HomeMy WebLinkAboutE2022-0558 - Permits��EWP�RT City of Newport Beach IIII I I II I IIII II IIII
p t. em Community Development Department- Building Division u u
n 100 Civic Center Drive, Newport Beach, CA 92660
U 2 Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
C9LIFONN�p newportbeachca.gov/inspections
IIElectrical Permit : E2022-0558
Plan Check No: PC2022-1830
Work Class : Other
Issued Date : 08/22/2022
Inspection Area : 3
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address : 1323 SANTIAGO DR
Description: ELEC FOR FIREPIT & BBQ
Owner: PAYNE MARK/PANATTONI CHARLOTTE
Address : 1323 SANTIAGO DR NEWPORT BEACH,
Phone:
Applicant: TEKTON GROUP INC
Address: 2749 SATURN ST BREA, CA 92821
Phone: (949)573-7090 bus Luc Expire:I 1/3U/2U2Y
Workers' Compensation lnsurant
Carrier : STATE COMPEN£
Policy No: 9139164
W. C. Expire 8/4/2023
-Fire Hazard Zone: N
Occupancy Groups: U
Front: 20, Side: 6, Rear: 6
Owner/Builder :
Address
Phone:
Code Edition: 2019
Type of Construction :
Building Setbacks
Flood Zone:
Use Zone :
PROCESSED BY:
JP INC
ST BREA, CA 92821
X
R-1-6000
INSURANCE FUND
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I hereby affirm under penalty of perjury that tam exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s)-I have placednext to the applicable item (a)
ction 7031:5, Business and Professions Code: Any city or county that requires a perrhlt. to Construct;alter, improves demolish, or repair any structure, prior to its Issuance, also requires the applicant fc
permit to rile 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 a.
fessions Code) or that he or she is exempt from l censure 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
more than five hundred dollars ($5001
I, as owner of the property„ or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure Is not intended or offered for sate (Section 7044,
:mess and Professions Code: The. Contractors' State License Law does not apply to an: owner of property who, throt gh employees' or personal effort, builds or Improves the property: provided that the
ravements are not Intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Buitderwill have the burden of proving that it was not built or
,roved. for the purpose: of sale).. _
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section .7 , Business and Professions Code: The Contractors' State License Law does not
ay town owner of property who builds or improves:.thereon, and who contracts for theprojects with a licensed Contra ctor pursuant to the Contractors''State License Law),.
I am exempt from l(censure under the Contractors' State License Law for the following reason:.
my signature below I acknowledge that, except for my personal residence In which I must have resided: for at least o e year prior to completion of the improvements covered by this: permit, I cannot le;
a structure that I have built as an owner bultder if it has not been constructed in its enittety by licensed Contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
reby affirm under penalty of perury that I am licensed under provisions of Chapter 9'(Commencing with Section 7
effect. License ClassLicense No Date
iRKERS" COMPENSATION DECLARATION
NING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1S UNLAWFUL, AND. SMALL SUBJECT AN EMPLOYER TO CRIMINAL
T OF COMPENSATION', OAN(AOES As PROVIDED FOR IN SECTION 374E OF THE LABOR CODE, INTEREST,: AND ATTORNEw S FEES.
reby affirm under penalty of perjury one of the following declarations:
I have and wkl maintain a certificate of consent to self -insure for workers' compensation, issued by the Dire
iormance of the work for which this permit is issued. Policy No.
have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for
Trance carrier and policy number are:-
91
i am the jlPg..fowparorautl
.. Lliavo read this application aru
14gree tM,,pF;p%wdtt all appy
t puthorize'representatives oft
• Sj nature of Pro;ertvtlsvner or Au
• A tCN �. • DATE.
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141T CANCELLED
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• PEPiAIT FINAI•
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OCCUPANLr1SSUW
_ Date
i of Kasion'3 of the Business and Professiode, and license is iniuli force
Z. ZZ Contractor Signature
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ALTHIS AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000),IN AODMH TO TH.
Of Industrial Relations -as provided for by Section 3700 of the Labor Code, for tl
performance of the work for which this permit is issued. My workers' cempensati<
for which this permit is issued, I shah not employ any: person in any manner so asto become subject to the workers' compensation laws of California, and agree
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Oate%C
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re is a. construction -lending agency for the performance: of the work for which this parmit'is Issued (Section 3097, Civil Code):.
is correct.
Ali required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
be In place prior to approval to Tilt poollspa &shall remain in place & be maintained for the
WILE TO I
life of the pool.
PERMIT FEE DETAILS FOR PERMIT E2022-0558
Fee Name Fee Amount Fee Paid Amount
Transaction Date Payment Method Trans. Paid Amount Paid By
Building
Electrical - Issuance Fee $39.00 $0.00
Outlets —Receptacles Fee :$2.00 ''.:;.$0.00
GRAND TOTAL:
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