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HomeMy WebLinkAboutE2019-0056 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 2 CAPE ANDOVER Bldg: 1 Floor: Suite: Description of Work: ELECTRICAL FOR BBQ Inspector Area: 3 Legal Description: N TR 15012 LOT 7 Owner: RAWIT CRISTOPHER Contractor: Address: 2 CAPE ANDOVER Address: NEWPORT BEACH, CA 92660 0 to 1 HP/KW/KVA: Phone: Phone: 0 Con State Lic: Issued Date:01/31/2019 Lic Expire: $0.00 Bus Lic: Processed By: Lic Exp Date: IIIIIIIIIIIIIIIIIIIIIillillillillillillilliillillilillilljlI CONTEMPORARY POOLS & SPAS B CALLE AMENO SAN CLEMENTE CA 92672 949463-0569 456476 02/28/2019 BT96011220 09/30/2019 New Construction 0 $0.00 Receptacle/Switch/Outlets Residential 0 to 1 HP/KW/KVA: 0 Receptacles/Outlets: 0 $0.00 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1-2 Family: 0 $0.00 Sep Circuits: 3 $21.00 $35.00 Supplemental Fee: Low Voltage 0 $0.00 ieGviee Signs 0-600V up to 200A,- ° 0 $0.00 Branch Circuit: 0 $0.00 0-.920U over 26OA: 0 $0.00 Each Add Circuit: 0 $0.00 Oyp,c600V or1obOA: 0 $0.00 Time Clocks: 0 $0.00 01ld Le b/G � o � , ` 0 $0.00 Additional Fee : $0.00 o ° ofO i'AL Fee: $56.00 Plan Electrical Permit: E2019-0056 Project No: 3002-2018 Inspection Requests Phone (949)644-3266 Code Edit: 2016 Worker's Compensation Insurance Carrier: STATE FUND Policy No: 1016832 Expire : 04/01/2019 ,16 tai .A 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 Temp Underground: 0 $0.00 Sub Panel: 0 $0.00 0 $0.00 o $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 • ° ° o ° ®®c • 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. ��o DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason (a) 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 Te 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 Irofessions 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 of more than five hundred dollars ($500). - 7 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, lusiness 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 rlprovements 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 n 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 not only 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: ly my signature below 1 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 ell 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 'rofessions 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 .ICENSED CONTRACTOR'S DECLARATION 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 PFoNsions Code, and my license is in full force nd effect. icense Class License No Date J t/tiContractor I/ORKERS' COMPENSATION DECLARATION 'ARNING: 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 OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. affirm under penalty of perjury one of the following declarations: 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, e ormance of the work for which this permit is issued. Policy No. '^ r^ 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' compensation %urance Carrie r wanwd p�olicy number are: :arrier �` "yYR'N— Policy Number t IQ k Cc i `tom Expiration Date lame of Agent Phone # �I certify that, in the performan e f 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 tat, if I should become subject t workers' com ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provIS19PS. 4 /�J ^Sy •, ignature of Applicant Dat¢ -ll�l / y / ( Ur, • • • • •..... iECLARATION R I G CONSTCTION LENDING AGE Y - hereby affider penally of perjury tha there is a construction ndin agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). : •: : ° ender's Name Lender's Address •' ° ° ° ° By 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 dinances and state laws relating to building construction. •. • • • • • o • • ° I authorize representatives of this city or county o he above-ide 'tied property for inspection purposes. s�—.. . • Signature of Property Owner or Authorized Ag Print PropertyOwner's or Authorized Agent's Name,Z= L`�'° Date ° ° AC77ON1A Y 11AULAPAT10111 OF COMPLtANCEWITH CODEOF FOR OFFICE . S£ONL7 �•°OOH FEDERAL REGULATIONSPART 61 OF TITLE40AIVD ... AQMD RULE 1403. PERMITEXPIRED ❑ /SUBMITTED ASBESTOS NORF[CATION TO: PERWCANCELLED ❑ EPA ❑ AOMD PERMIT EXTENDED ❑ ASBESTOS N017RCAT70NIS NOTAPPLICABLE TO PERMLTRNAL f PROPOSEDDEMOLITION. CER77RCATEOF OCCUPANCYISSUED SIGNATURE: