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HomeMy WebLinkAboutE2022-0371 - PermitsCity of Newport Beach - Building Division `. 100 Civic Center Drive, Newport Beach, CA 92660 .« c Permit Counter Phone (949)644-3288 c� s dtars�n�' Job Address: 317 APOLENA AVE Bldg: 1 Floor: Suite: Description of Work: ELEC: LINE FOR BBQ & FIRE PIT. (X2020-2382) Inspector Area: 2 Legal Description: BALBOA ISLAND SEC 3 BILK 16 LOT 28 Owner: ROSE DAVID Contractor: Address: 219 MARINE AVE #A Address: NEWPORT BEACH CA 92662 Phone: 949-706-1984 Phone: Con State Lic: Issued Date: Lic Expire: Bus Lic: Processed By: Lic Exp Date: New Construction Residential Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Service 0-600V up to 20OA: 0 $0.00 0-600V over20OA: 0 $0.00 Over600V or1000A: 0 $0.00 O/H to U/G 0 $0.00 TOTAL Fee: *E2022-0371* WATERPOINTE CUSTOM HOME 3500 E COAST HWY #110 CORONA DEL MAR CA 92625 949-644-8900 947494 05/31/2024 BT30036114 06/30/2022 Receptacle/Switch/Outlets Receptacles/Outlets: 1 $1.75 Fixtures: 0 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Signs Branch Circuit: 0 $0.00 Each Add Circuit: 0 $0.00 Time Clocks: 0 $0.00 Additional Fee : $0.00 Electrical Permit: E2022-0371 Project No : 1899-2020 Inspection Requests Phone (949)644-3255 0 ¢ 03G1 ° -©C 0 Code Edit: 2019 T AB a ° p0 Worker's Compensation Insurance Carrier: STATE COMP INS FUND Policy No: 1952335 Expire : 05/01/2023 H > E a 0 0- 9 9R0° 9 GRJO FEES 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 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 Plan Check Fee : Temp Underground: 0 $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: $38.00 Supplemental Fee: $0.00 at Permit Issuance: 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. 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 Iicensure 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 ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness and Rmfessions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the nprovements are wT intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or OrY9ded for thy,piiipose of sale). I, as owner 0191a'property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not Qpl9 jo an own% of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ]*ram exempt fro"licensure under the Contractors' State License Law for the following reason: Ix n7y signat ft j81o$r 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 elY& 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 'sofsssions CCed'v,.ia available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Ijg"Itre of Property'Owner or Authorized Agent Date ;,, USED CONTRACTOR'S DECLARATION Mereby affirrr; 5I-40tpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profession Code, and my license is in full force nd att. .. . IcensB Class . .. License No Date Contractor Signature %\ OORKERS' GOMPENSATION 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 OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: ve 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. 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' rance carrier and policy number are: Policy Number of Agent Date certify that, in the performance of 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 t, if I should become subject to th orkerrs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /\ nature of Applicant Date( 27 CLARATION REGAR IAA N�NSTRUCTION LENDING AGENCY �reby 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). ider's Name Lender's Address 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 ordinances and state laws relating to building construction. I authorize representatives of this city or count to enter the ayybove-identified property for inspection purposes. (nature of Property Owner or Authorized Agent CM �L. Print Property Owner's or Authorized Agent's Name Date ACTION DATE BY DECLARATION OF COMPUANCE WITH CODEOF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE40AND AQMDRULE 1403. PERMITEXPIRED ❑ f SUBMITTED ASBESTOS NOTfFfCATfON TO:: ❑ EPA ❑ AQMD PERMIT CANCELLED PERMITEXTENDED ElASBESTOS M07IRCA770N IS NOT APPLICABLE TO PROPOSED DEMOLITION, PERMITFINAL CERTfFICATEOF SIGNATURE:. OCCUPANCYISSUED