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Home My WebLink AboutE2018-0758 - PermitsCity of Newport Beach - Building Division .� 100 Civic Center Drive, Newport Beach, CA 92660 t, Permit Counter Phone (949)644-3288 r'xllyxYYd^� Job Address: 2120 ARALIA ST Bldg: 1 Floor: Suite: Description of Work: ELECTRICAL TO BBQ Inspector Area: 8 Legal Description: N TR 4705 LOT 28 Owner: BRETTINGEN NICOLE Contractor: Address: 2120 ARALIA ST Address: NEWPORT BEACH, CA 92660 Phone: Phone: Con State Lic: Issued Date:04/02/2019 Lic Expire: Bus Lic: Processed By: Lic Exp Date: New Construction Residential Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Service 0-600V up to 20OA: 0 $0.00 0-600V over20OA: 0 $0.00 Over600V or1000A: 0 $0.00 O/H to U/G 0 $0.00 TOTAL Fee: E 2 0 1 8 0 7 5 8�� II SNYDER & ASSOCIATES LANDSCAPING INC P O BOX 5606 ORANGE CA 92863 714-997-2709 895389 04/3012019 BT30060490 09/3012019 Receptacle/Switch/Outlets Receptacles/Outlets: 3 $3.00 Fixtures: 0 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Signs Branch Circuit: 0 $0.00 Each Add Circuit: 0 $0.00 Time Clocks: 0 $0.00 Additional Fee : $0.00 Electrical Permit: E2018-0758 Project No: 2755-2018 Inspection Requests Phone (949)644-3255 Code Edit: 2016 Worker's Compensation Insurance Carrier: EMPLOYEE SERVICE GROUP Policy No: RWCC64383978 Expire : 06101/2019 FEES Motors/Transformers (HPIKVA) 0 to 1 HP/KW/KVA: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 Over 100 HP/KW/KVA: 0 $0.00 Piggy Backrremp Power: 0 $0.00 Temp Power Pole: 0 $0.00 Plan Check 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: $35.00 Supplemental Fee: $0.00 Fee Due at Permit Issuance : 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. 3WNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 am exempt from the Contractors' State License Law fur the reasor,(s) m6icateC 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 cm,stpct, aaer, improve, dem"Ash, or repair any structure, pdor to its issuance, also requires the applicant for :he permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (L;napter 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 dm L) all or or L' purti„ns of the work, al.d 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 wtv, OX01-gh 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 sjid v. it'n:n one ys-ir 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 legall 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:hftp://www.leginfo.ca.gov/calaw.htmi. 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 Section 7000) of Division 3 of the Business and Profs44("si0 o e, and my license is in full force and effect. License Class License No Date Contractor Sigma NORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRE THOUSAND DOLLARS I$�00,000I, IN ADDITION TO THE COST 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: ❑ 1 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 gftminance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number is 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 that, if I should become subject a wor rs' ompe sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions Signature of Applic��hmtt� D DECLARATION REGA DING CON TR CT ON LENDING AGENCY c �`� I hereby affirm under penalty of perj ry at ere is a construction lending agency for the performance of the work forwhich this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By 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 orrect. I agree to comply with all applicable city and county ordin n an state laws relating to building construction. I authorize representatives of this city or coun to e o identified property for inspection purposes. 11� Signature of Property Owner or Authorized Agen Print Property Owner's or Authorized Agent's Nam - 4<e-e h �2� Date 2 . ACTION DATE DECLARATION OF COMPLIANCE MOTH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE 40AND AQMD ROLE 1403. PERMIT EXPIRED /-\ ❑ I SUBMITTED ASBESTOS M077FICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMITEXTENDED ❑ ASBESTOS NOTIFICATIONIS NOTAPPLICADLE TO PROPOSED DEMOLITION. SIGNATURE: PERMITFINAL / CERTIFICATEO€ OCCUPANCYlSSUED