The URL can be used to link to this page

Home My WebLink AboutE2022-0063 - PermitsCity of Newport Beach - Building Division(II�IIIIfIII�IIIIIIII�III11111111111fIlIII�III�IIIIII - 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 232 ORCHID AVE Bldg: 1 Floor: Suite: Description of Work: ELEC/TEMP. POWER POLE Inspector Area: 5 Legal Description: RESUB OF CORONA DEL MAR BLK 142 LOT 30 Owner: PUTMAN MARK Contractor: THE STONEHILL COMPANY Address: 232 ORCHID AVE Address: 2816 E COAST HWY, STE F CORONA DEL MAR, CA 92625 CORONA DEL MAR CA 92625 Phone: Phone: 949-630-2196 Con State Lic: 917685 Issued Date:02/01/2022 Lic Expire: 06/30/2022 Bus Lic: BT30025084 Processed By: Lic Exp Date: 06/30/2022 Electrical Permit: E2022-0063 Project No: 2308-2021 Inspection Requests Phone (949)644-3255 IR Code Edit: 2019 Worker's Compensation Insurance Carrier: EVEREST PREMIER Policy No: 7600022840211 Expire: 11/13/2022 CIO FEES New Construction Receptacle/Switch/Outlets 0 $0.00 Motors/Transformers (HP/KVA) 0 to 1 HPIKW/KVA: 0 $0.00 Temp Underground: 0 $0.00 Residential Multi -Family: 0 $0.00 Receptacles/Outlets: Fixtures: 0 $0.00 1 to 10 HPIKWIKVA: 0 $0.00 Sub Panel: 0 $0.00 1-2 Family: 0 $0.00 Sep Circuits: 0 $0.00 10 to 50 HP/KWIKVA: 0 $0.00 0 0 $0.00 $0.00 Low Voltage 0 $0.00 50 to 100 HPIKW/KVA: 0 $0.00 $0.00 Service Signs Over 100 HPIKW/KVA: 0 $0.00 Record Mgmt Fee: $0.00 0-600V up to 20OA: 0 0 $0.00 $0.00 Branch Circuit: Each Add Circuit: 0 0 $0.00 $0.00 Piggy Back/Temp Power: 0 $0.00 Plan Check Fee: Investigation Fee: $0.00 0-600V over 20OA: Over 600V or 1000A: 0 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 1 $41.00 Issuance Fee: $38.00 $0.00 O/H to U/G 0 $0.00 Additional Fee: $0.00 Supplemental Fee: TOTAL Fee: $79.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $79.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Friday®:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. e w ® e c o e a e e H a e •. '� a e a ® ® o • ® ° c-oc co 0 0 o n o G e 0 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, amexclusively 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 legalh 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.govfcalaw.htmI. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTIIOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. j License Class License No Date , 2� 1 d I % --Z- Contractor Signati WORKERS' COMPENSATI'O!N, DECLARATION 101, I t % ✓DARNING: 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 COST OF COMPENSATION, DAMAGES!AS ;PROVIDED FOR IN SECTION 3706 OF THE LABY' OR CODE, INTEREST, AND ATTORNES FEES. I hereby affirm under penalty ofi perjury one of the following declarations: ❑ I have and will maintain'ai 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 the pert ance of the work for which this permit is issued. Policy No. I have and w aintarn workers' mpensation 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 insurance came n +policy number : re: barrier. A ' N rlEiy e'r Expiration Date Name of Agent Phone # PI 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 agree .hat, if I should become subject e workers' ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant " i(/Date hereby affirm under penalty enderis Name ly my signature below, I certi I am the property owner c I have read this applicatic I agree to comply with all I authorize representative signature of Property Owner ;TRUCTION LENDING AGENCY ry that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Address fy',to each of the following: reauthorized to act on the property owner's behalf. nfand the information I have provided is correct. applicable city and county ordinances and state laws relating to building construction. s of this city or county t e the above -id Ified property for inspection purposes. )riAuthorized Aqent 6/�i _Print Property Owner's or Authorized ACTION DATE BY VLf_LAAKA i iU1V Ui- €_ UMi'LI NC-L YY1 t is f-C), t fit- FOR OFTI E LEE ONLY ELTDf r�GM �� EPART5 OFT'TtE4tlAhtf3 ? ER af6Tt Px? �€ AAQA-F3RUf.L 1403. PERMfT I;AIPVCELLEEG `0 ERA ❑ AQtY D E if: # T s.E ❑ ASBESTOS N077,90MIS NOT APPLICABLETO PERMIT FINAL �. � I t 1�'it7si 'O ED OEM t1Ttt CERUFfCATE OF � trl Tr RE, OCCUPA CYISSUED