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Home My WebLink AboutE2019-0154 - PermitsCity of Newport Beach - Building Division IIIIII�IIIIIIIIIIIII�IIIIIIIIIIIIIIII orr, d 100 Civic Center Drive, Newport Beach, CA 92660 E. 0 1 9 0 1 5 4 Permit Counter Phone (949)644-3288 w s II Electrical Permit: E2019-0154 Project No: 0575-2019 ) Inspection Requests Phone (949)644-325&-;, °°p Job Address: 34 MISSION BAY DR Bldg: 1 Floor: Suite: $0.00 0-600V over20OA: 0 +' Description of Work: ELEC/BBQ AREA' $0.00 O/H to U/G 0 $0.00 $0.00 10 to 50 HP/KW/KVA: Branch Circuit: 0 $0.00 Each Add Circuit: 0 $0.00 Time Clocks: 0 $0.00 Additional Fee : Inspector Area: 4 $0.00 Code Edit: 2016 Legal Description: N TR 7432 LOT 7 Fee Due at Permit Issuance : $39.00 ' Owner: MUNRO Contractor: GEOSCAPE LANDSCAPE CONSTR INC Worker's Compensation Insurance Address: 8HILLSBROUGH Address: 20372 HERMANA CIR Carrier: STATE FUND NEWPORT BEACH CA 92660 LAKE FOREST CA 92630 Policy No: 9027912 Phone: Phone: 949-903-2766 Expire :06/01/2019 Con State Lie: 632334 Issued Date:03/14/2019 Lie Expire: 05/31/2019 Bus Lie: BT30023383 Processed By:- Lie Exp Date: 05/31/2019 New Construction Residential Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Service 0 0-600V up to 20OA: 0 $0.00 0-600V over20OA: 0 $0.00 Over 600V or10o0A: 0 $0.00 O/H to U/G 0 $0.00 TOTAL Fee: $39.00 Receptacle/Switch/Outlets Receptacles/Outlets: 4 $4.00 Fixtures: 0 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Signs $0.00 10 to 50 HP/KW/KVA: Branch Circuit: 0 $0.00 Each Add Circuit: 0 $0.00 Time Clocks: 0 $0.00 Additional Fee : $0.00 FEES 0 $0.00 Motors/Transformers (HP/KVA) 0 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 Backlremp Power: 0 $0.00 Temp Power Pole: 0 $0.00 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 : $39.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Friday 7:00 a.m. to S:10p.m. 566 Statnirday from 8:00 a.m. to 6:00 p.m. 0 0 c ° • em o °cc o o • oo• oo ( `j mm c c + •o ° o ' ° m m a • 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 L) 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 im roved for the purpose of sale). 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Coder The Contractors' State License Law doe= --t 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). 'I ❑ 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 Iegall 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.html. 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 Professions Code, and my license is in full force and effect. y� License Class License No Date 2� / Contractor Signatur>mY 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 ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby 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 IN 1pe ormance of the work for which this permit is issued. Policy No. 1 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' compensatio nsurance carrierA6j licy number are: Carrier ICjMJun er _ Expiration Date Name of Agent � e Phone # 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 to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant -- Da ts� q�98"�'i DECLARATION REG G CONSTRUCTION LENDING AGENCY I hereby affirm under fenalty 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). Lender's Name Lender's Address By my signature below, I certify to each of the following: 1 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 ordinances and state laws relating to building construction. I authorize representatives of this city or county t ante bove-identified property for inspection purposes. Signature of Property Owner or Authorized Agent -- Print Property Owner's or Authorized Agent's Name�ZI/ I J ^� D AC77ON BATE BY DECLARATION OF COMPLIANCEWITH CODEOF FOR 0FRCF USE ONLY • F.EGERAL REPULII1{ON5 PART 61OF TIME 40 PERVITEXPIR€D • Af3MD RULE 1Ml3. Y n�7 4SIiBA#TdtD•^WTD.4NgTtRICATIONTO: PERMITCANCELLED • n EFA* PERMITEXTENQEO ❑ AOMD ••• ❑ ASBESTOS NOTfrR•CAT{ONIS NOT APPLICABLE TO PERMITFINAL ARGRaSEUDEMPLITAIN. CER77FICATEOF • • i . • • . • • ••. OCCUPANCYISSUEO SSI NA7�lR " i •••