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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: