HomeMy WebLinkAboutE2020-0108 - PermitsrkT City of Newport Beach - Building Division IIIIIIIIIIIIIIII�IIIIII II
7; 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 2 0 0 1 0 8
N to Permit Counter Phone (949)644-3288
cey, n,
NO CONSTRUCTION NOISE
Job Address: 422 ORCHID AVE Bldg: 1 Floor: Suite:
Description of Work: ELEC FIXTURES FOR (2) FOUNTAINS
Inspector Area: 5
Legal Description: CORONA DEL MAR BILK 442 LOT 16
Owner: REKLAW LLC
Contractor:
Address: 418 112 ORCHID
Address:
CORONA DEL MAR, CA 92625
Phone: 949-975-0123
Phone:
Con State Lic:
Issued Date:02/21/2020
Lic Expire:
Bus Lic:
Processed By:
Lic Exp Date:
C ��
INSTANT LANDSCAPES
28562 OSO PKWY #D-243
RSM CA 92688
949-347-0700
842586
07/31/2020
BT30053469
12/31/2020
Electrical Permit: E2020-0108
Project No : 0790-2018
Inspection Requests Phone (949)644-3255
Code Edit: 2016 INISPECTOR
Worker's Compensation Insurance
Carrier: SIRIUS AMERICA INS
Policy No: 190725-001
Expire : 08/15/2020
FEES
New Construction
Receptacle/Switch/Outlets
Motors/Transformers (HP/KVA)
Residential
Receptacles/Outlets:
2
$2.00
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:
$35.00
O/H to U/G
0
$0.00
Additional Fee:
$0.00
Supplemental Fee:
$0.00
TOTAL Fee: $37.00 Plan Check Fee :
PERMITS EXPIRE 130 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.
DWNER-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
:he 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
Drofessions 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
iot 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
mprovements 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
'mproved 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 exemp' from li„ensure 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 legalb
Ea'I a structure that I t.a✓e 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, 's available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
Signatur,P of Property Owner or Authorized Agent to
LICENSED CONTRACTOR'S DECLARATION
I hareby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busin/7L4
Pand my license is in full force
end eff=,ct. ��-t
UcengP Class License No Date Contractor Signa
far?RKERS' COMPENSATION DECLARATION
PA'11TIr: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER O CRIMINAL PENALTIES AND CIVIL FINES UP TDAND DOLLARS ($100,000(, IN ADDITION TO THE
03S'. OF GOMPENSA. ION, DAMAGES AS PROVIDED FOR IN SECTION $706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S EES.
hereby affirm un6EEr pe,lalty of perjury one of the following declarations:
❑.. I. hive and dill mairtain 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, forth
K
:vc
nce of the work for which this permit is issued. Policy No.
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' compensatiol
e carrier and policy number are:
Policy Number
Date
ne of Agent rnone s
certify that, in the perfor n of the work for which this m loy any person in any manner so as to become subject to t workers' compensation laws of California, and agre
I, if I should become su ct o the workers' sation provisio s of Section 3700 of the or Code, I shall forthwith comply with those provisigns. 7
nature of Applicant Dat 2-L
- 2a
CLARATION REGA 1 CONS CTION LEND ENCY
Ireby affirm under p of er'u a construction lending agency for the performance of the work for which this permit is issue (Section 3097, Civil Code).
Ider'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 o If. 7^70
I have read this application and the information I have p Ided is correct. Z- tom`
I agree to comply with all applicable city and cou ty finances and state laws lating to building construction.
1 authorize representatives of this city or county o nter the above -identified pro rty for inspection purposes.L`
nature of Property Owner or Authorized Agent PrIn ro er's or Authorized Agent's Namezc_
ACT70N
OATS
&Y
DECLARATION OFCOMPLIANCE IMTH CODE OF
FOR OFFICE U5E ONLY
FEDERAL REGULATIONS PART 61 OF TIRE 40AND
AQMD RULE 1403.
❑ I SUBMITTED ASBESTOS N071FICATION TO:
❑ EPA
❑ AQMD
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
❑ ASBESTOS NOTIACATIONIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMIT FINAL
LA
CERTFICATE OF
SIGNATURE:
OCCUPANCYISSOED