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HomeMy WebLinkAboutE2019-0002 - PermitsCity of NewRort Beach- Building Division IIIIIIIIIIIIIIIII IIIIIIIII IIIIIII IIIIIII IIElectrical Permit: E2019-0002 y... ! 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 1 9 0 0. 0 2 Project No: 1190-2018 `q Permit Counter Phone (949)644-3288 "vsrrnwe"`�` Inspection Requests Phone 49 64433,55 �y wo. Job Address: 57 BEACON BAY Bldg: 1 Floor:. Suite: Description of Work: ELEC FOR ATTACHED SOLID ROOF PATIO COVER (X2018-1547) Inspector Area: 2 Legal Description: RBK 9 PG 42 PAR 57 Owner: BURKE MARTIN Contractor: CUNLIFFE CONSTRUCTION Address: 57 BEACON SAY Address: 211 20TH ST NEWPORT BEACH, CA 92660 NEWPORT BEACH CA 92663 Phone: 949-375-5027 Phone: 949-566-5323 Con State Lic:: 804062 Issued Date:01/02/2019 Lic Expire: 02/28/2020 Bus Lic: BT30065433 Processed By: Lic Exp Date: 12/31/2019 Code Edit: 2016 Worker's Compensation insurance Carrier: W/C EXEMPT Policy No: mmm Expire m m 0000cm m m comm o a etma wa o m c o o ms 0 0 moemoo 0 0 0 0 mm o 0 m 0 0 mm o oe000 0 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. FEES mmo:m New Construction Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) 0 o m a Residential Receptacles/Outlets: 4 $4.00 0 to 1 HP/KW/KVA 0 $0.00 Temp Underground: 0 0 $�.�0•� Multi -Family: 0 $0.00 Fixtures: 4 $4.00 1 to 10 HP/KW/KVA 0 $0.00 Sub Panel m m 0 $0,004, 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 20OA: 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 BackfTemp Power: 0 $0.00 Investigation Fee: $0.00: Over 600V or 100oA: 0 $0.00 Time Clocks: 0 $0.00 - Temp Power Pole: 0 $0.00 Issuance Fee: $35.00' O/H to U/G 0 $0.00 Additional Fee: $0.00 Supplemental Fee: $0.00'' TOTAL Fee: $43.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $43.00 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. 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 (_) all of or. i_) 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 toconstruct 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 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 legalI 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://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION Ihereby affirm �u941!r-penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Coo e',anse is in full for and effect. .... ,/" ✓"/ 4<2Bsd Class License No Date ��'ll Contractor Signature,/ / NORARS' MMMNSATION DECLARATION N ARNINQ FAILURE TD 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 COSI-OF COMPENSA� ft DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. h ereby affirm unnderpenalty of perjury one of the following declarations: I.hTave and will maintaina 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 IN 59MrtVnce ofRpg Moo( for which this permit is issued. Policy No. :1.•• 1have and willmaintain 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 ,•.•• nswranle carver and. policy number are: ,arrier� �'�� .Policy Number Expiration Date 'u'M.',`,r Ancn/ .. Phone # I,cg-itify that, i' Me'perfcomance of the wor 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 ogre If I should become su ject t0 the wor 'compensatio owslons of Section 3700 of the Labor Code, I shall forthwith comply with thoseprovisions /> 'ignature of Applicant IECLARATION RE AR # C STRUCTION LEND AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).. Ender's Name Lender's Address ',y 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 taws relating to building construction.. - I authorize representatives of this city or county° enter the above -identified property for inspection purposes. ,Innnf ira of Prnuerty Owner or Authorized Aaenzt - Print Prooertv Owner's or Authorized AOent's Name _ Date/ ACTION DATE uctvsr r.+ rruix ur r.ulwrusvv�c vain uuuc urs FEDERAL REGULATIONSPART 6I OF TTILE40AND AQMO RULE 1403. PERMtTEXPfRED ❑ I SUBNMTTED ASBESTOS NOTIFICATION TO. ❑ EPA ❑ AQMD PERMIT CANCELLED P€RMIT.EXTENDED ❑ ASBESTOS M017HCA170NIS NOT APPLICABLE TO PERMITFINAL d t PROPOSED DEMOLITION. CERTIFICATEOF —__.._... _...__..__VIX____�' SIGNATURE: