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HomeMy WebLinkAboutE2020-0369 - PermitsCity of Newport Beach - Building Division -. 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 a Job Address: 1936 PORT CLARIDGE PL Bldg: 1 Floor: Suite: Description of Work: ELEC FOR BBQIFIREPLACE (S2020-0105) Inspector Area: Legal Description: N TR 7028 LOT 2 Owner: RODRIQUEZ JESSE Contractor: Address: 1936 PORT CLARIDGE Address: NEWPORT BEACH, CA 92660 $0.00 Phone: Phone: $0.00 Con State Lie: Issued Date:09/01/2020 Lie Expire: 0-600V over 20OA: Bus Lie: Processed By: _ V._ Lie Exp Date: New Construction Residential Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Service 0 $0.00 0-600V up to 20OA: 0 $0.00 0-600V over 20OA: 0 $0.00 Over 600V or 1 OOOA: 0 $0.00 0/H to U/G 0 . $0.00 *E2020-0369* INSTANT POOLSCAPES 833 DOVER DR #24 NEWPORT BEACH CA 92663 949-795-0648 1009644 12/31/2021 BT30053469 12/31/2020 Receptacle/Switeb/Outlets Receptacles/Outlets: 2 $3.50 Fixtures: 0 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Signs 10 to 50 HP/KW/KVA: 0 Branch Circuit: 0 $0.00 Each Add Circuit: 0 $0.00 Time Clocks: 0 $0.00 Additional Fee : $0.00 Electrical Permit: E2020-0369 Project No : 1307-2020 Inspection Requests Phone (949)644-3255 Code Edit: 2019 INSPECTOR Worker's Compensation Insurance 9OGO ° o Carrier: WC EXEMPT o a Policy No: (NO EMPLOYEES) Expire : ° ° ° " o c 0 0 0 0 00 0 FEES 000n or.0000 v o 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 HPIKW/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 Fee : 0000 a000 0 0 C. oc o 0 0 0 oocoo O O4 9 O a"UO r 000000 Fee Due 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 pam 000n or.0000 v o Temp Underground: ° °° 0 o000 $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: $37.00 Supplemental Fee: $0.00 Fee Due 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 pam OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the chacer arks) I have placed next to the applicable item(s) lection 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 is pe"It 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 ofthe Business and rafessions Code) or that he or she is exempt from licensure and thebasis for the alleged exemption. Any violation of Section 7031.6 by any applicant for a permit subjects the applicant to a oivil penalty of of more than five hundred dollars ($500). 1201 N TUSTIN AVE I, as owner of the pro,tedy, or my employees with wages as their sole Compensation, will do U all of or U portions of the work, and the stmoture Is not intended or offered for sale (Section 7044, usiness and Pmfession� 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 npruvements are not InPanded or offered for sale. If, however, the building or improvement Is sold within one year of completion, the Owner-Butldor will have the burden of proving that It was not built or n roved for the purpose of Sala). J I, as owner of the property, am exclusively contracting with. licensed Contractors to construct the project (Section 70.44, Business and Professions Code: The Contractors' State License Law does not �ly to an owner of prof arty 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 Ect,nsure under the Contractors'State License Law for the following reason: ,y my signature below I Licknowledge that, except for my personal residence in which I must have resided for at least one year priarto completion ofthe improvements covered by this permit. I cannot legal ell a structure that I have: built as an owner-bulider if it has not been constructed in Its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 ofthe Business and rofessions Code, is ava,[able upon request when this application is submitted or at the following Web slte:http:iAvww.leginfo.ca.gov/cataw.html, signature of Prgj7Arty'Q ,aer or Authorized Agent ]CEJSED CON-FRAC:TOR'S DECLARATION ' �laeiebg affirm under penalty of perjury That I am licensed under provisions of Chapter (commencing with Se on 7n, Div} of the Business IS Ions o , an my licenses ull force nd efAet. LI&ATV4 Mass License No Qk _- Contractor S ature VjOR%ERS' CO)APENSATION DECLARATION I 'ARRAG: FA1LUREJp g Coke WORKERSLL. COMPENSATION COVERAGE IS UNLAWFUL. AND SHASUWEOT AN EMPLOTERTO CRIMINAL PENALTIES AND CML PINES UP TO ONE HUNDRED THOUSAND DOLLARS (Ltea a50j, IN AIRYMON TO TN DST OF COMPENBATro� 9AMAGESAS PROVIDED FORM SECTION 31M OPINE LABOR COOP, INTEREST, AND ATTORNEY'S FEES. hfbv }0 affirm uRiWenalty of perjury one of the following declarations: and4ill mainialn 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 ire of IN wo& for which this permit is issued. Policy No. and wilis maintan workers' compensation insurance, as required by Section 3700 of the Labor Coda, for the performance of the work for which this permit is issued. My workers' compansal carder arsf p`R y number are: Policy Number Expiration Date edify that, in the peormance of the work farcy itch this 'd 1 should beyyoome �ubject to the workers' comp satin ature of ApFRiant _ ueby affirm under pen ally of perjury lite g agen idel's Name my signature below, I :ertify to each of the following: I am the property ovmer,or authorized to act on the property owner's behalf. I have read this appli,�ation and the InformationiiJupiamvided is correct. I agree to comply whit all applicable city an oonly ordinal e la s a6 I authorize representatives of this city or unty�o-entr he a ove-Ri fm lttr BY INSTALLED person in any manner so as to become subject to the workers' compensation laws of California, and agree r Code, l shall forthwith comply with those provisions. of the work for which this permit Is issued (Section 3997, Civil Code). Address (ng consWction. for insp ' on purposes. rint Property Owner's or Authorized Agenfs i*e CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TFTLE 40 AND AQMD RULE PROPOSED DEMOLITION. YO ISNOTAPPBCABLE TO