HomeMy WebLinkAboutE2019-0752 - Permitsv� City of Newport Beach - Building Division II�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II
100 Civic Center Drive, Newport Beach, CA 92660 2 0 1 9 0 7 5 2
Permit Counter Phone (949)644-3288
Electrical Permit: E2019-0752
Project No : 2088-2019
Inspection Requests Phone (949)644-3255
Job Address: 14 BIG DIPPER CT Bldg: 1 Floor: Suite:
Description of Work: ELEC (ADD'L SCOPE) RECESSED LIGHTING @ THE KITCHEN, (N) SUB -PANEL, REPLACE CIRCUITS
DELTA 2 REV19-1867
Inspector Area: 3 Code Edit: 2016
Legal Description: 8835 LOT 6 UNIT 11 P-11 G-11 CP -11 OF PROJECTLOCATED ON AP
Owner: WHEELER/HOLDEN Contractor: OWNER/BLDR
Address: 9104 HIGH PAKICj Address:
FAIR OAKS, CA 95628
Phone:
Issued Date:1
Processed
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 orIOOOA:
0
$0.00
O/H to U/G
0
$0.00
Phone:
Con State Lic: O/B
Lic Expire:
Bus.Lic:
Lic Exp Date:
Receptacle/Switch/Outlets
Receptacles/Outlets: 0 $0.00
Fixtures:
10
$10.00
Sep Circuits:
4
$28.00
Low Voltage
0
$0.00
Signs
Temp Underground:
1 to 10 HP/KW/KVA:
Branch Circuit:
0
$0.00
Each Add Circuit:
0
$0.00
Time Clocks:
0
$0.00
Additional Fee :
$0.00
'�S1 EC I U
Worker's Compensation Insurance
Carrier : o
Policy No:
m¢mYY
Expire
onc:c
FEES
Motors/Transformers (HP/KVA)
0 to 1 HP/KW/KVA:
0
$0.00
Temp Underground:
1 to 10 HP/KW/KVA:
0
$0.00
Sub Panel:
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
Record Mgmt Fee:
Plan Check Fee:
Piggy Back/remp Power:
0
$0.00
Investigation Fee:
Temp Power Pole:
0
KOO
Issuance Fee:
Supplemental Fee:
Plan Check Fee :
m
a•¢•
• •
OGaO
Oo G
6 •
OG S
a
o••Wem
0
0
Fee Due at Permit Issuance:
PERMITS EXPIRE 980 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.
m ¢
a•¢•oc
m c
BOmaL
V Bf90C
oL
'YY
409.
$27.00
$0.00
$0.00
$0.00
$0.00
$0.00
$35.00
$0.00
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason (a) 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
Irofessions 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, 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,
lusiness 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
nprovements 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
nproved 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
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' State License Law).
I am exempt from licensure under the Contractors' State License Law for the following reason:
ly 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)
ell a structure that I have built as an owner -builder if itAs 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 whe Is app icationj& muted Gr �"e fgllo Ing Web site:http://www.leginfo.ca.gov/calaw.html. Date ark "
signature of Property Owner or Authorized Agent` /�
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm u7Vdcfr ptGalty 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
013 0,264
icense6lass License No Date Contractor Signature
JOriK%RS' COMPENSATION DECLARATION
TRNI17(f. 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
DST OF6COMPENS&01811,%®MAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
4erb"Affirm und&*ptnalty of perjury one of the following declarations:
••
1•I•I1ave 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
erfarmence of the work for which this permit is issued. Policy No.
51 �gNand wi11•maintpin 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
faurance carderand•poficy number are:
�1rRfi••y Policy Number Expiration Date
Agent �•y Phone #
a�)cert y 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 ogre
sahould become subject to -t a workers' c" nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of Applicant-+'°t�-�� Date
IECLARATION REGA DING CONSTRUCTION LENDING AGENCY
hereby affirm under p natty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued ( action 3097, Civil Code).
ender's Name Lender's Address
',y 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.
I authorize representatives of this city or county to enter trhe�ove-Iden ' i d pro rty for inspection purposes.
ignature of Property Owner or Authorized Agent Yrs-s.� ==Owner's Owner's or Authorized Agent's Name �nS%���` � g`7a<:)
ACTION DATE
BY
DECLARATION OF COMPLIANCE KITH CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 61 OFTITLE40AND
AQMD RULE 1403.
PERMITEXPIRED
❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
PERMITCANCELLED
PERMITEXTENDED
❑ ASBESTOS M017FICA770MIS NOT APPLICABLE TO
PROPOSEDDEMOLITION"
PERMITFINAL
CERTIFICATEOF
SIGNATURE:
OCCUPANCYISSUED