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Home My WebLink AboutE2019-0840 - PermitsCity of Newport Beach - Building Division 1111111111111111111111111 Jill 11111111111111111111111111111 Electrical Permit: E2019-0840 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 1 9 0 8 4 9 Project No: 2707-2019 Permit Counter Phone (949)644-3288 Job Address: 1708 NEWPORT HILLS DR W Bldg: 1 Floor: Description of Work: ELEC FOR BBQ/FIRE PIT Inspector Area: Legal Description: N TR 7032 LOT 15 Owner: WILSON KELLAN BRADSHAW Address: 1708 NEWPORT HILLS OR W NEWPORT BEACH, CA 92660 Phone: Issued Date:12/10/2019 C�'-� Processed Bv: U }�� New Construction Residential Multi -Family: 1-2 Family: Service 0-600V up to 20OA: 0 0-600V over20OA: 0 Over 600V or1000A: 0 O/H to U/G 0 TOTAL Fee Suite: Contractor: INSTANT POOLSCAPES Address: 28562 OSO PARKWAY #D243 2 RSM CA 92688 Phone: 949-795-0648 Con State Lie: 1009644 Lie Expire: 12/31/2019 Bus Lie: BT30053469 Lie Exp Date: 12/31/2019 Inspection Requests Phone (949)644-3255 Receptacle/Switch/Outlets Receptacles/Outlets: 2 $2.00 $0.00 Fixtures: 0 $0.00 $0.00 Sep Circuits: 0 $0.00 ® Low Voltage 0 $0.00 Over 100 HP/KW/KVA: Signs Worker's Compensation Insurance $0.00 Branch Circuit: 0 $0.00 $0.00 Each Add Circuit: 0 $0.00 $0.00 Time Clocks: 0 $0.00 $0.00 Additional Fee : o°0mo $0.00 37.00 o°m Plan Inspection Requests Phone (949)644-3255 FEES Motors/Transformers (HP/KVA) CL; d e°ceo mm a o Pm em co�oc� ° Code Edit: 2016 o mmo Ooc 0 $0.00 m o ac c° ® •� o 0 o m F°->om0 mm c m Over 100 HP/KW/KVA: 0 Worker's Compensation Insurance Carrier: WC EXEMPT mmm • m mmn,.m 0000 o0c0 �. Policy No: (NO EMPLOYEES) Expire omo meo° o°0mo oco aon0 CoOo m o°m o000 FEES Motors/Transformers (HP/KVA) 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 Temp Underground: Sub Panel: Record Mgmt Fee: Plan Check Fee: Investigation Fee: Issuance Fee: Supplemental Fee: Fee Due at Permit Issuance 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. .00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $35.00 $0.00 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 jtCrii(s), r (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 applicantfor 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 U all of or `) 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 irjtended 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 fortft&Iggjpose of sale). 0aus-owner o;the3ploperty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not p{1pyIC cm ow ner� property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 131 am axempNfrQn1 licensure under the Contractors' State License Law for the following reason: 4 r A119nature 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 legal) sept s4ructure4PJ4IJpjre 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 Profoafts CbtI8 °i9 $,Ailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Slgoature of Propejlt:Owner or Authorized Agent Date I• SED6•1;J�4CTOR'SDECLARATION ;'17%4 affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with ction 7000) of Division 3 of the Business an rofessions Code, and lie se is in full force LT, 1;11 t •�••`� License No Date gnatur L+�ens�class H_�-,�,� �2�.��" Contractor Si 1IJ0MI;RS' CCWPENSATION DECLARATION NARNIN& FAILURE�f� LIRE 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 Cb8?& COMPEN__SN h, AMAGES 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: :11 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 the 3erformance of the work for which this permit is issued. Policy No. 2 141ve 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' compensation nsurance carrier and policy number are: Policy Number Date lame of Agent Phone # 3 certify that, in thep,a "m�aanc a d,. I shall not employ any person in any manner so as to become subject to th orkers' compensation laws of California, and agre, iat, if I should become s,b'�ct t t ers ompensation isions o coon 3700 of the Labor Code, I shall forthwith comply with those provisiioo"q [� signature of Applicant Date/" IECLARATION REG A ING CONS ENDING AGENCY hereby affirm under p ally of perjury that re is a cons ruc Ion ending agency for the performance of the work for which this permit is issued (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 Ina and state laws relating to building construction. / I authorize representatives of this city or county to nter the abo Identified a ection purposes. /` , _ t.p p 61,t-� / �`t�G�� _e ..____�.. n...___ __ n...�_-:__� n___. o �... o.....va,• n,.,..e.+�... AidMnrieed A—V. None . SIV i- A 1 1 \ Aatr+. ACTION DATE PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL /!. C CERURCATEOF OCCUPANCYISSUED FEDERAL REGULATIONS PART 61 OFTfTLE40AND AQMDRULE7403. ❑ f SUBMITTED ASBESTOS NOTIFICATION TO: EPA ❑ AQMD ❑ ASBESTOS NOTIFfCA770NIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: