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Home My WebLink AboutE2021-0021 - Permits�T:W 4,! City of Newport Beach - Building Division A 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 ti '# r'aiYN�� Job Address: 4 VENETO Bldg: 1 Floor: Description of Work: ELECT TO BBQ Inspector Area: Legal Description Owner: SACCO Address: 4 VEN NEW Phone: 415. 54 Issued Processed 3 N TR 15078 LOT 11 New Construction Residential CA 92657 Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Service 0-600V up to 20DA: 0 $0.00 0-600V over 20DA: 0 $0.00 Over600V or10DOA: 0 $0.00 O/H to U/G 0 $0.00 Suite: IIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIII II Electrical Permit: E2021-0021 Project No : 0067-2021 Contractor: DREAMSCAPES BY M G R INC Address: 1901 NEWPORT BLVD #350 COSTA MESA CA 92627 Phone: 949-480-3420 Con State Lic: 694588 Lic Expire: 10/31/2021 Bus Lic: BT30052223 Lic Exp Date: 01/31/2022 Receptacle/Switch/Outlets Receptacles/Outlets: 2 $3.50 Fixtures: 0 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Signs Branch Circuit: 0 $0.00 Each Add Circuit: 0 $0.00 Time Clocks: 0 $0.00 Additional Fee : $0.00 Inspection Requests Phone (949)644-3255 Code Edit: 2019 irl` 1z v Worker's Compensation Insurance Carrier : STATE FUND Policy No: 9265436 Expire : 12/2812021 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: Sub Panel: Record Mgmt Fee: Plan Check Fee: Investigation Fee: Issuance Fee: Supplemental Fee Fee Due 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. 0 0 0 0 .50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $37.00 $0.00 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 Iicensure 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 (_) 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 im roved 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 Iicensure under the Contractors' State License Law for the following reason: By my signature be w, 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 legall, 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 ?.-cf:ssions Code. k available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date I_ICF.NSED CONTRACTOR'S DECLARATION I uereby affirm 'Irder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 O) of Division 3 of the Business and Profe e, d my license is in full force an(: effect. r Ll-cnse Class _ License No Date t a 2t Contractor Signature X--RKERS' COMPENSATION DECLARATION {.RBING: 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 ATTORNETS FEES. hereoy affirm under penalty of perjury one of the following declarations: �C1:)ave 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 /,'i rmgknce o` tha Aark for which this permit is issued. Policy No. 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' carder and policy number are: Policy Number Date is of Agent Phone # certify that, in the perfor anc eTwhich this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compppangation laws of California, and agre if I should become sub' ct t w mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.' ^ r /� /2 iature of Applicant Date /y��J r DECLARATION REGARDIRG CONSTRUCTION LENDING AGENCY hereby affirm under Pena f perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 ender'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 pr Ide Is c t. I agree to comply with all applicable ity and cYunt� o in as ate 11 I authorize representatives of this cityor count to a e-Iden' c to building construction. » Inspection purposes. Civil Code). ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TIILE40AND AQMD RULE 1407. PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMIT CANCELLED PERMIT EXTENDED ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL CER77FIC4TE0F OCCUPANCYISSUED SIGNATURE: