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Home My WebLink AboutE2019-0381 - PermitsCity of Newport Beach - Building Division 't 100 Civic Center Drive, Newport Beach, CA 92660 �, •' Permit Counter Phone (949)644-3288 Job Address: 1525 KEEL DR Bldg: 1 Floor: Suite: Description of Work: ELEC OUTLETS FOR BBQ (UNDER 42" H) Inspector Area: 4 IIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIII II Electrical Permit: E2019-0381 E 2 0 1 9 9 3 8 1 Project No : 0702-2019 Inspection Requests Phone (949)644-3255 Code Edit: 2016 Legal Description: N TR 6152 LOT 2 Owner: BROOKS NICOLE Contractor: AQUA - LINK POOLS AND SPAS Address: 1525 KEEL DR Address: 7040 AVENIDA ENCINAS #104-35 CORONA DEL MAR, CA 92625 CARLSBAD CA 92011 Phone: Phone: 951-704-2257 Receptacle/Switch/Outlets Con State Lic: 869134 Issued Date:06/0 019 Lic Expire: 05/31/2020 Bus Lic BT30049279 Processed By: Lic Exp Date: 12/31/2019 Worker's Compensation Insurance Carrier: MID CENTURY INS Policy No: A09472718 Expire : 07/02/2019 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 am. to 6:00 p.m, FEES New Construction Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) Residential Receptacles/Outlets: 3 $3.00 Oto 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 $W)D. ° 1-2 Family: 0 $0.00 Sep Circuits: 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 ° ° 00 0.01)° ° Low Voltage 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 0 40AD°, Service Signs Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: °.% WA 5 0-600V up to 20OA: 0 $0.00 Branch Circuit: 0 $0,00 Plan Check Fee: $Go& - 0 -600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Piggy Backrremp Power: 0 $0.00 Investigation Fee: ° ° ° ° $0.0A ° 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 : $38:00 Plan Check Fee`. $0.00 Fee Due at Permit Issuance: $38.00 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 am. to 6:00 p.m, DWNER-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 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). ❑ 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, 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). ❑ 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 Lawdoes 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). ❑ I 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 legalh 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 w'fh'See ction 7000) of Division 3 of the Business and Professions Code, an license is in full force and effect. i�' License Class License No le G- �— J Contractor S' ature NORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPL YER TO CRIMINAL PENALTIES AND CIVIL F ES PTO ONE HUNDRED THOUSAND DOLLARS ($100,000), 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 upedrapI lty of perjury one of the following declarations: .. I have and will.m.aintain 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 JQR8fii4ce of Wei^iokfor which this permit is issued. Policy No. Fav Viand will rpa.intain 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' compensatioi uraaee carrier and policy number are: ^^ n- 7ami r- f��a 4„�-AXV-! Policy Number Ao � % D-7 L X. Expiration Date ! VBme-of Agent 121C. C, V-0 noP &42 q".,- Phone# GL G. %x— 010 3f teVify that, is A performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subje t to the workers' compensation laws of California, and agre HlS?,lAlShou became subject t e orkers' comp 'on provisions of Section 3700 of the Labor Code, I shall forthwith comply with those sions. I Qrrret Ilffirm undm 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). LerItlQY3 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 ordi nces and state laws relating to building construction. I authorize repres W�`as� of this city or county to a ab ntified property for inspection purposes. /' Rinnahua of Pruned C innrV:r AuthnrizadAnent Print ProDertv Owner's or Au rize is Nam,},4. u � -J 4 ACTION DATE BY IJEULAIf IIVry Vt-VT- FEDERAL REGULATIONS PART 61 OFTITLE40AND AQMO RULE 1403. XPTRED ❑ I SUBMfTTEDASSESTOS M071FICATIOf4 TO: ANCELLED ❑ EPA XTENDED ❑ AQMD ASBESTOS NDTAPPLiCABLE 70 WAL (�../�/-21 — PROPOSED DEMOLITION.TTON15 SIGNATURE: