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Home My WebLink AboutE2021-0577 - Permitswr{,� City of Newport Beach - Building Division c+ G 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 s"3 4r Job Address: 518 SAN BERNARDINO AVE Bldg: 1 Floor: Suite: Description of Work: ELEC TO FIREPLACE & BBQ (S2021-0208) Inspector Area: Legal Description: FIRST ADD TO NEWPORT HEIGHTS BLK 33 LOT 5 Owner: THORP STEPHEN Contractor: Address: 518 SAN BERNARDINO AV Address: NEWPORT BEACH CA 92663 Phone: Phone: Con State Lic: Issued Date:09/13/2021 Lic Expire: Bus Lic: Processed By: Lic Exp Date: RYAN BURRESS INC 246 CATALINA DR NEWPORT BEACH CA 92660 714.975-1434 946479 12/31/2022 BT30053605 01/31/2022 New Construction Receptacle/Switch/Outlets Residential Receptacles/Outlets: 6 $10.50 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1-2 Family: 0 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Service Signs 0-600V up to 20OA: 0 $0.00 Branch Circuit: 0 $0.00 0-600V over20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Over 600V or 10o0A: 0 $0.00 Time Clocks: 0 $0.00 O/H to U/G 0 $0.00 Additional Fee : $0.00 Electrical Permit: E2021-0577 Project No : 2101-2021 Inspection Requests Phone (949)644-3255 Code Edit: 2019 Worker's Compensation Insurance Carrier: STATE COMP. INS Policy No: 9207309 Expire : 03/24/2022 FEES 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 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: $38.00 Supplemental Fee: $0.00 Fee Due at 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. DWNER-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 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-Builderwill 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' Mate 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). ❑ I 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 legally 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://w .leginfo.ca.gov/calaw.html. 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 Profs i CtYe; and my license is in full force and effect. License Class License No Date Contractor Signature NORKERS' COMPENSATION DECLARATION L 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 I$100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: ❑ 1 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 the manccA4 the work for which this permit is issued. Policy No. rave an6 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 trance carrier and policy number are: Tier Policy Number Expiration Date me of Agent Phone # certify that, in the performanc of�tr for whic 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, I. if I should become subje o ers' c ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Date /1 CLARATION REGA DIN NSTRUtT411N LENDING AGENCY ;reby affirm under 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). 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 count or nances and state laws relating to building construction. I authorize representatives of this city or county o r� ove-Identified party for inspection purposes. ,��/7' nature of Prooertv Owner or Authorized Agent f Print Property Owner's or Authorized Agent's Name I`T" I°h (�('iP.Ji Date/ /'—/3-- ACTION DATE I BY uct AW Ijury yr L.unirurarvi.c rrI r n wuc yr run urnut vat urvir FEDERAL REGULATIONS PART 61 OF TI TLE40 AND AQMD RULE 1403. _ PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATIONTO: ❑ EPA ❑ AQMD PERMIT CANCELLED PERMIT EXTENDED ❑ ASBESTOS N077FICAT70NIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL CERTIFtCATEOF / SIGNATURE: . OCCUPANCYISSUED