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Home My WebLink AboutE2021-0221 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIII 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 2 1 0 2 2 1 r. Permit Counter Phone (949)644-3288 5 L20Z1 - U 't�aayw�u+'�• , -2- c, I I y Lvi II Electrical Permit: E2021-0221 Project No : 1401-2020 Inspection Requests Phone (949)644-3255 Job Address: 2524 HOLLY LN Bldg: 1 Floor: Suite: FEES Description of Work: ELEC LINE FOR FUTURE POOL EQUIPMENT I S F E CTU New Construction Receptacle/Switch/Outlets Inspector Area: 3 Code Edit: 2019 .... Residential Legal Description: N TR 1702 LOT 30 Receptacles/Outlets: e s e••e ° 0 to 1 HP/KW/KVA: 0 $0.00 • • • e e eeseoc o u Owner: HAMILTON VANESSA & JEFF Contractor: SCHWARZ POOLS Worker's Compensation Insurance Fixtures: Address: 2524 HOLLY LN Address: PO BOX 28437 Carrier: NO EMPLOYEES •• •°° • • e NEWPORT BEACH, CA 92663 0 SANTA ANA CA 92799 ee e Policy No: e e e e Phone: Phone: 714-241-7665 a ®m Expire • a n 0 Con State Lic: 967325 0 Issued Date:03/24/2021 Lic Expire: 09/30/2022 ®••o 0 ° ° • ° o '.�t�JV Bus Lic: BT30038738 $0.00 ° • • • ° ° Processed By:� � �Lie Exp Date: 03/31/2021 e • e .. ° Signs ° e 0 $0.00 Record Mgmt 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 New Construction Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) Residential Receptacles/Outlets: 0 $0.00 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: 0 $0.00 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: 0 $0.00 1-2 Family: 0 $0.00 Sep Circuits: 1 $7.00 10 to 50 HP/KW/KVA: 0 $0.00 0 $0.00 Low Voltage 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 0 $0.00 Service Signs Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: $0.00 0-600V up to 20OA: 0 $0.00 Branch Circuit: 0 $0.00 Plan Check Fee: $0.00 200A: 0 $0.00 Each Add Circuit: 0 $0.00 Piggy Backfremp Power: 0 $0.00 Investigation Fee: $0.00 r1000A: 0 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $37.00 L/H/vG 0 $0.00 Additional Fee: $0.00 Supplemental Fee: $0.00 TOTAL Fee: $44.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $44.00 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. 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 apRli�ant 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 anis 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 U 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). ❑ 1 am exempt il'o" Tipensure under the Contractors' State License Law for the following reason: By my signature betDwl 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 legally Sol asiructure Nat 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 Pfofessidns Cori, la ayrailable upon request when this application is submitted or at the following Web site:hltp://www.leginfo.ca.gov/calaw.html. Signs turg of Propegy Owner or Authorized Agent ate UCENGED COUTR&CTOR'S DECLARATION I hereby affirm and erpevi ally of perjury that I am licensed under provisions of Chapter 9 (commencing with ecti n 70 ) of Division 3 of the Business andtP , and my license is in full force rt Gabd%yacl.Licgp%PyClass ••" License No Date Z 2Contractor SignaturN(pEtaRS'COMPEASATION DECLARATION WPBWKG;FAILURETO%ECUREWORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE UOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST.CF OOMPENSAINON, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. rII +Arereby affirm under penalty of perjury one of the following declarations: 1J' ��j�nye and 41: gWrbain 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 IN performance of the work -for which this permit is issued. Policy No. ❑I 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' compensatior insurance carrier and policy number are: of Agent in the of Policy Number Date for which this permit is issued, I shall not employ any person in any manner so as to become subject to compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisi� Date ECLARATION REGA G C NSTRU ION LENDING AGENCY hereby affirm under p nalty o ury t there is a construction lending agency for the performance of the work for which this permit is issued (, 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 propert ow is behalf. I have read this application and the information I have vi d correct. I agree to comply with all applicable city and count rdi a nd state laws relating to building construction. I authorize representatives of this city or count to nt 4dentified property for inspection purposes. i,..,et— �f D...—.e , n,. —r ,., A..fh ,domed Ancnt . �—Print PmDertv Owner's or Authorized ADent's Name AC77ON I DATE CANCELLED CER77FICATEOF OCCUPANCYISSUED PART 09 OF TITLE40AND AQMD RULE 9403. ❑ ISUBMITTEDA5BEST05 NO17F/CATION TO: - ❑ EPA El AQMO ASBESTOS NODFICATIONIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE.' workers' f ompe all 3097, Civil Code). laws of California, and f P✓y!/Jo ✓ Date