HomeMy WebLinkAboutE2021-0006 - PermitsCity of Newport Beach - Building Division
I oo Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Job Address: 2037 OCEAN BLVD Bldg: 1
Description of Work: ELE TO BBQIFIRE PIT
Inspector Area:
Legal Description: N TR 518 BLK D LOT 22
Owner: JAMES FAMILY TRUSTIEL-MOUSSA T ContracContractor:
Address: 2037 OCEAN BLVD
NEWPORT BEACH, CA 92661
Phone:
Phone:
Con State Lie:
Issued Date:01105/2021 Lie Expire:
Bus Lie:
Processed By: Lie Exp Date:
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BC HOME BUILDERS
3202 W WARNER AVE
SANTA ANA CA 92704
714-754-0709
940362
05/31/2021
BT30072996
09/30/2021
New Construction
Receptacle/Switch/Outlets
4 $7.00
Residential
Receptacles/Outlets:
0
$0.00
Multi -Family:
0
0
$0.00
$0.00
Fixtures:
Sep Circuits:
0
$0.00
1-2 Family:
Low Voltage
0
$0.00
Service
0-600V up to 20OA:
0
$0.00
Signs
Branch Circuit:
0
$0.00
0-600V over 20OA:
0
$0.00
Each Add Circuit:
0
0
$0.00
$0.00
Over 600V or 1 OOOA:
0
$0.00
$0.00
Time Clocks:
Additional Fee:
$0.00
O/H to U/G
0
TOTAL
Fee:
$44.00
Plan
Electrical Permit: E2021-0006
Project No: 0025-2021
Inspection Requests Phone (949)644-3256
Worker's Compensation Insurance
Carrier: CYPRESS INS CO
Policy No: BCWCO21844
Expire : 1212612021
FEES
Motors/Transformers (HPIKVA)
0 to 1 HP/KW/KVA:
0
$0.00
1 to 10 HP/KW/KVA:
0
$0•00
10 to 60 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
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:
$37.00
Supplemental Fee:
$0.00
Due at Permit Issuance : $44.00
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.
Op 0 9 f O p 40
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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. a 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 permits file a signed statement that he exempt
she is If
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) u that he ll 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 L) all of or
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property w o, through portions of employeese work, nortpersohe nal effort, ucture is builds eor 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 -Builder will have the burden of proving that it was not built or
improved for the purpose of sale).
❑ 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
❑apply 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).
I am exempt from licensure under the Contractors' State License Law for the following reason:
By my signature below I acknowledge that, except fort h 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 Iegall.
sell a structure that I have built as an owner -builder i 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
Professions Code, i5 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
LICENSED CONTRACTOR'S DECLARATION II Date
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with S coon 000) of pivision 3 of the Business and Pr ssions C d my li se is in full force
and effect o
_icense Class c�n
License No D
NORKERS' COMPENSATION DECLARATION Contractor Signatu�}/p�
YARNING: 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 (E100,0 o0 (, IN ADDITION TO THE
:DST 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:
31 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 thi
prformance of the work for which this permit is issued. Policy No.
*NTave and will mai t
n aIn 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'
carrier and policy number are:
Policy Number
of Agent
Date
II certify that, in the performance of the work for which this permit is issued, I shall not employ annner Phone #
it, if I should become subject the workers' co ensatio pr visions of Section 3700 of he Labor Code,Il hall forthwith complyBS to ecome lawshose subject to
workers' compensation laws of California, and agre
(nature of IApplicant Dat � j —1�'
.CLARATION REG I i uur rn i i..
Dreby 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
my signature below, I certify to each of the following: Lender's Address
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 inances and state laws thlating to building construction.
I authorize representatives of this cityor cou t to n the abo
y fieperty for inspection purposes.
nature of Property Owner or Authorized Agent` 9_ti,-��
a Print Property Owner's or Autl
ACTION
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OCCUPANCYISSUED
DATE I BY
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