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Home My WebLink AboutE2022-0330 - Permitswhr� City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIII'lll�l II Electrical Permit: E2022-0330 ` 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 2 2 0 3 3 0 p Project No : 0265-2022 '� � = � Permit Counter Phone (949)644-3288 0a'rLtrour"s ' Inspection Requests Phone (949)644-3255 Job Address: 316 ISLAND AVE Bldg: 1 Floor: Suite: NS FFF`2EC C Description of Work: ELEC TO BBQ AND FIRE PIT Inspector Area: Legal Description: EAST NEWPORT BLK A LOT 78 Owner: GLADDY KRISTY Contractor: Address: 410 1/2 CLUBHOUSE AVE Address: NEWPORT BEACH CA 92663 Phone: Phone: Con State Lic: Issued Date:05/31/2022 %i��1ic Expire: \�r� Bus Lic: Processed By: `G��I Lic Exp Date: DIAMOND WEST CONSTRUCTION 6676 VAN BUREN BLVD RIVERSIDE CA 92503 951-906-2774 927263 07/31/2022 BT30075938 07/31/2022 New Construction Receptacle/Switch/Outlets Residential Receptacles/Outlets: 1 $1.75 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 over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Over 600V or 1000A: 0 $0.00 Time Clocks: 0 $0.00 O/H to U/G 0 $0.00 Additional Fee : $0.00 TOTAL Fee: Code Edit: 2019 Goo• o�oc ° coGco Worker's Compensation Insurance Carrier: NO EMPLOYEES Policy No: Expire: 09G0°O ° CCGO oG ° oocoo° 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 BacktTemp Power: 0 $0.00 Temp Power Pole: 0 $0.00 Fee : 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 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 U 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). 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). I am exempt from licensure under the Contractors' State License Law for the following reason: By my signature bBlew 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 structurul MI 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 eraytG• sions ced•e,%available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of)?rop"y Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION llhel by affirrp under penalty of perjury that I am licensed under provisions of Chapter 9 (commencingwithSection 7000) of Division 3 of the Business ?1DRED ions de, and my license is in full force and affect. -••••• L1CV,pSe Class License No Date `J" (' Z� Contractor Signature WPlRKERS'•Q® NSATION DECLARATION V^4jfdtNG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO C MINAL PENALTIES AND CIVIL FINES UP TO ONE OUSAND DOLLARS($100,000), IN ADDITION TO THE COST OF COMPENSA'r10N, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. •a•• I•herebg' affirm�Ifide,Ppenalty of perjury one of the following declarations: •• ,••4yave and will m•jintain 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 thi peerforpftnce ottilework 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 ylswaDce carrier and policy number are: Policy Number Agent Date 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 ould bec"e subject to-f E wg0mrs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provi#ns. L L of dz%— DECLARATION REGlAR^IG CONSTRUCTION LENDING AGENCY / ' I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Se tion 3097, Civil Code). Lender's Name Lender's Address By 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 county rdinances and state laws relating to building construction. I authorize representatives of this city or county t ter th a v 'dentified property for inspection purposes. ,,F - Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name �Date S Z ACTION LATE BY DECLARATION OF COMPLIANCE INITU CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403. PERMIT EXPIRED ❑ I SUBMITFEDASBESTOS NOT#FICATION' TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMIT EXTENDED ❑ ASBESTOS M071FICA71ON IS NOT APPLICABLE TO PROPOSEDDEMOLITION. PERMIT FINAL CERTIFICATEOf SIGNATURE: OCCUPANCYISSUED