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Home My WebLink AboutE2019-0829 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 !_ Permit Counter Phone (949)644-3288 Job Address: 123 JASMINE CREEK DR Bldg: 1 Description of Work: ELEC/BBQ (<4211) Inspector Area: 4 Legal Description: N TR 7967 LOT 72 Owner: BENTROTT BRYAN Contractor: Address: 123 JASMINE CREEK DR Address: CDM CA 92625 Phone: Phone: Con State Lie: Issued Date:12/09/2019 Lie Expire: Bus Lie: Processed By: Lic Exp Date: IIp�E 2 019 0 8 2 9�� II M S N POOL PLASTERING 15660 YOUNGWOOD DR WHITTIER CA 90603 562-756-3841 ` 969647 01/31/2020 BT30047389 06/30/2020 Electrical Permit: E2019-0829 Project No: 0792-2019 Inspection Requests Phone (949)644-3255 Cyl Code Edit: 2016 rn Worker's Compensation Insurance Carrier: STATE FUND Policy No: 9093061 Expire : 0312112020 X FEES New Construction Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) Residential Receptacles/Outlets: 2 $2.00 0 to 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 $0.00 1-2 Family: 0 $0.00 Sep Circuits: 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 0 $0.00 Low Voltage 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 0 $0.00 Service Signs Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: $0.00 0-600V up to 20OA: 0 $0.00 Branch Circuit: 0 $0.00 Plan Check Fee: $0.00 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Piggy Back/Temp Power: 0 $0.00 Investigation Fee: $0.00 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: $37.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $37.00 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 a.m. to 6:00 p.m. O O O O O � •33 O • . O 40 O ; 04i •YG •O •B • QO o G • 00 O• IWNER-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 ie 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 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 L) all of or U 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, pmvided that the nprovements 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 nproved for the purpose of sale). 1 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 pply 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 lioensure under the Contractors' State License Law for the following reason: ly 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 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 Profession ode, and my license is in full force nd effect. icense Class License No �G�G� Date a-- / - Contractor Signatur VORKERS' COMPENSATION DECLARATION IARNING: 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 ATTORNEYS FEES. hereby 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 the e ormance of the work for which this permit is issued. Policy No. and vM.Kaintain 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' ie of Agenl.�N certify that, in the performance , if I should become subject to 1 of Expiration Date Phone # 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 rk�compensat ons of Section 3700 of the Labor Code, I shall forthwith comply with those a. Da ioy sioy IECLARATION REGAR CONSTRUCTION LENDING AGENCY hereby affirm and 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). 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 owners 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 cougty to_prlterge above -identified gsoperty for inspection purposes. of Property Owner or Authorized ACTION DATE BY DECLARATION OF COMPLIANCE IMTH CODEOF FOR ORIO: USE ONLY FEDERAL REGULATIONS PART 61 OF TI4 f.40AND AOMDRULE tV3. .. PERMITEXPIRED ❑ I SWMTTfEDASMTb0iiOT1FJeATIOJI TO. 13 ° •EPA • ° : : • • • ° PERMITCANCELLED ❑ •AQ4b • • ° • PERMIT EXTENDED • ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. °• 0 °eo• e • eeo oo o PERMIT FINAL CERURCATEDF OCCUPANCYISSUED SIGNATUFZ. o 0 0 0 0 0 0 0 0 00 0 0 0