HomeMy WebLinkAboutE2020-0304 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
' Permit Counter Phone (949)644-3288
Job Address: 1511 ORCHARD DR Bldg: 1 Floor:
Description of Work: ELEC TO BBQ (52020-0081)
Inspector Area: 8
Legal Descriptio
Owner: LSON QUEZADA
Address: 511 ORCHARD DR
EWPORT BEACH CA 92
Phone: 14-692-1132
Issued Date:06/ /2020
Processed By:
New Construction
Residential
Multi -Family: 0 $0.00
1-2 Family: 0 $0.00
II�IIIIIIIII
IIIIIIIIIIIIII�IIIIIIIIII II Electrical Permit: E2020-0304
Project No : 1104-2020
Service
0-600V up to 20OA:
Contractor:
MASTERPIECE POOLS & SPAS INC
0-600V over20OA:
Address:
22343 LA PALMA STE 104
660
0
YORBA LINDA CA 92887
O/H to U/G
Phone:
714-692-1132
Branch Circuit:
Con State Lic:
804110
Each Add Circuit:
Lic Expire:
02/28/2022
Time Clocks:
Bus Lic:
BT30072007
Additional Fee:
Lic Exp Date:
05/31/2021
Service
0-600V up to 20OA:
0
$0.00
0-600V over20OA:
0
$0.00
Over 600V or 1000A:
0
$0.00
O/H to U/G
0
$0.00
TOTAL Fee:
Receptacle/Switch/Outlets
Receptacles/Outlets: 4 $4.00
Fixtures:
0
$0.00
Sep Circuits:
1
$7.00
Low Voltage
0
$0.00
Signs
0
$0.00
Branch Circuit:
0
$0.00
Each Add Circuit:
0
$0.00
Time Clocks:
0
$0.00
Additional Fee:
0 0
$0.00
Inspection Requests Phone (949)644-3255
Code Edit: 2019
Worker's Compensation Insurance
Carrier: STATE FUND
Policy No: 9042868
Expire : 10/01/2020
FEES
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Motors/Transformers (HP/KVA)
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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 Back/Temp Power: 0 $0.00
Temp Power Pole: 0 $0.00
emce
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Temp Underground:
0amc
uM09. °
Sub Panel:
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0 O O
O O
GG O
0
$0.00
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Plan Check Fee:
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oe
Investigation Fee:
0 0
0
Issuance Fee:
v
$35.00
mm
0000
$0.00
0
oaGoo
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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o 0
Temp Underground:
° ° ° 0
uM09. °
Sub Panel:
0
$QJOgG°
<GGG°
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.
WNER-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)
lection 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
ie 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
rofessions 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
of more than five hundred dollars ($500).
1 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,
usiness 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
iprovements 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
Troved 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 Code: The Contractors' State License Law does not
pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Stale License Law).
] I am exempt from licensure under the Contractors' State License Law for the following reason:
y 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)
all 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
rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
ignature of Property Owner or Authorized Agent Date
ICENSED CONTRACTOR'S DECLARATION I.,
hereby affirm undj j nalty of perju that I am licensed un je. vi�ns of C,apte (commencin with Section 70 of D(viko3pthe Business and Pr essio Cde and my li nse is infull force
nd effect.ter se Glass • • •' License No Dat or Signstu
00AMS' COWNSATION DECLARATION
ARNING•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 ($100,000), IN ADDITION TO THE
aSTCF OMPENSn 'IN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hefeb ffirm urder PeR•alty of perjury one of the following declarations:
V1121we and wilt mainlain 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
"Wel
ce oftH��WQrk for which this permit is issued. Policy No.
nd 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' compensatioi
adreno carrier and policy number are: Ex (ration Date
• • • • ••
ern • • • • Policy Number P
jrcerafy that, ill;;:;Tform a of th w f 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 alifornia, and agre
iat, if I should become subje 0 the n ati rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
signature of Applicant Dates,
IECLARATION REGA DING CONSTRUCTION LENDING AGENCY
hereby affirm under pe ally of perjurythat there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Ender's Name Lender's Address
ly my signature below, I certify to each of the following:
I am the property owner or authorized to act on the grope owner's behalf.
I have read this application and the information I hav :Ovid is correct.
I agree to comply with all applicable city and count ordinanc state laws relating to building construction. r �•
I authorize representatives of this city or county to t the ve-i entifiedproperty for inspection purposes.
l;......r— ..r o.....va„ n,.,mar ... A, aL...ho.r AnaR1- Print PrOoertv Owner's or Authorized Agent's NambL /Okv t
ACTION I DATE BY II FEDERAL :REGULATIONS PART BT OF TITLE40AND
❑ f SUBMTFEDASBESTOS NOTIFICATION TO:
13 EPA
❑ AQMD
❑ ASBESTOS NOTIRCARONIS NOT APPLICABLE TO
PROPOSED DEtHOLITION-
CERAFfCATEOF it 11
SIGNATURE:
OCCUPANCYISSIIED