HomeMy WebLinkAboutE2021-0406 - Permits�.v>{, City of Newport Beach - Building Division *E2021-0406*
s1a A 100 Civic Center Drive, Newport Beach, CA 92660
,µ Permit Counter Phone (949)644-3288 1q ;**�, G[ gT
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Job Address: 2731 SEAVIEW AVE Bldg: 1 Floor: Suite:
Description of Work: ELEC TO FOUNTAIN & FIRE PIT
Inspector Area: 5
Legal Description: RESUB OF CORONA DEL MAR BLK 133 LOT 19
Owner: DIANE CUNIFF Contractor:
Address: 316 NARCISSUS AVE Address:
CORONA DEL MAR, CA 92625
Phone:
Phone:
Con State Lic:
Issued Date:07/09/2021
Lic Expire:
frxzLic
Bus Lic:
Processed By:
Exp Date:
PATTERSON CONSTRUCTION
15 CORPORATE PLAZA STEA50
NEWPORT BEACH CA 92660
949-723-1800
802367
07131 /2022
BT02110534
09130/2021
Electrical Permit: E2021-0406
Project No: 2407-2019
Inspection Requests Phone (949)644-3255
Code Edit: 2019
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Worker's Compensation Insurance
Carrier: STATE COMP
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Policy No:9065406
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Expire : 08/01/2021
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FEES
New Construction
Receptacle/Switch/Outlets
Motors/Transformers (HP/KVA)
Residential
Receptacles/Outlets:
2
$3.50
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:
0
$0.00
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
0-600V over 20OA:
0
$0.00
Each Add Circuit:
0
$0.00
Piggy BackFremp Power:
0
$0.00
Investigation Fee:
$0.00
Over 600V or 1000A:
0
$0.00
Time Clocks:
0
$0.00
Temp Power Pole:
0
$0.00
Issuance Fee:
$38.00
O/H to LUG
0
$0.00
Additional Fee :
$0.00
Supplemental Fee:
$0.00
TOTAL Fee:
$41.50
Plan Check Fee: $0.00
Fee Due at Permit Issuance:
$41.50
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.
WNER-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)
action 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
e 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
ofessions 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
It 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,
isiness 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
Iprovements 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
(proved 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
)ply to an owner, afproperty 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 fram.11censure under the Contractors' State License Law for the following reason:
4gry s:;;naturP.bel%vj l 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
:II a structure thafl 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
0escions Coae, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
gRpty& of Property Owner or Authorized Agent Date
,CEIJSED CQMVACTOR'S DECLARATION
l b ffbyaffirm urRlBFpenalty of perjury that I am licensed under provisions of Chapter 9 (commencin wi Section 7000) of Division 3 of the Business an Professions Code, and my/'r. eense Is In full force
IdeffNCl •• • e` 7
Sens€Glass •..:. • License No DaContractor Signature
bNAERS' COMPENSATION DECLARATION
1111IING•FAILURE 90 SECYRE 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
)ST OF EOMPEN9l,T6014, *MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
lercbytlffirm under penalty of perjury one of the following declarations:
• shave and Mi Maittain 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
irformance 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'
brance carrier and policy number are:
Policy Number
of Agent
Date
I certify 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 agre(
t, if I should becomessu' t to the wor ers' co sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisi n .
mature of Applicant/ Date
CLARATION REGARDIN.GCONSTRUCTION LENDING AGENCY
6reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Secti n 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 cou ty ordinances and state laws relating to building construction.
I authorize representatives of this city or county ontpr the aboY@-idEVtifj9q property for inspection purposes. \ /JZ
nature of Property Owner or Authorized Agent \> � Print Property Owners or Authorized Agent's Name
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF
FOR OFFICE
FEDERAL REGULATIONSPART 67 OF TITLE40 AND
AQMD RULE 1403.
PERMIT EXPIRED
❑ I SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
PERMIT CANCELLED
PERMITEXTENDED
❑ ASBESTOS NOTIRCATIONIS NOTAPPLICABLE TO
PROPOSED DEMOLITION.
PERMIT FINAL
CERTIFICATEOF
SIGNATURE:
OCCUPANCYISSUED