HomeMy WebLinkAboutE2022-0342 - PermitsCity of Newport Beach - Building Division
a
100 Civic Center Drive, Newport Beach, CA 92660
`) n Permit Counter Phone (949)644-3288
Job Address: 24 SANDY COVE Bldg: 1 Floor: Suite:
Description of Work: ELEC TO BBQ & FIRE PIT
Inspector Area:
Legal Description:
5
N TR 15445 LOT 12
Owner: MAD NEVADA TR
Compensation Insurance
Address: 24 SANDY COVE
NEWPORT COAST, CA 92657
Contractor:
Address:
Phone: Phone:
Con State Lic:
Issued Date:06/02/2022 Lic Expire:
-� Bus Lic:
Processed By: Lic Exp Date:
iiiiiiiiiii II
AROUND THE CASTLE LANDSCAPE DESIGN INC
21240 TWIN OAK
YORBA LINDA, CA 92886
714-270-8308
1040059
06/30/2024
BT30078890
05/31/2023
Electrical Permit: E2022-0342
Project No : 0422-2021
Inspection Requests Phone (949)644-3255
Code Edit: 2019
" Workers,
Carrier: STATE COMP '
Policy No: 9277243
Expire :06/0412022
FEES
New Construction
Receptacle/Switch/Outlets
Motors/Transformers (HP/KVA)
Residential
Receptacles/Outlets:
1
$1.75
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:
$39.75
Plan Check Fee : $0.00
Fee Due at Permit Issuance :
$39.75
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.
)WNER-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, priorto its issuance, also requires the applicant for
is 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 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
of more than five hundred dollars ($500).
1, 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,
Iusiness 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
nprovements 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
nproved 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
pply 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:
ly 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 legally
ell 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
'rofessions Gone, is available upon request when this application is submitted or at the following Web site:http://www. leginfo.ca.gov/calaw.html.
'signature of P, oprrty Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affi-m 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
nd effect.
,tense Class License No Date V� ( J Contractor Signatu���t"
VORKERS' COMPENSATION DECLARATION
ARNING: FAILI IRE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, ANT] SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,0001, IN ADDITION TO THE
.T of COW LENS STI'JN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
`t reby affirm under penalty of perjury one of the following declarations:
I 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 the
e-Vmancc of tale Nork 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' compensatior
ce cbr,rif artd policy number are:
Policy Number
of Agent
Date
I 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 agre
t, if I should becom ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisigns.
mature of Applicantubject to s' compens visDate�C-
Ci.'/ C/ -
CLARATION REG RD CTION 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 ordmanc nd state laws relating to building construction.
I authorize representatives of this city or coupfi�t� a e-id $ied-property for inspection purposes. A / da �7--le J
nature of Property Owner or Authorized AgeryrL\ Print Property Owner's or Authorized Aqent's Name/ \% Date ./
ACTION
DATE
BY
DECLARA T/ON OF COMPLIANCE M TH CODE OF
FEDERAL REGULATIONS PART 51 OF TITLE 40 AND
AQMD RULE 1403.
❑ /SUBMITTEDASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
❑ ASBESTOS N017HCA77ON IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
SfGNATURE:.
FOR OFFICE USE ONLY
PERMIT EXPIRED
PERMIT CANCELLED
PERA41TEXTEAIDED
PERMIT FINAL
- —1.C-
CERTIRCATEOF
OCCUPANCYISSLIED