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HomeMy WebLinkAboute2022-0250 - PermitsCity of Newport Beach - Building Division .k *E2022-0250* 100 Civic Center Drive, Newport Beach, CA 92660 ` Permit Counter Phone (949)644-3288 Lter.4 ���.-r - A " " 7 - @d" Job Address: 29 MONTECITO DR Bldg: 1 Floor: Suite: Description of Work: SFR ELEC FOR BBQ. (X2020-1806) Inspector Area: Legal Description: 6 N TR 7844 LOT 71 Owner: STORM KIM & ANNE Contractor: Address: 29 MONTECITO DR Address: CORONA DEL MAR CA 92625 Phone: 949-230-5654 Phone: Con State Lic: Issued Date:04/21/2022 Lic Expire: Bus Lic: Processed By:_1 J� Lic Exp Date: LONGMAN CONSTRUCTION CO INC 2782 CIRCLE DR NEWPORT BEACH CA 92663 949-722-7711 393881 08/31 /2023 BT00001921 03/31/2023 Electrical Permit: E2022-0250 Project No : 1444-2020 Inspection Requests Phone (949)644-3255 ..°. ° . Code Edit: 2019 ° Worker's Compensation Insurance Carrier: STATE COMP INS FUND °•°•°• °°°°° ° Policy No: 9062475 ° Expire : 0710112022 0° ° o°°o°o FEES New Construction Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) Residential Receptacles/Outlets: 0 $0.00 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: 1 $7.00 10 to 50 HP/KW/KVA: 0 $0.00 0 $0.00 Law 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 20DA: 0 $0.00 Each Add Circuit: 0 $0.00 Piggy Back/Temp Power: 0 $0.00 Investigation Fee: $0.00 Over 600V or 100DA: 0 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $38.00 O/H to U/G 0 $0.00 Additional Fee : $0.00 Supplemental Fee: $0.00 TOTAL Fee: $45.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $45.00 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. 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 U all of or U 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-Builderwill have the burden of proving that it was not built or improved for the p0t%e of sale). ❑ I, a%owner of lNelproperty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not S}[4 t)'tt an owM? Ctproperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). p I ajn exempt fit"lfcensure under the Contractors' State License Law for the following reason: Py Trily.sfgnature 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 legall} 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 Pm7essipns Cone„ig affailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Progerty Qwner or Authorized Agent Date tfCENPED CO"TRACTOR'S DECLARATION f hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sect7000 f Division 3 of the Business andand Professigps Code, and my license is in full force esd effect. ticensClass _ • • • License No Date Contractor Signature IAtORMRS' COMPENSATION DECLARATION 6IRNING FAILUPF ro SIRE 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 COST OF COMPENSAi10N, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ I ave 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, nce of the work for which this permit is issued. Policy No. 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' compensatior nsurance carrier and policy number are: Policy Number of Agent Date ]I certify that, in the perfo mance #f th ork r which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' comp sation ws of California, and agre tat, if I should become subject toyllie or er coyagensation provisions of Se tion 3700 of the Labor Code, I shall forthwith comply with those provisions. 'signature of Applicant iC� Date t Z 01111! IECLARATION REGARDING CONSTRUCTION LEIAING AGENCY f hereby affirm under 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 ordin nd slat elating to building construction. I authorize representatives of this city or county to ve-i I property for inspection purposes. `�/ y,�M tinnature of Pronertv Owner or Authorized Acent Print Property Owners or Authorized Agent's Name X 7 /7��+`�'� Date ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFIGE USE ONLY FEDERAL REGULATIONSPART 61 OF T7TLE40 AND AQMD RULE 140J. P€RMtTEXPlRED ❑ t SU$MFfTEDASBESTOS NOTiFICATIONTO: ❑ EPA ❑ AQMD ❑ ASBESTOS N077FICAITON IS NOT APPLICABLE TO PROPOSEDDEMOUTION. PERMIT CANCELLED PERMIT.EXT€NDED PERMITFINAL —.3i—ZL-VAA 0& CERTIFICATEOF SIGNATURE: OCCUPANCYISSUED