HomeMy WebLinkAboutE2021-0859 - Permits,sw"I"NoZ City of Newport Beach - Building Division 'E2021-0859`
y 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
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Job Address: 5 RUE BIARRITZ Bldg: 1 Floor: Suite:
Description of Work: SFR ELEC FOR EXT BBQ AND (E) POOL (S2021-0279)
Inspector Area: 4
Legal Description: N TR 7809 LOT 24
Owner: LI JIAHUI/LIU XIN
Contractor:
LUNA POOL CONSTRUCTION
Address: 30781 VIA CONQUISTA
Address:
720 W WHITTIER BLVD
SAN JUAN CAPISTANO CA 92675
LA HABRA, CA 90631
Phone:
Phone:
562.400-4499
Con State Lic:
1005039
Issued Date:12/15/2021
Lic Expire:
06/30/2023
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Bus-Lic-
BT30077472- -
Processed By:
Lic Exp Date:
12/31/2021
Electrical Permit: E2021-0859
Project No : 2938-2021
Inspection Requests Phone (949)644-3255
Code Edit: 2019
Worker's Compensation Insurance
Carrier: EXEMPT °
Policy No: - - - - -
Expire
FEES
New Construction
Receptacle/Switch/Outlets
Motors/Transformers (HP/KVA)
Residential
Receptacles/Outlets:
0
$0.00
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:
1
$7.00
10 to 50 HP/KW/KVA:
0
$0.00
0
$0.00
Low Voltage
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 200A:
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 Fee:
$38.00
O/H to U/G
0
$0.00
Additional Fee :
$0.00
Supplemental Fee:
$0.00
TOTAL Fee:
$45.00
Plan Check Fee : $0.00
Fee Due at Permit Issuance :
$45.00
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.
OWNER -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 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 Cade) 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 L) 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).
1, 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).
❑ I am exempt from licensure under the Contractors' State License Law for the following reason:
By my signature jelow 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)
yell a stucture 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
Orofess'ons Cole, i, a"ailable upon request when this application is submitted or at the following Web site:http:// n .leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LiCEN3ED CONTRACTOR'S DECLARATION
I hereby affirm ul.der penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes ions Code, and my license is in full force
unc' efinse Clst. fL� y � .S rg4'Yi �%% license Class 7 �OYI License No Date / (!}, Contractor Signature ��"" -
WORKSRS' COMPENSATION DECLARATION
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
CCET C- COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370G OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm Lnde. penalty of perjury one of the following declarations:
I na,,e 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 IN
pedormance of Lhe wor, for which this permit is issued. Policy No.
Ell have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Cade, for the performance of the work for which this permit is issued. My workers' compensatiD
insurance Carrier and policy number are:
Carrier Policy Number Expiration Date
Name of Agent e &0n Phone #
certify that, in the performance of the work for which 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
that, if I should become subject to a workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ` I
Signature of Apt e _r£Y ✓/ �� Date
DECLARATION REGARDIN ONSTRUCTION LENDING AGENCY
I 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).
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 behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county to a er the< above= dentifi roperty for inspection purposes. K
Signature of Property Owner or Authorized Agent G JYl�4 Print Property Owner's or Authorized Agent's Name l2N� Date
ACTION DATE BY DECLARATION OF COMPLIANCE IMtTNCODE OF FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 81 OF TITLE 40AND
AOMD RULE 1403.
PERMIT EXPIRED
❑ I5UBMITFED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
PERMIT CANCELLED
P€RMfFEXTEPIDED
❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMIT FINAL
CERTIFICATEOF
SIGNATURE:
OCCUPANCYISSUED