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Home My WebLink AboutE2020-0653 - PermitsCity of Newport Beach - Building Division 1111111111111111111111111 Jill 111il 11111111111111111111111 Electrical Permit: E2020-0653 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 2 0 0 6 5 3 Project No : 1791-2020 Permit Counter Phone (949)644-3288 Job Address: 1612 HIGHLAND DR Bldg: 1 Floor: Suite: Description of Work: ELEC/ TO BBQ Inspector Area: Legal Description: 3 N TR 3800 LOT 8 Owner: AMBER REBECCA/GREGG Contractor: SALT AND SEA POOLS Address: 1612 HIGHLAND DR Address: 22 KENDALL ST NEWPORT BEACH, CA 92660 0 LAGUNA NIGUEL CA 92677 Phone: Phone: 949-910-6125 0-600V over20OA: Con State Lic: 1044957 Issued Date:11/10/2020 Lic Expire: 09/30/2022 O/H to U/G Bus Lic: $0.00 ^_,� Processed By: Exp Date: $0.00 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 or1000A: 0 $0.00 O/H to U/G 0 $0.00 Receptacle/Switch/Outlets Receptacles/Outlets: 2 $3.50 Fixtures: 0 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Signs Policy No: Expire : 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 Inspection Requests Phone (949)644-3255 I(i Code Edit: 2019 0 $0.00 Sub Panel: Motors/Transformers (HP/KVA) ppryWy I'1 Worker's Compensation Insurance $0.00 Carrier: NO EMPLOYEES —11 Policy No: Expire : 10 to 50 HP/KW/KVA: FEES 0 $0.00 Sub Panel: 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 Back/Temp Power: 0 $0.00 Temp Power Pole: 0 $0.00 Plan Check Fee: i 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: $37.00 Supplemental Fee: $0.00 Fee Due at Permit Issuance : PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construpti9n IJgurs: IV;onday - FridaY 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. < m d m o c o 0 0 oc eo cc e e 0 0 0 0 c o c c c c eo c o o co cc c c c o rcio Eo o� o e coo oac 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 ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 11 1 am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall, sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, It$ense is in full force and effect. License Class License No Dat Contractor Signatur c .e WORKERS' COMPENSATION DECLARATION NARNING: 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 7706 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 th performance of the work for which this permit is issued. Policy No. 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' compensatioi .rance carrier and policy number are: rier Policy Number Expiration Date ie of Agent Phone # certify that, in the performance of the work for wh' Is 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 , if I should become s�ubbjje�ct to th orkers fB pens on via f Section 3700 of the Labor Code, I shall forthwith comply with those prov i lature of Applicant %L h Dat ons. ' oC) /74L; 2_c= areby affirm under penalty of perjurythat 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 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 o e ter helabove-i tifr� pro rly for inspection purposes. , / ,�- nature of ProDertv Owner or Authorized Aoent �� Print Property Owner's or Authorized Agent's Name V �L-Vrr— t ACTION DATE BY IJCLtABA)tun, ur Ivmru vuc VW r Lvu ur runurrl . wt UMT - FEDERALREGULATIONSP4141`&'AOF TIILCIll (P • • •;• PERMITEXPIRED AQMO RULE 1442 • • • • • . . ❑ 1 SUBMITTEDASBESTO$1V4FICAt1* _01 • • .. PERMIT CANCELLED ❑ EPA PERMITEXTENDED ❑ AQMD ASBESTOS MOIIFICA71ONIS NOT APPLICABLE TO PERMIT FINAL PROPOSED DEMOLITION. .': ••; .'. .'. •'. ;' CER77FICATEOF • • • • • ' OCCUPANCYISSUED SIGNATURE: :•: �� • .�• �.