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Home My WebLink AboutE2021-0280 - PermitsCity of Newport Beach - Building Division 11�111111111111111111p111111[11111111p11111111111 ob 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Electrical Permit: E2021-028 Project No : 0063-2021 ) Inspection Requests Phone (949)644-3255 Job Address: 1915 WINDWARD LN Bldg: 1 Floor: Suite: Description of Work: ELECT *CHANGE OF CONTRACTOR* TO BBQ/FIREPIT/FIREPLACE & ELEC PANEL UPGRADE R Inspector Area: 3 Code Edit: 2019 Legal Description: N TR 4463 LOT 3 Owner: BURNS BRYAN & NANCY Contractor: ORION CONSTRUCTION Worker's Compensation Insurance Address: 1915 WINDWARD LN Address: 28201 VIA DEL MAR Carrier: NO EMPLOYEES NEWPORT BEACH, CA 92660 SAN JUAN CAP CA 92675 Policy No: Phone: Phone: 949-489-9463 Expire Con State Lic: 903655 Issued Date:04127/2021 Lic Expire: 09/30/2021 Bus Lic: BT01092801 Processed Lic Exp Date: 08/31/2021 FEES New Construction Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) Residential Receptacles/Outlets: 0 $0.00 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: d Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: 0 1-2 Family: 0 $0.00 Sep Circuits: 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 0 Low Voltage 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 0 Service Signs Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: 0-600V up to 20OA: 0 $0.00 Branch Circuit: 0 $0.00 Plan Check Fee: , 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Piggy Back/Temp Power: 0 $0.00 Investigation Fee: Over 600V or 1000A: 0 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $ O/H to U/G 0 $0.00 Additional Fee : $0.00 Supplemental Fee: TOTAL Fee : $37.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $37.00 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. .33 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 le permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter9 (commencing with Section 7000) of Diviaian 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 tc•a civil penalty of of 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 the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 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 pply 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 exempt from licensure under the Contractors' State License Law for the following reason: ly 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 legally 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION ' hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Bu ness and Professions -ode, and my license is in full force nd effect. ' icense Class License No aG? r N� at v1 u Contrac ignature VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLO R TO CRIMINAL PENALTIES AND CIVIL ES uP TO ONE HUNDRE Us No DOLLARS ($100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm upd=r penalty of perjury one of the following declarations: I have and w;ll ,aa'ntain 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 'arm: nce of'he v.ork for which this permit is issued. Policy No. have and will fnafniain 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' ranca carrier and policy number are: of Agent Policy Number Expiration Date tt.e performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become su connfiesuyjept to the worKprs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Kg.iaturE of Appl I.CLAR;'hTIO EGAF I CO RLI N LENDING AGENCY hnrih,. cffirm under pen of p jury t t are is a construction lending agency for the performance of the work for which this permit is ende%s Name Lender's Address ly 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 state laws relating to building construction. I authorize representatives of thi ity or ount ter thca.ebove-identified property for inspection purposes. ;ignature of Property Owner or Authoriz gent—� ICl.. i Print Property Owner's or Authorized Agen to the workers' compensation laws of California, and N/z7/L1 (Section 3097, Civil Code). r Zi ACTION DATE s DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE DIMLY FEDERAL REGULATIONSPART@f OF TITLE40AND AQMD RULE 1403. PERMIT EXPIRED ❑ i SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMIT CANCELLED PERMITEXTENDED ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL — CERPF9CATE 0 F SIGNATURE: OCCUPANCYISSUED