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Home My WebLink AboutE2019-0623 - Permits0ProjCity of Newport Beach - Building Division��IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII it Electrical Permit: E2019-0623 a 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 1 9 0 6 2 3 �' Permit Counter Phone (949)644-3288 ect NO :2036-2079 t"earsrs'Ae - Inspection Requests Phone (949)644-3255 Job Address: 1606 WESTCLIFF DR Bldg: 1 Floor: Suite: Description of Work: MFR INSTALL DEDICATED 20 AMP, 220 VOLT CIRCUIT FOR COMMUNITY BBQ (UNDER 42"H) INSTALL DEDICATED 15 AMP, 110 V CIRCUIT FOR FUTURE ACCESSORY USE Inspector Area: it 3 Legal Description: TR 1893 LOT 7 AND LOTS 8 & 9 Owner: 1606 WESTCLIFF WATERFROD LLC Contractor: Address: 130 NEWPORT CENTER DR #230 Address: NEWPORT BEACH, CA 92660 Phone: Phone: o 00 Con State Lie: Issued Date:09/12/2019 Lie Expire: ODOf Bus Lie: Processed B Lie Exp Date: EUREKA LANDSCAPE SERVICES 1436 N MANZANITA ST ORANGE CA 92867 714-990-4769 387617 12/31/2019 BT30068821 09/30/2020 Code Edit: 2016 INSPECTOR Worker's Compensation Insurance Carrier: PRESERVER INS Policy No: ON0887301 Expire : 04/01/2020 DDDC p o 00 row.o ODOf . . Motors/Transformers (HP/KVA) po . . Residential p 4 O C $3.00 OD O 0066 n n OLOOi 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. New Construction Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) Residential Receptacles/Outlets: 3 $3.00 0 to 1 H P/KW/KVA: 0 $0.00 Temp Underground: ""`0 $6.00 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: a ..0 $O`Qi)f9 1-2 Family: 0 $0.00 Sep Circuits: 2 $14.00 10 to 50 HP/KW/KVA: 0 $0.00 G 1.0 $0.`0V ` 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:. $14.79 0-600V over 200A: 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: $35.00 O/H to U/G 0 $0.00 Additional Fee: $0.00 Supplemental Fee: $0.00 TOTAL Fee: $66.79 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $66.79 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. 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 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 (_) all of or (_) 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 1t 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 legal) 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.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 ofth Business and fessions Code, and my license is in full force and effect. License Class .... License No D e 1 t2 f % Contra o Signature VJORKI�RS' COMPENSATION DECLARATION V�A&I IIN6!FAILURE "SEGYRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOY TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF LIOMPEN!?gIpr,I�dAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 'ilhoefebyaffirm undgr penalty of perjury one of the following declarations: ❑ I hive and will maintain a certificate of consent to self-insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th( ^rmance of (hM tort for which this permit is issued. Policy No. and VIFA?nlain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. carrier scol policy number are: C I_C la. 5wJTSrr}Policy Number ('IN OP Ki Expiration Date My workers' that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subjct to the workers' compensation laws of California, and ould bAftn$.subj@ct to the workers' Compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pr visions._ / ;reby affirm -- under penalty of perjury that thereis a construction lending agency for the performance of the work for which this permit is 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 ordinances and state laws relating to building construction. authorize representatives of this �sij r cou to enter the ab a-jQBrR ' d property for inspection purposes. Anon/ Print Pronertv Owner's or Authorized ADeni ACTION CER77F1CATEOF OCCUPANCYISSUED DATE I BY AQMO RULE 1403. ❑ t SUBMITTED ASBESTOS N077FICATION TO: ❑ EPA AQMD ASBESTOS NORHCARON/S NOT APPLICABLE TO PROPOSEDDEMOLITIORL SIGNATURE: L/ I 3097, Civil Code). 0