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Home My WebLink AboutE2021-0679 - PermitsCity of Newport Beach - Building Division *E2021-0679* Electrical Permit: E2021-0679 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 1312-2020 Permit Counter Phone 1949)644-3288 Inspection Requests Phone (949)644-3255 Job Address: 20221 ORCHID ST Bldg: 1 Floor: Suite: Description of Work: ELEC *CHANGE OF CONTRACTOR* (2) FIRE PITS (S2020-0106) REPLACE E2020-0370 - t Inspector Area: 3 Code Edit: 2019 :a Legal Description: N TR 1500 LOT 13t Owner: ORCHID 20221 LLC Contractor: POOL MAX SERVICES Worker's Compensation insurance y Address: 215 E EDGEWATER AVE Address: 10925 KALAMA RIVER AVE #G Carrier: WELLFLEET NEW YORK INS NEWPORT BEACH, CA-92661 FOUNTAIN VALLEY CA 92708 Policy No: N9WC231017 �--� Phone: Phone: 714-656-6769 Expire : 03/25/2022 / Con State Lic: 945308 Issued Date: 10/06/202 Lic Expire: Bus Lic: 04/30/2022 BT30065673 Processed By: Lic Exp Date: 01/31/2022 New Construction Receptacle/Switch/Outlets Residential Receptacles/Outlets: 0 $0.00 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 Over600V or1000A: 0 $0.00 Time Clocks: 0 $0.00 O/H to U/G 0 $0.00 Additional Fee : $38.00 TOTAL Fee: Plan 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 $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: $0.00 Supplemental Fee: $0.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: MondayFriday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. e m a e e . . Issuance: 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 isivan,% 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 Secilot; 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 (_) 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 itwas not built or improved for the purpose of sale). i ❑ 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 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://www.geginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent i 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 Profes ' Code, ;and license is in full force and effect. �� +f L `/ __�� License Class License No Date �\ Contractor Signatu� - WORKERS' COMPENSATION DECLARATION If T WARNING: 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 pe ormance of the work for which this permit is issued. Policy No. have and will maf train workers' c9wMe sation insurance, as wired by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatiol nsurance carrier d poNcy number of '" Carrier ' 'N P u b r Expiration Date Name of Agent i Phone # ❑I certify that, in the performs of the work for which this permits issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre that, if I should become sub t e orkers' compens visions. Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �( Signature of Applican - e I ECLXRX11V1Y RGl8XRV11YVW1YJ 1 RV V I IVR LCRVIIYV XV �,�V , 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 (Section 3097, Civil Code). Ender's Name Lender's Address ly 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 or Rances and state laws relating to building construction. I authorize representatives of this city or county to n r th ove-Identified property for inspection purposes. signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Na ACTION HATE BY DECLARATION OF COMPLIANCE IMTH CODE OF FOR OFFICE USE ONLY FF JW4,13EGULATIOIYSPART 6i OFJdiLE40AND AQRJID RUkf 1401� • • • • • ' PERMi7EXPiRED ❑dSUBM1TFEDASBESP09AA9W1Cs3TIONTO: X1 * ZPA ❑ AQMD' PERMIT CANCELLED PERMITEXTENDED ❑ ASBESTOS NO77RCATION IS NOT APPLICABLE TO PROAGSS& DEMOLITION. s• • e s e e PERMIT FINAL CERTIFICATE OF SIGNAFNREam e e e DCCUPANCYISSUED 0.0 e o0o eo eee