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Home My WebLink AboutE2019-0638 - Permits0„ City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Electrical Permit: E2019-0638 a 100 Civic Center Drive, Newport Beach, CA 92660 II�E 2 0 1 9 0 6 3 8 Project No 1520-2019 Permit Counte�;Phone(949)644-3288 �`�c s,pf'±f Inspection Requests Phone (949)644-3255 Job Address: 61 BELCOURT DR Bldg: 1 Floor: Suite: Description of Work: DELTA 1 -ADD CANNED LIGHTS OVER NOOK (REV19-1560) Inspector Area: 8 Legal Description: N TR 11450 LOT 9 Owner: COTTRELL JAMES EDWIN Contractor: OWNER/BLDR Address: 61 BELCOURT DR Address: NEWPORT BEACH, CA 92660 $0.00 Phone: Phone: $0.00 Con State Lic: 0/13 Issued Date:09/20/2019 Lic Expire: O/H to U/G Bus Lic: Processed By: Lic Exp Date: New Construction Residential Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Service 4 $4.00 0-600V up to 20OA: 0 $0.00 0-600V over 20OA: 0 $0.00 Over 600V or1000A: 0 $0.00 O/H to U/G 0 $0.00 Receptacle/Switch/Outlets Receptacles/Outlets: 0 $0.00 Fixtures: 4 $4.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Signs $0.00 10 to 50 HP/KW/KVA: Branch Circuit: 0 $0.00 Each Add Circuit: 0 $0.00 Time Clocks: 0 $0.00 Additional Fee: $0.00 Code Edit: 2016 Worker's Compensation Insurance Carrier: Policy No: Expire : FEES 0 $0.00 Motors/Transformers (HP/KVA) 0 0 to 1 HP/KW/KVA: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 Over 100 HP/KW/KVA: 0 $0.00 Piggy Back/Temp Power: 0 $0.00 Temp Power Pole: 0 $0.00 Plan Check Fee: Temp Underground: 0 $0.00 Sub Panel: 0 $0.00 0 -� _ $0.00 0 $0.00 Record Mgmt Fee: $0.00 Plan Check Fee: $0.00 Investigation Fee: $0.00 Issuance Fee: $35.00 Supplemental Fee: $0.00 Fee Due at Permit 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 frorp 8:99.a.m. tg 6:QQ a.m. P P o F P e P o 0 9 I'< fb Pfi 9 pG PCC 0 4 4 PCWP f P c c c o nc m h 'DPW OWW 9W PP` 4Pc P4® )WNER-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 issuanA, also requires the applkant for he 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 '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 to a civil penalty of lot 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiness 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 mprovements 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 m roved 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 nut I ,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 exempt from licensure under the Contractors' State License Law for the following reason: iy my ignature below I acknowledge that, except for my personal residence in which must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legalli ;ell tructure that I have built as an owner-builder if it has not been constructed in its entirety by licensed contractors. 1 understand that a copy of the applicable law, Section 7044 of the Business and 'ro essl0n Code, is available upon request when this appli on Is bmitt r owing Web site:http://www.leginfo.ca.gov/calaw.html. q Signature of Property Owner or Authorized Agent ICENSED CONTRACTOR'S DECLARAT 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 Professions Code, and my license is in full force Ind effect. .1cense Class License No Date Contractor Signature NORKERS' COMPENSATION DECLARATION 1ARNING: FAILURE TO 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 ;DST 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: 7 I 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 Code, for th performance of the work for which this permit is issued. Policy No. 71 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' compensatiol isurance carrier and policy number are: :arrier Policy Number Expiration Date Ia of Agent Phone # I C rtify 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 agre iat, f I should become subject kers' /cylfi�a as on provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 0/ gnature of Applicant (� /%/ Date "(� Z E% )ECLARATION REG DI S UCTI LENDING AGENCY hereby affirm under penalty of p ry that there is a construction lending agency for the performance of the work for which this permit is issue Section 3097, Civil Code). .ender'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 this city or county toen Xnve r.�e property for inspection purposes. ? lianature of Property Owner or Authorized Agent / / Print Property Owner Date q -70 - ACTION DATE BY OECLARATION OF COMPLIANCE AqTH CODEOF FOR OFFICE USE ONLY _ • • • • • • • • • • '; FEDERAL REGULATIONS PART 61 OF TRIE40AND AQMD RULE 1403. PERMITEXPlRED • • .. .•; • ❑ i SUS_ AUITED ASBESTOS NOTIFICATION TO:- ❑ EPA ❑ AOMD..,... PERMITCANCEtLED • • ' • • • PERMITEXTENDED ❑ ASBESTOS NODFICATFONIS NOT APPLICABLE TO PROPOSED DEMOLITION. - PERMIT FINAL D- - • • • ... • • CERTIFICATE OF • • • • • • • e • • ' SIGNATURE: DCCUPRNCYISSUED • w U w w cn z p s� U 3w ^� d N 4 r (1)M It 3 Z 04 i y i m CO C U U d N C D 0(D s I 0 cv LO xzN W �o W m� z C z°zm O �r > > V C>,< U W✓'Ac dO Z W .ate A c z v CJ ♦Q` V 0 0 s I 0