HomeMy WebLinkAboutE2020-0531 - PermitsCity of Newport Beach - Building Division 11p1111ul1111111111111111111111111111111111111 ill
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Job Address: 1612 HIGHLAND DR Bldg: 1 Floor:
Description of Work: ELEC TO BBQ (S2020-01558)
Inspector Area: 3
Legal Description: N TR 3800 LOT 8
Owner: AMBER REBECCA
Address: 1612 HIGHLAND DR
NEWPORT BEACH, CA 92
Phone:
Issued Date:10/09/2020
Processed
New Construction
Residential
Multi -Family: 0 $0.00
1-2 Family: 0 $0.00
Service
0-600V up to 20OA: 0 $0.00
0-600V over20OA: 0 $0.00
Over 600V or1000A: 0 $0.00
O/H to D/G 0 $0.00
TOTAL Fee: $40.50
Suite:
Ic2^
Electrical Permit: E2020-0531
Project No: 1791-2020
Inspection Requests Phone (949)644-3255
If applicable:
Policy No:
t0 V9iRm:
FEES
Receptacle/Switch/Outlets Motors/Transf (HET p
Re les f tI 3. �1 HP/KW/ A: to�
Ir Te (� r ndFix ures: 0. 11td10 HP/KWOSu Panel:
Se its:0 $0 10 to 50 HP/KW/KVA: CIO \&W stated)` o
Low Voltage (N10tf Stud) 50 to 100 HP/KW/KVA: $0.00
Signs Over 100 HP/KW/KVA: 0 $0.00 Record M mite:
Branch Circuit: 0 $0.00
Clocks: 0 $0.00
Plan Check
Temp Power Pole: 0
in
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.
in
■
•
$Platy o
$51.00
$�60°
$0.00
$37.00
$0.00
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) 1 have placed next to the applicableAem(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 fpr
is 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).
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
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 pro that it was not built or
n roved 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 whobuilds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
3 1 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
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Bu ' ass and Professions Code, and my license is in full force
nd effect.
!cense Class License No DNA&S Z0ZV _ Contra Igna _
IORKERS' COMPENSATION DECLARATION P
ARNING: FAILURsy O cVcry�rDY.URE 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
OST OF COMPELS t)N DAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
lepenalty affirm upd9gpenalty of perjury one of the following declarations:1. -
I 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
Worh18nce of the work for which this permit is issued. Policy No.
and vjifl 5'4iptain 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'
carrier`ift1policy number are:
—.0- _ Policy Number - Expiration Date
1§9_fAgent `•••—Phone#
hilly 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 L)e workers' compensation laws of California, and agre
1 1 Should 69couQubject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pr s. /
Iignat111P� oIG34t.� -�-
(6QWhRA I F,fill ONSTRUCTION LENDING AGENCY
hereby affir 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). -
ender's Name Lender's Address
iy my signature below, I certify to each of the following:
I am the property owner or authorized toacton 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 an county ordinances and state laws relating to building construction.
I authorize representatives of this cit ounty tome to -r the above-ide jfied property for inspection purposes. _
linnatnre of Pmnarty Owner or Authoriz ADent+ mal Print Property Owner's or Authorized Agent's Na l /te
AC17ON DATE
BY
uct.c riven ur uuwr"Aiv�c rn r n a. civ
FEDERAL REGULATIONS PART fit OF TITLE40AND
AQMDRULE 1403.
EXPIRED
❑ t SUBMITTEDASSESTOS NOTIFICATION T0:
CANCELLED
❑ EPA
EXTENDED
❑ AQMD
❑ ASBESTOS NOflRCATIONIS NOT APPLICABLE TO
FINAL
PROPOSED DEMOLITION.
OCCUPANCYISSUED I 1 11 SIGNATURE: