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Home My WebLink AboutE2021-0753 - Permitsswl.F City of Newport Beach - Building Division 3, 100 Civic Center Drive, Newport Beach, CA 92660 k.. ?'z.. Permit Counter Phone (949)644-3288 f Job Address: 19 CARMEL BAY DR Bldg: 1 Floor: Suite: Description of Work: ELEC TO FIRE PIT & BBQ Inspector Area: 6 Legal Description: N TR 7510 LOT 23 Owner: PHARRIS JOHN/PAMELA Contractor: Address: 19 CARMEL BAY DR Address: NEWPORT BEACH CA 92625 Phone: Phone: Con State Lic: Issued Date:11/02/2021 Lic Expire: )� Bus Lic: Processed By: - 3y Lic Exp Date: *E2021-0753* INSTANT POOLSCAPES 833 DOVER DR #24 NEWPORT BEACH CA 92663 949-795-0648 1009644 12/31/2021 ST30053469 12/31/2021 Electrical Permit: E2021-0753 Project No : 2581-2021 Inspection Requests Phone (949)644-3255 Code Edit: 2019 0 0 0 Workers Compensation Insurance Carrier: WC EXEMPT Policy No: (NO EMPLOYEES) 00 0 Expire: 0 0 0 0 o° 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 Volsage 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 Back/Temp 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 Feb: $38.00 O/H to U/G 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. LDER DECLARATION e- 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-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' 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 exempMCrM fiClensure under the Contractors' State License Law for the following reason: Eva% STnature 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 t6at.1"k 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 av9ilable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. .TgiT,VVrt of Property Owner or Authorized Agent Date LICENSED CON -TRACTOR'S DECLARATION I-heq,ebyaffirm urrlecpenalty of perjury that I am licensed under provisions of Chapter 9 (commencin wip Section 7000) of Division 3 of the Busin d Professions Co e, an eniC sei5il ull and a act. „ { I!1!4AAPasS License No Date 1' Z Z Contractor Sign it r j)NURRERS' COMPENSATION DECLARATION kP;NINGi FAILURE =O SWIJRE 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 OFCOMPENIATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. .mabs affirm under penalty of perjury one of the following declarations: . • 9 slave and 4I1 "h itain 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 Wormance 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 surance carrier and policy number are: arrier Policy Number Expiration Date ame f ant Phone # ify that, in the perfo ante of the wo or which thi 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 agree at, if I should become ject to the wo ers' comp sa n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those prov{'\siJgns. gnature of Applicant Date X ECLARATION REGA ING T TIO G AGENCY tereby affirm under penalty of perju a e is a construction lending agency for the performance of the work for which this permit is issued (Sectio 3097, Civil Code). )nder'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 property owner's behalf. I have read this application and the information I have provide I agree to comply with all applicable city and count ordi ces and state laws r�eel/l�t�IIng to building construction. 1 I authorize representatives of this city or count ent the above -identified for inspection purposes. �J(/ t may) , ,�/ //��, ignature of Property Owner or Authorized Agent I /T_ nn erty Owner's or Authorized Agent's Name/ \UL Z n 1 I�IbV I l D�fE� ACTION DATE BY DECLAP41LONDF COMPLIANCE'MTH CODE OF - FOR OFFICE USE ONL REGULATIONSPART 67 OF TITL€40 AND AQMDRULE 9403 PERMITEXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMITEXTENDED P❑ROPOSEDTDEMOLIT N NORFICATIONIS NDT APPLICABLE TO PERMIT FINAL !-9 - '�-�-- CERTIFICATE OF SIGNATURE:. OCCUPANCY{SSUED