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HomeMy WebLinkAboutE2022-0019 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIII II Electrical Permit: E2022-0019 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 2 2 0 0 1 9 Project No : 0134-2022 Permit Counter Phone (949)644-3288 Job Address: 710 AVOCADO AVE Bldg: 1 Floor: Suite: Description of Work: ELE-ELECTRICAL TO BBQ Inspector Area: 5 Legal Description: N TR 682 LOT 7 Owner: PAINTER ROBERTIDEBORAH Contractor: Address: 730 AVOCADO AVE Address: CORONA DEL MAR, CA 92625 Phone: Phone: Con State Lic: Issued Date:01/18/2022 Lic Expire: Bus Lic: Processed By: S9 Lic Exp Date: LANDCRAFTERS INC 29512 ANA MARIA LANE LAGUNA NIGUEL CA 92677 949-249-1086 754071 0913012022 BT30039467 05131/2023 Inspection Requests Phone (949)644-3255 Code Edit: 2019 Workers Compensation Insurance Carrier: EMPLOYEE SERVICE GROUP Policy No: WC5897031 Expire : 1210112022 FEES New Construction Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) Residential Receptacles/Outlets: 3 $5.25 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: $38.00 O/H to U/G 0 $0.00 Additional Fee : $0.00 Supplemental Fee: $0.00 TOTAL Fee: $43.25 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $43.25 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) 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 -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). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By 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 legallt 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htm]. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 7000) f Division 3 of the Business and Pr s ions Code, an y ltc se is in full force and effect. License Class License No Date -Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO 014E HIP RED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, 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: MIhave 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 rmance of the work for which this permit is issued. Policy No. V�rll\carve 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' compensation ce carrier and policy number are: ie of Agent certify that, in the performanrofif I should become subject of Applicant Policy Date p it is issued, I shall not employ any person in any manner so as to become subject tD the worker mpensation laws of California, and agree rrovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. n r �v Date ` Y AGENCY hereby affirm under penalty of perjll��hat there ismconstruction lending agency for the performance of the work for which this permit is issued (Se ctio 3097, Civil Code). ender's Namey 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 ow I have read this application and the information a provid I agree to comply with all applicable city and co my o ' es I authorize representatives of this city or county to ant th a ii nature of Property Owner or Authorized Agent ACTION DATE BY PERMIT EXPI RED PERMIT CANCELLED PERMITEXTENDED PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED s Orr c d s e s relating to building construction. ve-i iad property for inspection purposes. Print Property Owner's or Authorized Agent's Na DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE 1403. ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD I_eASBESTOS NOTHiCATiON 1S P'OT APPLICABLE TO PROPOSED DEMOLITION - SIGNATURE: lV Data 7/ I OFFICE USE ONLY