HomeMy WebLinkAboutE2020-0351 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
IIIEI�ILI0�IL0�0I�3 I�IJ11 II
Job Address: 29 SOUTHAMPTON CT Bldg: 1 Floor: Suite:
Description of Work: ELEC/DISCONNECT TO A/C
Inspector Area: 8
Legal Description: TR 10987 LOT 2 UNIT 137 OF PROJECT LOCATED ON AP 442-351-08
TOGETHER
Owner:
NN
SENESIBus
Contractor:
WE CARE
Address:
29 SOUTHPTON CT
Address:
41085 GOLDEN GATE CIR
$0.00
NEWPORTEACH, CA 92660
0
MURRIETA CA 92562
Phone:
951-315-38
Phone:
951-600-0700
0
$0.00
Con State Lic:
779604
Issued te:07/10/2020
Lic Expire:
06/30/2022
$0.00
Lic:
BT30038344
Processed
Lic Exp Date:
02/28/2021
New Construction
Residential
Multi -Family:
0
$0.00
1-2 Family:
0
$0.00
Service
0
$0.00
0-600V up to 20OA:
0
$0.00
0-600V over20OA:
0
$0.00
Over 600V or100oA:
0
$0.00
O/H to U/G
0
$0.00
Receptacle/Switch/Outlets
Receptacles/Outlets: 0 $0.00
Fixtures:
0
$0.00
Sep Circuits:
1
$7.00
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
Electrical Permit: E2020-0351
Project No:
Inspection Requests Phone (949)644-3255 ;
Code Edit: 2019
Worker's Compensation Insurance
Carrier: SERVICE GROUP
Policy No: WCO27117658
Expire : 07/01/2021
FEES
Motors/Transformers (HP/KVA)
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:
Sub Panel:
Record Mgmt Fee:
Plan Check Fee:
Investigation Fee:
Issuance Fee:
Supplemental Fee:
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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.
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$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$35.00
$0.00
VNER-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)
action 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
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 ofthe Business and
,fessions 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
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,
>iness 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
movements 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
moved 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
Ily 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:
my signature,biplpy4l 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)
a structure tmgt I We 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
ifessions Code, is available upon request when this application is submitted or at the following Web site:hltp://www.leginfo.ca.gov/calaw.htmi.
�nald're` of Pr4ert)1 Mner or Authorized Agent Date
'ENSED Cdr4TRACTOR'S DECLARATION
Oepg tffirm unddr penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 000) f Division 3 of the Business and Profcense is in full force
I eff ct.
ease Class •' `• : License No Date o Contractor Signature
)KERS' CPMRENSATION DECLARATION
INING:FAILURE PD-K-eURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000), IN ADDITION TO THE
08eCOMPENSATIpN, DAMAGES AS PROVIDED FOR IN SECTION 7706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
II$b9 affirm un(jer penalty of perjury one of the following declarations:
have and wi9l.maiwtaiIn 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
`m` • ce of tho:;:k for which this permit is issued. Policy No.
Ayve and will•nlailitain 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' compensatiol
j nce carrier and policy number are:
Policy Number
Date
ne of Agent rnone s
certify that, in the performance of the work r ich this permit is issued, �f� to an rtin any manner so as to become subject to the workers' compensation laws of California, and ogre
I, if I should become subject to thew pensation the Labor Code, I shall forthwith comply with those provisions. -7
nature of Applicant :2
Date �o t 0
CLARATION REGA DING LENDING AGENCY
Ireby 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 provide
I agree to comply with all applicable city and cou a e aws relating to building construction. ppp
I authorize representatives of this city or county t enter the abo -identified property for inspection purposes. `^ f / _ 4` 10 lee
nature of PrODertv Owner or Authorized AGent �[ J Print Property Owners or Authorized Agent's Name Q
ACTION DATE BY
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FEDERAL REGULATIONS PART M OFTfTLE40AND
AQMD RULE 1403.
P€RMITEXPIRED
❑ I SUBM/TTEDASBESTOS NORFICATtON TO:
❑ EPA
❑ AQMD
PERMITCANCELLED
PERMIT EXTENDED
❑ ASBESTOS M017HCATIONIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
SIGNATURE
PERMIT FINAL _ o - %O
CERTIFICATEOF
OCCUPANCYISSUED