LN Bldg:
1 Floor: Suite:
Description of Work: ELEC -BBQ
Inspector Area: 3
Legal Description: N TR 5178 LOT 9
Owner: VISTA PARK PROPERTIES LLC
Contractor:
Address: 2401 WINDWARD LN
Address:
NEWPORT BEACH, CA 92660
Phone:
Phone:
Con State Lic:
Issued Date:03/02/2022
Lic Expire:
Bus Lic:
Processed By:
Lic 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
TOTAL Fee:
IIhIIIIIIIIIIiIIIIIIIIIIIIIIIIINI0IIIIIIIIIIIIIIIi II
STEELE BRET/STEELE POOLS
4921 E LEEDS
ORANGE CA 92867
714-496-1427
923975
10/3112022
BT30042152
02/28/2023
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
41.50
Plan
Electrical Permit: E2022-0128
Project No : 0544-2022
Inspection Requests Phone (949)644-3255
Code Edit: 2019
Worker's Compensation Insurance
Carrier: WC EXEMPT
Policy No: NO EMPLOYEES
Expire :
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
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.®o 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m.
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OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable item(
(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 it; issuance, also requires the 9ppilic-9 t 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 app!icant 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 L) all of or L) 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 thatthe
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 704114, 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 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 I Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se n 7 00) of Division 3 of the Business and �r�ofejn gCod, an In Icense is in full force
and effect. 2
License Class License No Date Z_ L Contractor Sin re
WORKERS' COMPENSATION DECLARATION
WARNING: 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 ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
ave 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
rmance of the work for which this permit is issued. Policy No.
Pf�ave 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 WGtkets' compensal
uranc�P.carrier and policy number are:
Policy Number
re of Agent
certify that, in the performs a of t k r ichVsperoit is issued, I shall not employ any person in any
if should become subject o the rke co penisions of Section 3700 of the Labor Code, I shall
ature of ADDlicant '\,
ereby affirm under penalty of �,erjur�t at thbr a construction lending agency for the performance of the work for
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 pprty own hag
have read this application and the information I Tenj/
v s con.
c .
I agree to comply with all applicable city and coua c sand a e s relating to building construction.
I authorize representatives of this city or county ta bov Ide ed pr�erty for inspection purposes.
of Property Owner or Authorized
Print Property Owner's or
Date
so as to become subject to the workerK colpensation laws of California, and agre
i comply with those provisions.
Da
i this permit is issued (Section 3097, Civil Code).
ACTION
DATE
BY
DECLARATION OFCOMPLIANCE WITH CODEOF
FOR OFFICE USE ONLY
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PERMIT EXPIRED
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PERMIT CANCELLED
• • •
PERMITEXTENDED
❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
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PERMIT FINAL
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CERTIFICATEOF
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OCCUPANCYISSUED
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