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Home My WebLink AboutE2020-0664 - PermitsCity of Newport Beach - Building Division 111111111111111111111p111111111111111111111111111111 Electrical Permit: E2020-0664 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 2 0 0 6 6 4 Project No : 2099-2020 Permit Counter Phone (949)644-3288 Job Address: 1830 HIGHLAND DR Bldg: 1 Floor: Suite: Description of Work: ELEC FOR BBQ & FIRE PIT _ Inspector Area: 3 Legal Description: N TR 3057 LOT 48 Owner: ROTHBARD JEREMY Contractor: Address: 1830 HIGHLAND DR Address: NEWPORT BEACH, CA 92660 Phone: Phone: Con State Lic: Issued Date:11/1312020 Lic Expire: ^ Bus Lic: Processed By: Lic Exp Date: New Construction Residential Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Service 0-600V up to 20OA: 0 $0.00 0-600V over20OA: 0 $0.00 Over 600V or 1000A: 0 $0.00 O/Hto U/G 0 $0.00 TOTAL Fee: PROMONTORY POOLS INC 17401 IRVINE BLVD STE B TUSTIN CA 92780 714-993-0554 404194 03/31/2021 BT30043247 0513112021 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 i%�- Code Edit: 2019 Worker's Compensation Insurance Carrier: EXEMPT - Policy No: NO EMPLOYEES Expire 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 Temp Underground: 0 $0.00 Sub Panel: 0 $0.00 0 $0.00 0 $0.00 Record Mgmt Fee: $0.00 Plan Check Fee: $0.00 Investigation Fee: $0.00 Issuance Fee: $37.00 Supplemental Fee: $0.00 Fee Due at Permit Issuance : 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. IWNER-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("sr 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 ie 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 'rofessions 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 of 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 nprovements 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 n 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 pply 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). 7 lam exemnf fcm Iicensure under the Contractors' State License Law for the following reason: ly 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 legally all P structum that , 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 'rofcssions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. igiature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirci Lndal penalty of perjury that I am licensed under provisions of Chapter 9 (commenci 'th Section 70 0) of Division 3 of the Business and r ssl 1 de, an y tic r in full force ad effect. `/ 1 3 %N icense Class _ License No D Contractor Signature VORAERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE H DR D THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE t ST 0° COMPENJATIGN- DAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm Lnder penalty of perjury one of the following declarations: J I lilve and will mnintain 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 thl r ance of bia work for which this permit is issued. Policy No. I 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 ra �a;Smer and policy number are: Policy Number Expiration Date of Agent Phone # certify that, in the perform e t ork for w ich this r is issued, I shall not employ any person in any manner so as to become subject tot workers' compensation laws of California, and Egret t, if I should become bj t to t workers' mp sa' n ovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisi nature of Applicant Date CLARATION REGA I G C R ON IN areby affirm under pe al of p a e is a cons ruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). tder's Name Lender's Address 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 provided is correct. I agree to comply with all applicable city and c un or Inances fate elating to building construction. I authorize representatives of this city or cou eq ov de prperty for inspection purposes. I� r l� l �/ r J� 3jZ —f„ro .,f or..,.o , n... -- A,Ah.,ri— Annv I � ori,a or,...e.f., n,.,,,o« ..� A„fn,.rl�en n,.e.,v� nh.,, 11 (/ Q"Y^ r�/ro I ACTION DATE V By DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF T17LE40ANO AQMD RULE 1403, PERMfTEXPIRED ❑ 1 SUBMITTED ASBESTOS NOTIFICATIONTO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMIT EXTENDED ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL ZG,- Z CERTIFICATE OF OCCUPANCYISSUED SIGNATURE: