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Home My WebLink AboutE2018-0751 - Permits0 City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Electrical Permit: E2018-0761 100 Civic Center Drive, Newport Beach, CA 92660 II�E 2 0 1 8 0 7 5 1 Project No: 2717-2018 r. b �. Permit Counter Phone (949)644-3288 '�zrrati"o- Inspection Requests Phone (949)644-3255 Job Address: 4606 WAYNE RD Bldg: 1 Floor: Suite: Description of Work: ELECTRICAL TO BBQ Inspector Area: 5 Legal Description: N TR 3519 LOT 100 Owner: SCHWARTZ FAMILY TRUST Address: 4606 WAYNE RD CDM CA 92625 Phone: Contractor: JSQ IMPROVEMENTS Address: 8482 DEEPCLIFF DR HUNTINGTON BEACH CA 92646 Phone: (714)356-1251 Expire : Con State Lic: 1010088 Issued Date:11/19/2018 Lic Expire: 01/31/2020 Bus Lic: BT30065158 Processed By: Lic Exp Date: 11/30/2019 Code Edit: 2016 Worker's Compensation Insurance Carrier: EXEMPT Policy No: NO EMPLOYEES N1 E �R SJ �C T PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday- Friday 7:00 a.m. to 6:30.p.rma.wd Satulyday from°t(:BO aim. to 6:00 p.m. ° ° ° FEES New Construction Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) Residential Receptacles/Outlets: 2 $2.00 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 Backfiemp 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 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.rma.wd Satulyday from°t(:BO aim. to 6:00 p.m. ° ° ° I hereby affirm under penalty of perjury that 1 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). .•1 ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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). - ---- ---- - --- - 11 1, 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 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 I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Prpfessions Code, and my license is in full force and effect. f/,O License Class License No Date �1/-/ Contractor Signatur®L� WORKERS' COMPENSATION DECLARATION f NANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000(, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES 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: 1 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 Cade, for the 3erformance of the work for which this permit is issued. Policy No. 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' rance carrier and policy number are: Policy Number of Agent Date that, in the performance of the work 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 agree could become subj'eqkto the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / / of Applic /��"1 Date .i [ �� ( y ,rine evn_ a aid nucrennr�nu i vr.�nuin_ nn_vunv sreby 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) ider's Name Lender's Address my signature below, I certify to each of the following: 1 am the property owner or authorized to act on the property owners 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 this city or county to er7/1-e above -identified property for inspection purposes. (natureof Property Owner or Authorized Agent \ Print Property Owners or Authorized Agent's Name AC77ON DATE BY DECLARATION OFCOMPLIANCEfY/T COD OF FOR OFFICE USEONLY •.. •.• ••• • FEDERAL REGULA77ONS PART 61 OF TIILE40AND . PERMITEXP/RED•Q • . • .. . 1B DASBESTOS NOTfF(CATIQN TO: • AQMD [3 ASBESTOS NORFICARONIS NOT APIDUCA&_.E TO PRgVOSED DEMOLITION. PERMITCANCELLED • . • • PERMITEXTENDED FEFMfTRNAt �,t •: CERTIRCATEOF ••� - • • :•• - OCCUPANCY—SUM : • • PjejTUI;E SjG:� -.