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Home My WebLink AboutE2021-0317 - PermitsCity of Newport Beach - Building Division100 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II Civic C unterr Pho(949)644-288 Drive, ne Beach, CA 92660 E 2 0 2 1 6 3 1 7 Permit �M�IYVIY�,' Job Address: 2218 FRANCISCO DR Bldg: 1 Floor: Suite: Description of Work: ELEC TO BBQ Electrical Permit: E2021-0317 Project No : 1082-2021 Inspection Requests Phone (949)644-3255 ss InspectorArea: 3 I Co / ref ` Q � �p and ' Legal Description: N TR 3262 LOT 44 0 Or Owner: GUYS & MACAULAY Contractor: OWNER/B 3 Worker's Compensation Insuranse_� Address: 221 RANCISC DR�€g� Car�r��gg - WPORT BEAC , CA 92660 e dril y�o: Phone: 49-514-5226 Phone: t flea, ?3 ��' Expire Issued Date: 11412021 L5 Expire: LIC FA Processed By: Li Ry pAyi a FEES New Construction Race tact utlets Motors/Transformers ( P/K )PJSGResidential Rece atlas/ utlets: 2 $3.500 to 1 HP/KN//KVA: WOCK t7h7�rground Y�1` D $P, Multi -Family: 0 $0.00 Fixtur 0 $0.00 1 to 10 HfVAV/KVA: 0 $O-(bao Sub Panel: b 1-2 Family: 0 $0.00 Sep Ci uits' �s�; 1,0 to'50 HP/KW/KVA: 0 $0.00 Low V age W. W 5,Q tGo\100 HP/KW/KVA: 0 $0.00 Service Signs IOWqr ��k sta MierI100 HP/KW/KVA: 0 Re��cQQrd-�la (. 0-600V up to 20OA: 0 $0.00 Branch irc it: 0 0 fp4�i Check F $0.00 0-600V over 20OA: 0 $0.00 Each Ad Circuit: 0 $0.00 Pigg mp Power: 0 $0 1 n Fee: $0.00 Over 600V or 1000A: 0 $0.00 Time Clo s: 0 $0.00 emp Power Pole: $0. Issuance Fee: $37.00 O/H to U/G 0 $0.00 Addition@ �qSF oke • .00 Supplemental Fee: $0.00 TOTAL Fee : $40.50 an Ch $0.00 Fee Due at Permit Issuance: $40.50 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. ER -BUILDER DECLARA 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 items) 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). 7 1, as owner of the property, or my employees with wages as their sale 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 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 piply 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). J I am exi from licensure under the Contractors' State License Law for the following reason: iy my signature Derbw, I acknowledge that, except for my personal residence in which I have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal e!I, a aructurc :hat I ha er-builder if it has n cons c ed in it irety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Bu iness and rofessions Cnde,.f: able upon Re J1 wen Is site:htt://www.leginfo.ca.govlcalaw.htm]. signature of Property or Authorized Agent Date .ICENSED CQNTROF;DGARATION hereby affirm urtdal penalty of perjury that am Icen 6 mMng with Se o ppqq)� pfDDpyi�I �prl n?-_. 3 of the Busi ss, and Pr fessions Code, and my license is in full force ind effect. f��pNrl C:clU��. icense Class 'iT LlcM�_No an. - _ Date -�� Contractor Signature_ 110i S' COMPE �ISAT N DECLARATION 8U% or 0 100% refund IARDIRIC: FAILURE TO SEOIIIFdE WOR(ERS• COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUT 0, T OF COMPENSATION, 04MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES hereby affirm ui.cer penalty of perjury one of the following declarations: - - _ to whom: I have and,wil' n-ai tain a oertfficate of consent to -self -insure for workers'_ compensation, issued by the Director of Industrial Relations as provide erfcrmance of the war lr for wije his permit is Issued. Policy No. ]I have and will malnfain Wrs compensation insurance as required by SQWl 3700 of the Labar�Code, for the performance of the work for whit I�sura�nce carrier and p, licy n re,; ! - aFu20, Policy Number ter` Expiration Data in the nature of Appliean CLARATION REG ereby affirm untpr ider's Name my signature belol I am the property I have read this a I agree to comply I authorize repres of perjury that there is a ci each of the following: or authorized to�on 0 e is issued, I shall not employ any person in any manner so as to become subject tothe ection 3700 a bo of I shall forthwith comply with those provisions. lending agency for the performanconftlpWpil krLap�tl-fkiys Rgrmit is issued and the information I have provided is to building In DOLLARS ($100,000), IN ADDITION TO Section 3700 of the Labor Code, for is issued. My workers' Srs' compensation laws of California, and S1/ 412( r 'Civil Code). Date ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TI TLE 40 AND AQMD RULE 1403. PERMIT EXPIRED ,�� 5. �ti ❑ I SUBMITTED ASBESTOS NOTIFICATION 'TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERA41TEXTEAIDED ❑ ASBESTOS NOTIFICA WIN IS NOT APPLICABLE TO PROPOSED DEMOLITION, PERMIT FINAL CERTIRCATEOF SIGNATURE:. OCCOPANCYISSDED