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Home My WebLink AboutE2019-0451 - PermitsCity of Newport Beach - Building Division 1111111111111111111111111111111111111111111111111111 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 1 9 0 4 5 1 Permit Counter Phone (949)644-3288 Job Address: 1220 BAY AVE W Bldg: 1 Floor: Suite: Description of Work: ELEC/FOR FUTURE SWIMMING POOL (INSIDE STRUCTURAL SLAB) Inspector Area: Legal Description: TR 626 LOT 8 BLK 3(AND SELY 30 FT LOT 7 BLK 3 Owner: SABO ELIAS JR Contractor: FLUID DYNAMICS POOL & SPA Address: 1220 W BAY AVE Address: 620 E WALNUT AVE, #B NEWPORT BEACH, CA 92663 FULLERTON CA 92831 Phone: Phone: 714-213-8047 Con State Lie: 809954 Issued Date:07/01/2019 Bic Expire: 12/31/2020 Bus Lie: BT3005580055899 Processed By: Lic Exp Date: 07/31/2019 New Construction Receptacle/Switch/Outlets Residential Receptacles/Outlets: 13 $13.00 Multi -Family: 0 $0.00 Fixtures: 13 $13.00 1-2 Family: 0 $0.00 Sep Circuits: 2 $14.00 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 1 o00A: 0 $0.00 Time Clocks: 0 $0.00 O/H to U/G 0 $0.00 Additional Fee: $0.00 TOTAL Electrical Permit: E2019-0451 Project No : 1499-2019 Inspection Requests Phone (949)644-3255 Code Edit: 2016 Worker's Compensation Insurance Carrier: EMPLOYEE SERVICE Policy No: CST5013478 Expire: 08/12/2019 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 Plan Check 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: $34.80 Investigation Fee: $0.00 Issuance Fee: $35.00 Supplemental Fee: $0.00 e at Permit Issuance: $109.80 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Fj1day 7:00 a.m. to 6 30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. a a ae • > • s • c a • e •a a ec ae a o Y aR3 O9 0 6, rao • e �. o oa gae u • aae se• 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). ❑ 1, 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). ❑ 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 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 legal 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.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 an rofes 4nsde, Klicense:ls :in full force and effect. License Class License No Date VIL-1 / Contractor Signature WORKERS' COMPENSATION DECLARATION (ARMING: 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 :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: I 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, e ormance of the work for which this permit is issued. Policy No. I have and wi aintain 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 Isurance carrier n olicy number. e: ;arrier - umber Expiration Date lame of Agent Phone # ]I certify that, in the perfo ance o the rk for ch 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, iat, if I should become s . ct to a wo ers' c ensati ns of Section 3700 of the Labor Code, I shall forthwith comply with those provisiyyo,ns�� signature of Applicant DatrTt I `L, 20 d 9 fern nowTtno ocr_ ar_ ttcronrTt i cantor_ wr_eury I hereby affirm under penaltye6f perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 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 owners be If. I have read this application and the information I have ovl is cot ct. 1 agree to comply with all applicable city and coon ordinance an tat s relating to building construction. I authorize representatives of this city or co en r th o -ide d propert ' purposes. Signature of Property Owner or Authorized Agent Print Property Owners_ or Authorized Agent's Nar++e'� AEON DATE BY DECLARATION OF COMPLIANCEtMTH CODEOF FOR DIRGE ME ONLY FEQW?4t,2EGOiA9ON6 PART 614F 14TLE40AND OH#FFE 1403 � 9i •s e e i PERMITEXPIRED LL..FF /'S't tT qE Bf-5t-03 VVFi;fI-4ON TO., • YPA i • • • e e PERMIT CANCELLED •e] ❑ AOMD P€RMITEXTENDED ❑ ASBESTOS NOTIFICATTOMIS NOT APPLICABLE TO PROjj SERREMOL 77@11L • e e o 0 0 •o o e o 0 o = • eRE:, SIGMt TLa, " -' PERMITFINAL CER77FICATEOF OCCOPANCY755DED