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Home My WebLink AboutE2021-0850 - PermitsCity of Newport Beach - Building Division o a�. 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 1B21 TAHUNA TER Bldg:1 Floor: Suite: Description of Work: ELEC TO BBQ Inspector Area: 2 Legal Description: N TR 2813 LOT 107 Owner: RIGHEIMER WILL & BONNIE Contractor: Address: 1821 TAHUNA TER Address: CORONA DEL MAR, CA 92625 Phone: 949/975-0123 Phone: Con State Lic: Issued Date:02/17/2022 Lic Expire: Bus Lic: Processed By: 2 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 over 20OA: 0 $0.00 Over600V or1000A: 0 $0.00 O/H to U/G 0 $0.00 TOTAL *E2021-0850* (i INSTANT POOLS LLC 116 SENCILLO PL RANCHO MISSION VIEJO CA 92694 949-795-0648 1009644 07/31/2023 BT30053469 12/31 /2022 Receptacle/Switch/0 utl ets 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 Electrical Permit: E2021-0850 Project No : 2906-2021 Inspection Requests Phone (949)644-3255 Code Edit: 2019 Worker's Compensation Insurance Carrier: WC 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 BacklTemp Power: 0 $0.00 Temp Power Pole: 0 $0.00 Plan Check Fee : 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: $38.00 Supplemental Fee: $0.00 Fee Due at Permit Issuance : $41.50 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. INER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items) ctien 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 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 fessions 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 more than five hundred dollars ($500). _ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, ,iness 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 rovements 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 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 ply 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 forth a 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 ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. lig, i�tj. a of Propartv 3 caner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm undar penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Pr sions Code, and r Ind efrect. ' L — 1-1? Z� icens'a Class License No Data ontractor Signatu PORKERS' COMPENSATION DECLARATION - IARNING: FAILURE- TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HU DRED THOUSAN LLARs 'CET O" COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: Business and is in full force ($I DO,0001, IN ADDITION TO THE I have 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 the siamm�ce of the work for which this permit is issued. Policy No. `I `Fia`ve and W`111 main}ain 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' compensatior surance carrier and policy number are: anner Policy Number Expiration Date e of Agent Phone # I certify that, in the performa of the work for whi issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree Iat, I should become subje to the wor a ion siens of Section 3700 of the Labor Cade, I shall forthwith comply with those provi I/ons. ignature of Applicant DateX DECLARATION RE N TRUCTI DING AGENCY hereby affirm er penalty of per ry th e is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ender's Name Lender's Address y my signature below, I certify to eaeof 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 1 have provided is come . 7 -1 }- 7a I agree to comply with all applicable city and county ordinances a tate laws relating to ding construction. I authorize representatives of this city or couq. y to enter the ve-identified propert inspection purposes. I / ignature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Date AC77ON DATE Y DECLARATIONS OF COMPLIANCE MTH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403. PERIVVTEICPIRED ❑ 1 SUBMITTED ASBESTOS NOTIFICATIONTO: ❑ EPA PERMITCANCELLED ❑ AQMD' PERMIT EXTENDE➢ ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL 0 11 CERTIFICATE OF SIGNATURE: OCCUPANCYISSUED