HomeMy WebLinkAboutE2020-0230 - Permits0MzWWWPN'*'*% City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
J y}, 4.
Job Address: 4818 SURREY DR Bldg: 1 Floor:
Description of Work: ELEC TO BBQ (S2020-0061)
Inspector Area: 5
Legal Description: TR 3519 LOT 52(AND E1/2 LOT 51
Owner: CLAASSEN BRIAN Contractor:
Address: 4818 SURREY DR Address:
CORONA DEL MAR, CA 92625
Phone: Phon
ate L'
Issued Date:06/05/2020 - L' E�
L
Processed Bv: -.,a x Date:
New Construction
Residential
Multi -Family:
0
$ 00
1-2 Family:
0
$ oc
Service
0-600V up to 200A:
0
$0.0
0-600V over20OA:
0
$0.0
Over 600V or 1000A:
0
$O.od
O/H to U/G
0
$0.00
TOTAL
Fee:
$42.00
Time
'E2020-0230" Electrical Permit: E2020-0230
Project No : 0818-2020
Inspection Requests Phone (949)644-3255
Code Edit: 2019IN S P L C OR
l
AQUA SCAPES POOLS & SP orker's Compensation
1
321
97547C2A9L-�LEF � b e er SA . - CAA 9aPol
-448-7665 CJOC%��o �I
Temp
t $7.00I 10 to 50 HP/KW/KVA: 0 $o.0g '+
0.00 50 to 100 HP/KW/ v 0
Over 10 W $ \ Re
0 $0.00 { "Vted I Pla
0 $ .ODx Piggy p Prpv(�r' �norksO�O Inv
Temp ow r Pole: \\11,, 0 $0.00 Is
0.00 S
} ' " Plan Check Fee: $0.00_� _ n. 6f�'L��'t�ue a
7E780 DAYS AFTER IS CE OR m INSPECTION
Friday 7 to 6 : and Saturday from 8:00 a.m. to 6:00 p.m.
Fee:
0 $0 00
n $•).00
0 0 00
0 $U 09
$0.00
$0.00
$0.00
$35.00
$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 app;:�ant.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 -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 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 "ove ants covered by this permit, I cannot legal
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 o the applicable I , Section 7044 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:hftp://www.le v calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION +'r b�0:
I hereby affirm under penalty of perjury that I am licensed under provisions of C commencipwithec on talppir gnn 3 of the^Busir6yys B ii ode, nd my license is in full force
and effect. OQ /( License Class Lice®Kt Signature
/
ARNING: =AILURE TO SECURE WOI
OS', OF LOMPENSA IJI:, DAMAGEE
herebv affirm u.ider canalty of
J I hcve and will maintain a
erformance of the work for wh
JI have and will maintain wo
ILccrce carrie� and policy num
Y Agent
rtify that, in the p.
I'should become
ure of ANKCan:
COMPENSATION COVERAGE IS UNLAWPIICAND SHALL
OVI ED f�Iq� W SECTI F THE LABOR
Iry )re dfThe following declarati0
`icate of co W
ts,f°fre f�'_
is �sCl.' PKicy No. t "
F
co ensatisural'e," r irec
are:.:
Policy Numbej ,
areby affirm under penalt)rof perjury.
ider's Name
my signature below, I certify to each III
I am the property owner or authorize
I have read this application and the in'
I agree to comply with all applicable c
I authorize representatives of this city
is a construction
on
RNAL P .0 T` ^Sbo CrI , PINES UP v UNDRED THC
Director of Industrial Relations as provided for by
Section 3700 of the l..*g6t'DD '" o e performance of the work for which this permit
Expiration Date
nor °`'� °S''o"""' Phone #
all not Apluony any person in any manner so as to become s ct `e'er omp
ition 3700 of the Labor Code, I shall fogbjh i,th com 'iNi'Eh s vi
DOLLARS ($100,000), IN ADDITION TO THE
df9 rimrmance of thWW6*—for w�rich�biTJferhiit irIssued (Section 3097, Civil Code)
g99ee s�ddress `ii ��' 1
relating to buildinuoDstmcFion.
)perly-fom ection purposes.
3700 of the Labor Code, for
issued. My workers'
laws of California, and
IlSignature of Property Owner or Authorizgdxgent Print Prop dy GwnePs or_Authorized Agent's N}anfrjf r l — fDNe
r16L-
ACT70M
DA s t`I
BY
RATION OFCOMPLIANCEWTN CODE OF
FOR OFFICE USE ONLY
E-0ER.4L REGULATIONS PART 61 OF TITLE40AND
��MO RULE 1403.
PERMITEXPIRED
,, .�.�+a" -"
�.—�`
- - ,r.r-
❑ I SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
PERMITCANCELLED
"t'-"""'
PERMITEXTENDED
SBESTOS N077RCAT70MIS NOT APPLICABLE TO
OSED DEMOLITION.
PERMIT FINAL
CERTIFICATEOF
OCCUPANCYISSUED
SIGNATURE: