HomeMy WebLinkAboutE2022-0167 - PermitsCity of Newport Beach - Building Division
o +, 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
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Job Address: 433 ISABELLA TER Bldg: 1 Floor: Suite:
Description of Work: SFR ELEC FOR AUTOMATIC FENCE
Inspector Area: 5
Legal Description: TR 1237 LOTS 159 & 160
Owner: JOHNSON NANCY
Contractor:
Address: 433 ISABELLA TERRACE
Address:,
NEWPORT BEACH, CA 92625
--
Phone: 310-666-7677
ne:
Issued Date:03/17/2022 _ ..��: ijE7pt
Sus Lic:
Processed By: -_ % Lic Exp
New Construction 'e,v.-<';.ecep
Residential Recap
Multi -Family: 0 .00 ure
1-2 Family: 0 $ .00 _ S I Ci
Service
0-600V up to 200A: 0
0-600V over200A: 0
Over600V or10D0A: 0
O/H to U/G 0
TOTALFee:
$0.0 Branch Circuit:
$0.00 Each Ad�Ci`r� _iy'a
$0.00 Tibia'C .� 0
$0.00 d l
di 1), t3 q
11�111 1111111111111111111111111111111111111111111 11111 Electrical Permit: E2022-0167
E 2 0 2 2 0 1 6 7 Project No : 0695-2022
Inspection Requests Phone (949)644-3255
INSFIEC Code Edit: 2019
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\b\e• 1ooe�e �e{uo
NEMBLDR o'o OC Worker's Cam
O8� Car' .
olicy No:
Expire
9M , 1. A
we tom- ,,�,,,�•} �t
otors/Transformers,(HP/qq���``,�'` �}g
$1.7 0to 1 HP/KW/K\Y*N $0.00Temp e roun
$0.00 1 to 10 K \\ '� Sub
00
$0.00 50 to 500 P/ W/KA o0N0 $0.00
Over 100 HP/K / VA. $0. x0k\2PPlas c Fee:
m$00 Piggy B p o 0 $Ott vestigation Fee:
14�,WTer 0 .00 Issuance Fee:
P VVV ���++++++ ______ Supplemental Fee:
F�/ ,SB' 0 Fee Due at Permit Issuance
7•'-if='R ISSUANCE OR LAST VALID INSPECTION
a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m.
27
$0.
$0.
$0.
$0.
$1.
$0.
$38.
$0.
ER -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 fora 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 J 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
iim ro ement]y a 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
bmprZINVo e ose of sale).
eXner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code:
to a7rowner of property who:bgi_Wems- a 1-who._safa3[asisptol;3ttg:Rnojects eritlI= r B
I am exempt from licensure under the Contractors' Si
ly my signature below I acknowledgsAhati except for my
ell a structure that I have built as arjflWe"' iul
'rofessions Code,.. is available upon request when
signature of Ropertv'Owner or Authorzed 6g not
.ICEh:SED CONTRACTOR S DE.Ta CLAR0"
hereby affirm under penalty of perjury that I am' Ilcen e_d
nd effect.
ioense Class License`h
ng reason:
must have resided for at lea �on.e yeai priot Nompletion of the improve
u+ti. by ii ed contract .`t`und'ers't'a5555''dd'`'4}hh 'a copy of the applicable
submitted or at the following Web
7000) of Division 3 of the Business and Profe
to Whom:.
Contractor. -Signature
VORKERS' r;OP905NSATION DECLARATION
'ARNINu: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWF 11, ANOSHALUSU13JECT AN CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNbaED
OST OF COMPEF:SATID:I, DAMAGES AS PROVID F R IN SECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEYS FEES. �)
hereb , affirm! under penalty of perjury thT following declarations
have and will maintain a certifx $G4 sent to self -Insure for workers' compensation, issued by thbrDirector of Industrial Relations as provided for
erforrr.ance of the wa,k for which this per I IS Issued. Policy No.
1 hrve and whl'maintain workers' compen ation insurance, as required by Section 3700 of the Labor Code for the performance of the work for which this
Isuranae carnet and policy number qrq,
-..^. ) F t `PolicY -Number Frnvarinn-nare
me of Agent
under provisions of Chapter (commencing w
o Date "
certify that, in the performai a of the wo for high this permit is issued, I shall not employ any person In any manner se as to becomg subject to the workers'
It, if I should becomes 'e Ito a 0r pen'sation provisions of Section 3700 of the Labor Code, shall forthwith comply with those provisi s
Inature of Applicant _ Date -
:CLARATION REGAR G C I ICtG_A ENCY M
ereby affirm under penalty of, erjury t ere is a construction lending agency or Ahe;prrformance of the work for which this permit is issued (Secf ,Cis
rider's Name Len`der's Aforg,ss
my signature below, I certify;lo �tnwi . - '-----_<�,ye t
I am the property owner or authorizedr3G aei,—d?Fthe-property owners be7ialf"
I have read this application and the information I have provided is correct. 4
agree to comply with all applicable city and c nt ordinan s an fate laws relating to building &cd, �tr�uction.
.v• r
I authorize representatives of this city or counjqu'J,�yant �( y�h 3Ab I ntified property for inspection p1Fme's.. :3°•q /1 n�
)nature of Property Owner or Authorized Agent I / \ '7/� A/ Print Property Owner's SAuthorized Ad . Name
Law).
State License Law does not
17044 of the Business and
--;*(-?(zz
and my license is in full force
($100,000), IN ADDITION TO THE
Section 3700 of the Labor Code, for
issued. My workers'
laws of California, and
ACTION
DATE
BY
DECLARATION OF COMPLIANCE MTHC .,<"
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART tit OF TITLE40 .�
AQMD RULE 1403.
❑ I SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
PER A+iIT EXPIRED
°l LY z
PERMIT CANCELLED
PERMIT EXTENDED
❑ ASBESTOS NOTIRCATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMIT FINAL
CERTIRCATEOF
SIGNATURE:
OCCUPANCYISSUED
IN
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