The URL can be used to link to this page

Home My WebLink AboutE2022-0274 - Permits(S) City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 -- Job Address: 1615 LINCOLN LN Bldg: 1 Floor: Suite: Description of Work: ELEC TO BBQ Inspector Area: 3 Legal Description: N TR 3702 LOT 1 Owner: KOSICH WALTER Contractor: Address: 1615 LINCOLN Address: NEWPORT BEACH, CA 92660 Phone: Phone: Con State Lic: Issued Date:05/02/2022 Lic Expire: Bus Lic: Processed By: _Lic Exp Date: INSTANT POOLS LLC 116 SENCILLO PL RANCHO MISSION VIEJO CA 92694 949-795-0648 1009644 07/31/2023 BT30053469 12131 /2022 Electrical Permit: E2022-0274 Project No : 1155-2022 Inspection Requests Phone (949)644-3255 Code Edit: 2019 Worker's Compensation Insurance Carrier: WC EXEMPT = , Policy No: (NO EMPLOYEES) Expire FEES New Construction Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) Residential Receptacles/Outlets: 1 $1.75 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 a 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 Back/Temp 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: $39.75 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $39.75 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. 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, priorto 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 Iicensure 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 L) all of or U 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 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). I am exemp' from licensure under the Contractors' State License Law for the following reason: By my signature oelow 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 Iegall :Reff a stl ucture .ha,. 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 CoJe, iC ovailable upon request when this application is submitted or at the following Web site:http://www.leginfo.C2.gov/c21aw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION hereby affirm under obnalty of perjury that I am licensed under provisions of Chapter 9 (commencing it Section 7000) of Division 3 of the Business an Profs 'erts"'l;orTe,my license is in full force and dfiect. zji.sa Class License No Date Z — -Contractor Signatu J ORKERS' COMPENSATION DECLARATION .VNINNHNG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE NDRED THOUSAND DOLLARS ($100,0 j; IN ADDITION TO THE ^AST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ' hPr=hv affirm wluer penalty of perjury one of the following declarations: I have and, will .'nsintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as providedfor by Section 3700 of the Labor Code, for th performance of tine work for which this permit is issued. Policy No. 1 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' compensatio insurance carrier and policy number are: Carrier Policy Number _ Expiration Date Name of Agent Phone # certify that, in =pejury ork for Ich 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 at, ould bekers' c pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provi s. Signature of ApplicDate. �r DECLARATION RLENDING Y I hereby affirm undt there is struction 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: 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 county ordinances and stat wilding construction. I authorize representatives of this city or coun t enter the entifie l pr or inspection purposes. _ _ Signature of Property Owner or Authorized Agent Print Property Owners or Authorized Agent's Nam Date AC77pN DATE DECLARATION OF COMPLIANCE t47TN CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART S? OF TI7LE4O.4ND A4MD RULE 4403. PERMfT EXPIRED ❑ ! SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ QQMD.. PERMIT CANCELLED PERfv4fT EHTENDED ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL —2Tj-Z CERTIFICATE Of SIGNATURE: OCCU'PANCYISSUED