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Home My WebLink AboutE2022-0298 - PermitsFwr+ay City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 H + % Permit Counter Phone (949)644-3288 � m � RR £� �° g-.�' ay yTw• gyp, Job Address: 19 VINCENNES Bldg: 1 Floor: Suite: Description of Work: ELEC -BBQ Inspector Area: 6 Legal Description: N TR 15717 LOT 41 Owner: GRI LAND DEVELOPMENT II LLC Contractor: Address: 19 VINCENNES Address: NEWPORT BEACH CA 92657 Phone: Phone: Con State Lie: Issued Date:05/11/2022 Lie Expire: Bus Lie: Processed By: Lic Exp Date: *E2022-0298' Electrical Permit: E2022-0298 HIGH PROJECT CONSTRUCTION INC 14200 VICTORY BLVD APT 117 VAN NUYS, CA 91401 818-384-4643 1067713 08/31/2022 BT30078718 05131/2023 Project No : 3009-2021 Inspection Requests Phone (949)644-3255 Code Edit: 2019 Worker's Compensation Insurance Carrier: WC EXEMPT - NO EMPLOYEES ' Policy No: Expire FEES New Construction Receptacle/Switch/Outlets Motors/Transformers (HPIKVA) 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 200A: 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 BackfFemp 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: $38.00 O/H to U/G 0 $0.00 Additional Fee : $0.00 Supplemental Fee: $0.00 TOTAL Fee: $41.50 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $41.50 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Friday7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 P.M. IWNER-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 ie 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 'rofessions 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 of more than five hundred dollars ($500). 7 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Iusiness 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 nprovements 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 nproved for the purpose of sale). I, as owner of tl,b Nlooerty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not pply to an owner cf ;)sperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ma exempt f. Gc, liuensure under the Contractors' State License Law for the following reason: Iy my signature LielOw 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, ell 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 'rufessiuns Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. igr.aturo of Propo- O;.v.-ier or Authorized AgentDate' .ICENEED CONTRACTOR'S DECLARATION hi•=h" affirm under r?nilty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions de and my license is in full force gdeRe l ///L'[1Zz Contractor Signature icense Class License No Date Yt)RKERV COMPFASATION DECLARATION 'ARNING: FAILURE TO SECUR2 WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THO6SAND DOLLARS ($100,000), IN ADDITION TO THE OST OF COMPENSATION, D'V/AGES 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: 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 th erformance of the work for which this permit is issued. Policy No. 11 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' compensatiol Isurance carrier and policy number are: arrier Policy Number Expiration Date ame of Agent I Ir Phone # al certify that, in the performance of th or for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre lat, if I should become subject to the w rker ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / ignature of Applicant Date Fri ARCTInIJ RFrA nimr rn RI ir.tInm I FNnINr Ar FNr:V I hereby affirm under penalty of perju� that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By my signature below, I certify to each of the following: 1 I am the property owner or authorized to act on the propert ow is behalf. I have read this application and the information I have prov e i correct. I agree to comply with all applicable city and county ordinal ce nd state laws relating to building construction. I authorize representatives of this city or county to enter th �°ve-identified property for inspection purposes. X Signature of Property Owner or Authorized Agent 4 Print Property Owner's or Authorized Agent's Name Date f, / Z ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE40AND AQMD RULE 1403. PERMIT EXPf RED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMIT CANCELLED PERMIT EXTENDED ❑ ASBESTOS NOTIFICATIONIS NOT APPLICABLE TO PROPOSED DEMOLITION, PERMIT FINAL -),p-.2 �i CERTIFICATEOF OCCUPANCYISSUED SIGNATURE: