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Home My WebLink AboutE2020-0272 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 0'. IIIII�IIIIII�IIIII�IIIIIIIIIIII E 2 0 2 0 0 2 7 2 AS BUILT PERMIT ALL MUG�FYR Electrical Permit: E2020-0272 Project No Inspection Requests Phone (949)644-3255 " 6 Job Address: 20451 BAY VIEW AVE Bldg: 1 Floor: Suite: EXPOSE Description of Work: ELEC OUTLET FOR BBQ (STOP WORK) 120-1773 ELECTRICAL, PLUMBING, AND Code Pdit: 2019 Inspector Area: 8 Legal Description: N TR 1501 LOT 24 c/ Owner: ANDREWS JOHNSON Contractor: OWNER/BLDR Worker's Compensation Insurance Address: 20451 BAY VIEW AVE Address: Carrier : NEWPORT BEACH, CA 92660 Policy No: Phone: 914-980-0053 Phone: Expire : m Con State Lic: O/B Issued Date:06/04/2020 Lic Expire: Bus Lic: Processed By: � � � Lic Exp Date: FEES New Construction Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) Residential Receptacles/Outlets: 1 $1.00 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: 0 $O.0 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: 0 $O.0 1-2 Family: 0 $0.00 Sep Circuits: 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 0 $O.0 Low Voltage 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 0 $O.0 Service Signs Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: $O.0 0-600V up to 20OA: 0 $0.00 Branch Circuit: 0 $0.00 Plan Check Fee: $O.0 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Piggy Back[remp Power: 0 $0.00 Investigation Fee: $1.0 Over 600V or 1000A: 0 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $35.0 O/H to U/G 0 $0.00 Additional Fee : $0.00 Supplemental Fee: $O.0 TOTAL Fee: $37.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $37.00 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. 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 !11 more than five hundred dollars ($500). I, 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, Bust'hess 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-Builderwill have the burden of proving that it was not built or Im 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 lapply 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 frnm licensure under the Contractors' State License Law for the following reason: Ey 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 sell a stricture that I hwie built as an owner -builder if it he not been c t cted in its entirety by licensed contractors. I understand that a copy of the applicable law, Secti re 7044 of the Business and Professions Cooe, is available upon request when this a lication i tted at the following Web site:http://w .leginfo.ca.gov/calaw.htmi. Sigl,atura of Proper ty Owner or Authorized Agent ate (I L7Z�?� LICENSED CONTRACTOR'S DECLARATION I he-eby affirm unJ2r penalty of perjury that I am licensed undel-10ovisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professio-s Code, and my license is in full force and effect. Libebsu Class _ License No Date Contractor Signature WOkAERS' COIIAPENSATION DECLARATION WARNING: FAILURE TO SEOI IRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE CDST OF COMPENSATION, D IMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ISo-Eh7 affirm under penalty of perjury one of the following declarations: 0 1 (lave 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 thf performance of the work for which this permit is issued. Policy No. ❑I have 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 insurance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # I certify that, in the perfor ante of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the orkers' compensation laws of California, and agree that, if I should become su ect to the r compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions Signature of Applicant / Date G L-74 DECLARATION REGA ING CON RU ION LENDING AGENCY I hereby affirm under p nalty of perj ry that there is a construction lending agency for the performance of the work for which this permit is issued ( ction 3097, Civil Code). Lender's Name Lenders Address By 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 h ve provided is correct. I agree to comply with all applicable city and cou ordd�arr and state laws relating to building construction. I authorize representatives of this city or county er}ter t e�6ove-'dentified property for inspection purposes. Signature of Property Owner or Authorized Agent { / Print Property Owners or Authorized Agent's Name Ov1nS0'4 Dat / k ACTION BY DECLARATION OF COMPLIANCE WITH CODEOF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OFTTILE40AND AQMD RULE 1403. PERMITEXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMITEXTENDED PIOATE ❑ ASBESTOS N017RCATIOMIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMITFINAL CERTIFICATE OF SIGNATURE: OCCUPANCYISSUED