HomeMy WebLinkAboutX2021-0230 - PermitsCity of',Newport Beach - Building Division
aa' 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Ei< at 2 /l
Job Address: 1214 OUTRIGGER DR Bldg: 1 Floor: Suite:
Description of Work: ELEC DISCONNECT FOR A/C INSTALLATION (H2O21-0226)
Inspector Area: 6
Legal Description: N TR 6634 LOT 22
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II Electrical Permit: E2021-0230
E 2 e 2 1 0 2 3 0 Project No: 1865-2020
Owner:
MANFRED BRIAN/LAUREN
Contractor:
DRAKE CONSTRUCTION INC
Address:
1214 OUTRIGGER DR
Address:
7422 MOUNTJOY DR
e e
CORONA DEL MAR, CA 92625
HUNTINGTON BCH CA 92648
Phone:
Phone:
714-369-5550
Receptacles/Outlets:
Con State Lic:
881821 -
Issued Date:03/29/2021
Lic Expire:
07/31/2022
Temp Underground:
r
Bus Lic:
BT30061436
Processed
E yfif�
Lic Exp Date:
06/30/2021
New Construction
Residential
Multi -Family:
1-2 Family:
Service
0-600V up to 20OA: 0
0-600V over 20OA: 0
Over 600V or1000A: 0
O/H to U/G 0
TOTAL Fee:
Inspection Requests Phone (949)644-3255
Code Edit: 2019 I PELT]
Worker's Compensation Insurance
Carrier: STATE COMP FUND
Policy No: 9022425
Expire : 08/30/2020" WIDE X 36" DEPTH
REQUIRED FOR
A/C DISCONNECTS
Plan Check Fee :
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.
FEES
e e
°eeeoo
Receptacle/Switch/Outlets
Motors/Transformers (HP/KVA)
Receptacles/Outlets:
0
$0.00
0 to 1 HP/KW/KVA:
0
$0.00
Temp Underground:
0
$O.W
$0.00
Fixtures:
0
$0.00
1 to 10 HP/KW/KVA:
0
$0.00
Sub Panel:
° 1
$26.110
$0.00
Sep Circuits:
0
$0.00
10 to 50 HP/KW/KVA:
0
$0.00
...-o
$0.011°,,
Low Voltage
0
$0.00
50 to 100 HP/KW/KVA:
0
$0.00
° 0
$0 1b0 "
Signs
Over 100 HP/KW/KVA:
0
$0.00
Record Mgmt Fee:
`°p°e°
$0AV
$0.00
Branch Circuit:
0
$0.00
Plan Check Fee:
$0.1)w
$0.00
Each Add Circuit:
0
$0.00
Piggy Backrremp Power:
0
$0.00
Investigation Fee:
$0.00
Time Clocks:
0
$0.00
Temp Power Pole:
0
$0.00
Issuance Fee:
o °. °`
$37.00
$0.00
Additional Fee :
$0.00
Supplemental Fee:
°
$0.06`
°
e°oc-
Plan Check Fee :
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.
OWNER -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)
(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 (_) 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).
❑ 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
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).
❑ 1 am exempt from licensure under the Contractors' Slate 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 legallt
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, and my license is in full force
and effect. 4
License Class - - - License No DNZ /7—t— Contract r ' mature
WORKERS' COMPENSATION DECLARATION
WARNING: 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 37DB OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the fallowing declarations:
111 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,
jija&rmance of the, work for which this permit is issued. Policy No.
e•and will M21rTtain 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
inp A ecarrieroand pe icy number are:
Cagier •• •• Policy Number Expiration Date
3hcerofy that, in fhe,pe4formance 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 agre,
kat �M.s ould be8ome Subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �1
i�F2ftl'of
Ap ' /%ice
ECtARATIO GARDIN- - G CONSTRUCTION LENDING AGENCY
hanpl�p affirm and r 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).
�nder's,Alame •: Lender's Address
YI17M519nature bEibw, ?certify to each of the following:
' • Lyrpihe propP•rjvAner 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.
1 authorize representatives of this city or county me the above -identified proplay for inspection purposes. /'
innnture of Prooertv Owner or Authorized ADe �./ Print Properly Owner's or Authorized Agent's N�Ri'le Date Z�
ACTION
PERMITEKPIRED
PERMITFINAL
C€R77FICATEOF
OCCUPANCYISSU€D
DATE ° BY
❑ I SUBMITTEDASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMO
❑ ASBESTOS NOVOCARONIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
SIGNATURE: