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Home My WebLink AboutE2021-0159 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 2 1 0 1 5 9 h r Permit Counter Phone (949)644-3288 c"�G3YilY1'�T Job Address: 536 SEAWARD RD Bldg: 1 Floor: Suite Description of Work: ELEC - 4 RECEPTACLES (BBQ AREA) Inspector Area: 5 Legal Description: N TR 1237 LOT 182 Owner: LEVINE DANIEL Address: 1515 ANTIGUA WAY NEWPORT BEACH CA 92660 Phone: Issued Date:02/24/2021 Processed By: New Construction Residential Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Service 0-600V up to 20DA: 0 $0.00 0-600V over20OA: 0 $0.00 Over600V or1000A: 0 $0.00 O/H to U/G 0 $0.00 TOTAL Fee: Contractor: CHRISTIANO HOMES Address: 729 W 16TH ST #C-4 COSTA MESA CA 92627 Phone: 949-596-4618 Con State Lie: 848745 Lie Expire: 10/31/2022 Bus Lie: BT30039246 Lie Exp Date: 05/31/2021 Receptacle/Switch/Outlets Receptacles/Outlets: 4 $7.00 Fixtures: 0 $0.00 Sep Circuits: 0 $0.00 Low Voltage o $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: E2021-0159 Project No : 2389-2020 Inspection Re TIN t C ,450 Code Edit: 2019 Worker's Compensation Insurance Carrier: INS. CO. OF THE WEST Policy No: WVE504588102 Expire : 0111212022 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 Plan Check Fee : Temp Underground: 0 Sub Panel: 0 0 0 Record Mgmt Fee: Plan Check Fee: Investigation Fee: Issuance Fee: Supplemental Fee: e at Permit Issuance : $44 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. 00 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(s) iection 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 is 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). 3 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, 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). 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 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). I I am exempt from licensure under the Contractors' State License Law for the following reason: ly my signature below 1 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, 1 cannot legally 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 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. lignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION 99�� hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Prof SIG and y license ll force nd effect. icense Class License No Da Contractor Signature VORKERS' COMPENSATION DECLARATION -� IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE DST OF 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: aI 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 th, e mance 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' carrier and policy number are: Policy Number of Agent Date certify that, in the performance ofop work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre t, if I should becomes ject to th orkers' mpensation provi ' of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. J nature of Applicant Date CLARATION REGAR N CONSTRUCTION LENDING AGENCY �T �reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (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 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 county ordin nces and state laws relating to building construction. I authorize representatives of this city or county t/d ante a abo '-identified property erty for inspection purposes. / eu mature of Property Owner or Authorized ADent l(� �.✓Y Print Property Owner's or Authorized Agent's Name d �l f 5 4LVrD Date AC77ON DATE BY OECLARATIONOFCUMPLIANCLWIiHLOOLOt FOR FEDERAL REGULATIONS PART 61 OF Tf RE 40 AND PERMITEXPIRED AQMD RULE 1403. ❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO: PERMIT CANCELLED ❑ EPA PERMIT EXTENDED ❑ AQMD ❑ ASBESTOS IVOTIRCATION IS NOT APPLICABLE TO PERMIT FINAL PROPOSED DEMOLITION. CERTIFICATEOF OCCUPANCYISSUED SIGNATURE: