HomeMy WebLinkAboutE2022-0019 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIII II Electrical Permit: E2022-0019
100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 2 2 0 0 1 9 Project No : 0134-2022
Permit Counter Phone (949)644-3288
Job Address: 710 AVOCADO AVE Bldg: 1 Floor: Suite:
Description of Work: ELE-ELECTRICAL TO BBQ
Inspector Area: 5
Legal Description: N TR 682 LOT 7
Owner: PAINTER ROBERTIDEBORAH
Contractor:
Address: 730 AVOCADO AVE
Address:
CORONA DEL MAR, CA 92625
Phone:
Phone:
Con State Lic:
Issued Date:01/18/2022
Lic Expire:
Bus Lic:
Processed By: S9
Lic Exp Date:
LANDCRAFTERS INC
29512 ANA MARIA LANE
LAGUNA NIGUEL CA 92677
949-249-1086
754071
0913012022
BT30039467
05131/2023
Inspection Requests Phone (949)644-3255
Code Edit: 2019
Workers Compensation Insurance
Carrier: EMPLOYEE SERVICE GROUP
Policy No: WC5897031
Expire : 1210112022
FEES
New Construction
Receptacle/Switch/Outlets
Motors/Transformers (HP/KVA)
Residential
Receptacles/Outlets:
3
$5.25
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:
0
$0.00
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 20OA:
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:
$43.25
Plan Check Fee: $0.00
Fee Due at Permit Issuance:
$43.25
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 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
improved 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 of the improvements covered by this permit, I cannot legallt
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.leginfo.ca.gov/calaw.htm].
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 7000) f Division 3 of the Business and Pr s ions Code, an y ltc se is in full force
and effect.
License Class License No Date -Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO 014E HIP RED 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:
MIhave 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
rmance of the work for which this permit is issued. Policy No.
V�rll\carve 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' compensation
ce carrier and policy number are:
ie of Agent
certify that, in the performanrofif I should become subject
of Applicant
Policy
Date
p it is issued, I shall not employ any person in any manner so as to become subject tD the worker mpensation laws of California, and agree
rrovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. n r �v
Date ` Y
AGENCY
hereby affirm under penalty of perjll��hat there ismconstruction lending agency for the performance of the work for which this permit is issued (Se ctio 3097, Civil Code).
ender's Namey 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 ow
I have read this application and the information a provid
I agree to comply with all applicable city and co my o ' es
I authorize representatives of this city or county to ant th a
ii nature of Property Owner or Authorized Agent
ACTION DATE BY
PERMIT EXPI RED
PERMIT CANCELLED
PERMITEXTENDED
PERMIT FINAL
CERTIFICATEOF
OCCUPANCYISSUED
s Orr c
d s e s relating to building construction.
ve-i iad property for inspection purposes.
Print Property Owner's or Authorized Agent's Na
DECLARATION OF COMPLIANCE WITH CODE OF
FEDERAL REGULATIONS PART 51 OF TITLE 40 AND
AQMD RULE 1403.
❑ I SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
I_eASBESTOS NOTHiCATiON 1S P'OT APPLICABLE TO
PROPOSED DEMOLITION -
SIGNATURE:
lV Data 7/ I
OFFICE USE ONLY