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HomeMy WebLinkAboutE2022-0211 - PermitsCity of Newport Beach - Building Division IIIII�IIII�IIIIIIIIIII�I�IIIIIII�IIIIII II Electrical Permit: E2022-0211 100 Civic Center Drive, Newport Beach, CA 92660 l E 2 0 2 2 0 2 1 1 Project No: 0949-2021 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Job Address: 1718 IRVINE AVE Bldg: 1 Floor: Suite: ® 6 ii S ° ^ Description of Work: ELEC/BBQ AREA (CHANGE OF CONTRACTOR) Inspector Area: - 3 Code Edit:2019 aau° °oaaa Legal Description: N TR 3082 LOT 10 • as°°a• Owner: MAJESTIC CASSIE Contractor: YORBA RIDGE CONSTRUCTION Worker's Compensation Insurance ° ° Address: 1718 IRVINE AVE Address: 20470 VIA TALAVERA Carrier: EXEMPT •••• NEWPORT BEACH, CA 92660 YORBA LINDA CA 92887 Policy No: as°• °aoo®° Phone: Phone: 714-420-7926 Expire: ,,,a •• °•° •• Con StateLic: 642515 °°•` o oo•,a, IssuedDate:04/05/2022 LicExpire: 04/30/2022 •••®•° Bus Lic: BT30075335 :° • •••••• Processed By: fC 11^ Exp Date: 05/31/2022 a °„ ° • o ao a ca e.oco • o° aeaa° 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: 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 1o00A: 0 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $0.00 O/H to U/G 0 $0.00 Additional Fee : $38.00 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 a.m. to 6:00 p.m. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) iindicated 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 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 not more than five hundred dollars ($500). i I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, throu improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of a improved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 70 apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contra I am exersptIro%licensure under the Contractors' State License Law for the following reason: By mys ignatur2 t€lbw I acknowledge that, except for my personal residence in which I must have resided for at least o ss 6&;tructure"I1 have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. Professions Codri,me available upon request when this application is submitted or at the following Web site:http://www.IE &gndtyre of Property Owner or Authorized Agent LIOBNSED CQ(J,TRACTOR'S DECLARATION hereby affirm%Vgr l?enalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700� Class License No MAKERS' COMPENSATION DECLARATION PAVYUQI FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUWECT AN EMPLOYER TO CRIMINAL GOT OMOMPENSAT141T,, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby -affirm ultdEr penalty of perjury one of the following declarations: .. J.hate and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Dire erformance of tWwA for which this permit is issued. Policy No. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for Isurance carrier and policy number are: :arrier Policy Number of Agent rtify that, in the performance of the work for which this permit is issued, I shall not employ any person in any I -should become su1bjPA4totHq wort ers' compensation provisions of Section 3700 of the Labor Code, I shall hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for 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 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 cout enter a fate laws relating to building construction. o I authorize representatives of this city or cou��f7ifenter a ove-I entified property for inspection purposes. Signature of Property Owner or Authorized Agent _ _ Print Property Owner's the work, and the structure is not intended or offered for sale (Section 7044, employees' or personal effort, builds or improves the property, provided that the pletion, the Owner -Builder will have the burden of proving that it was not built or Business and Professions Code: The Contractors' State License Law does not pursuant to the Contractors' State License Law). e year prior to completion of the improvements covered by this permit, I cannot understand that a copy of the applicable law, Section 7044 of the Business and Date of Division 3 of the Business and Profes,,5ions Code, and my license is in full force L Contractor Signature .LTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE of Industrial Relations as provided for by Section 3700 of the Labor Code, for performance of the work for which this permit is issued. My workers' Date so as to become subject to the workers' compensation laws of California, and agrel i comply with those provi ns. _ Da[ -7 i this permit is issued (Se tion 3097, Civil Code). -5 AC7I0N DATE BY DECLARATION OF COMPLIANCE MTH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONSPART 61 OF TITL.E40 AND AQMD RULE 1403. PERMITEXP1RED ❑ I SUBAHTTEDASBESTOS N077FICATION TO:. ❑ EPA ❑ AQMO PERMIT CANCELLED PERMITEXT€NDED ❑ ASBESTOS NOTIACATIONISNOTAPPL/CABLETO PROPOSED DEMOLITION. PERMIT FINAL CERTIFICATEOF SIGNATURE:. OCCUPANCYISSUED