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Home My WebLink AboutE2018-0787 - PermitsCity of Newport Beach - Building DivisionIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIII II Electrical Permit: E2018-0787 100 Civic Center Drive, Newport Beech, CA 92660 E 2 0 1 8 0 7 8 7 Project No : 2890-2018 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Job Address: 121 OLD COURSE DR Bldg: 1 Floor: Suite: Description of Work: ELEC/BBQ & FIRE -PIT Inspector Area: 8 Legal Description: N TR 15387 LOT 44 Owner: BREWSTER LEWIS Contractor: Address: 121 OLD COURSE DR Address: NEWPORT BEACH CA 92660 Phone: Phone: Worker's Compensation Insurance Con State Lie: Issued Date:12/11/2018 Lie Expire: Expire : 04/18/2019 Bus Lie: Processed By: ! \. Lie Exp Date: SCHWARZ POOLS PO BOX 28437 SANTA ANA CA 92799 714-241-7665 967325 09/30/2020 BT30038738 03/31/2019 oeoo�� eooc� oeo°e� e ° Code Edit: 2016 FEES Worker's Compensation Insurance Carrier: STATE COMP Policy No: 9108043 4' Expire : 04/18/2019 e� Motors/Transformers (HP/KVA) • to Residential Receptacles/Outlets: 6 oOe°°• 0 to 1 HP/KW/KVA: 0 oeoo�� eooc� oeo°e� e ° 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 New Construction Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) Residential Receptacles/Outlets: 6 $6.00 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 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 Backfremp 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: $35.00 O/H to U/G 0 $0.00 Additional Fee: $0.00 Supplemental Fee: $0.00 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 applicantYor 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 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 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 im roved for the purpose of sale). 1, 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). ❑ 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 legally sell a stgxkwe Tat 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.html. %gnature V Pibberty Owner or Authorized Agent Date LiCENSYD CONTRACTOR'S DECLARATION whereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wit Sectio 700 of Division 3 of the Business a e 1 s Code, and my license is in full force and effect. , L jcense CfAl • : License No Date � ` % Contractor Signature yllORKERW C0t4PENSATION DECLARATION V4RNING: FAILIAE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPL ER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOO E l N� 0 THOUSAND DOLLARS (E700,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. v '-Ve Aeby affirm undef penalty of perjury one of the following declarations: J I:hae ah9 wit 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 thi )aNTgnance of tttp work for which this permit is issued. Policy No. !j"��a�ave ani! will•rnaintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit i s issued. My workers' compensatior esurrrrce carrier and policy number are: Tier Policy Number Expiration Date Tie of Agent I Phone # certify that, in the pe e work for which this permit is issued, I shall not employ any person in any manner so as to become subject to a workers' c mpensation laws of California, and agre t, if I should become uorkers' compensation provisions of Section e 3700 of the Labor Code, I shall forthwith comply with those provisi s.nature of Applicant DateCLARATION REG RDUCTION LENDING AGENCY ereby affirm under enalty 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). Ider's Name Lender's Address my signature below, 1 certify to each of the following: o ner's behalf. I am the property owner or authorized to act on the pro�na, I have read this application and the information I aveis correct. I agree to comply with all applicable city and coy ty s anal state laws relating to building construction. I authorize representatives of this city or county 'dentified roparty for inspection purposes. Z#k �� ✓ f o nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Dat AC77ON DATE BY DECLARATIONOFCOMPLIANCEMTRCODEOF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART H7 OF TTTLE40AND AOMDRULE1403. ❑ t SUBMITTEDASBESTOS NODFICATION TO: ❑ EPA ❑ AQMD ❑ ASBESTOS NORRCAIIOMIS NOT APPLICABLE TO PROPOSED DEMOLITION PERMfT€XPIRED PERMITCANCELLED PERMITEXTENDED P€RMITFINAL - f CERTIRCATEOF OCCUPANCYISSUED SIGNATURE: