HomeMy WebLinkAboutE2021-0300 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
_lob Address: 1720 CANDLESTICK LN Bldg: 1 Floor: Suite:
Description of Work: ELEC/ TO BBQ
Inspector Area: 3
Legal Description: N TR 3763 LOT 31
Owner: SHARPE [AN Contractor:
Address: 1720 CANDLESTICK LN Address:
NEWPORT BEACH, CA 92660
Phone: Phone:
Con State Lic:
Issued Date:05/06/2021 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
Over600V or1000A:
0
$0.00
O/H to U/G
0
$0.00
TOTAL Fee:
IIIIIIIIIIIIIIIIIIIIIIIIIII�I II Electrical Permit: E2021-0300
E 2 0 2 1 0 3 0 0 Project No : 1008-2021
AQUA SCAPES POOLS & SPAS
321 CALLE FELICIDAD
SAN CLEMENTE CA 92672
949.448-7665
754729
1113012022
BT30069893
06/3012021
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
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
Plan Check
Piggy Back/Temp Power: 0 $0.00
Temp Power Pole: 0 $0.00
1NSPECTO
Temp Underground: 0
Sub Panel: 0
0
0
Record Mgmt Fee:
Plan Check Fee:
Investigation Fee:
Issuance Fee:
Supplemental Fee:
Fee Due at
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.
$37,
ILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason (a) 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'`
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).
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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
nproved 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).
1 am exempt from licensure 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 legal
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:hftp://www.leginfo.ca.gov/calaw.htm[.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 ) o Division 3 of the Business an roI n ode, d r; � n is in full force
nd effect.
.icense Class License No Date Contractor Signatur C�
VORKERS' 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 HUNDRED THOUSAND DOLLARS I$100,0001, IN ADDITION TO THE
'.OST 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:
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
erformance of the work for which this permit is issued. Policy No.
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
trance carrier and policy number are:
Ler Policy Number Expiration Date
e of Agent Phone #
er ify that, in the perf an he rk f which permit is issued, I shall not employ any person in any manner so as to become subject to the workersycomgensation laws of California, and agree
should become s ject the w e compen ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. J
nature of Applicant Date
CLARATION REGARININ14-90AT141XIMIA LENDING AGENCY
: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 operty owners behalf.
I have read this application and the information av Ide rrec .
1 agree to complywith all applicable ci and c nt o ina es d s e ws relatingto buildingconstruction.
authorize representatives of this city�o� cou too y er t e ve-i iedprop pr
rtyor inspection purposes. �, / (' „ ��/�
o.;.,. D..,.,e..,, ,,, e, ah,..hea e—F. nh,.,e /A,
AC77ON
DATE
BY
DECLARATION OF COMPLIANCE IMTH CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 61 OF TITLE40AND'
AQMD RJLE 1403.
PERMIT FXPI RED
❑ 1EUK41 TTED AS9ESTUti.NOTIFICATIONTO:
EI ErP.:i
❑ AQe10
PERMITCANCELLED
PERMITEXTENDED
ASBESTOS N017RCA DUNIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMIT FINAL
" ?--1
CERTIFICATEOF
SIGNATURE:
OCCUPANCY5SUED