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Home My WebLink AboutE2021-0811 - Permits,t.v1o� City of Newport Beach - Building Division �.� 100 Civic Center Drive, Newport Beach, CA 92660 Va rf Permit Counter Phone (949)544-3288' Job Address: 532 FULLERTON AVE Bldg: 1 Floor: Description of Work: ELEC/WATER FEATURE & BBQ Inspector Area: 3 Legal Description: FIRST ADD TO NEWPORT HEIGHTS ELK 39 LOT 9 Owner: CONSTANTINER MICHAELILAURA Contractor: Address: 532 FULLERTON AVE Address: NEWPORT BEACH, CA 92663 Phone: Phone: Con State Lic: Issued Date:11/30/2021 Lic Expire: Bus Lic: Processed By: Lic Exp Date: OUTDOOR CONCEPTS 28241 CROWN VALLEY PKWY, F293 LAGUNA NIGUEL CA 92677 949-363-7932 831378 02/2812022 BT30060506 09130/2022 Electrical Permit: E2021-0811 Project No : 2796-2021 Inspection Requests Phone (949)644-3255 Code Edit: 2019 IrF Worker's Compensation Insurance (� Carrier: BENCHMARK INS CO Policy No: CST5021783 Expire : 06118/2022 FEES New Construction Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) 0 $0.00 Residential Receptacles/Outlets: 2 $3.50 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: 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 200A: 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 1 OOOA: 0 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $38.00 $0.00 O/H to U/G 0 $0.00 Additional Fee : $0.00 Supplemental Fee: TOTAL Fee : $41.50 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $41.50 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday- Friday 7:00 ate. to fi:30 p.m. and Saturday from 6:00 a.m. to 6:00 P.M. OWNER -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 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 not more than five hundred dollars ($500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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 improvements 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 improved 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). ❑ I am exempt from Iicensure 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 legally sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I 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 Professio Code, and my license is in full force and effect. License Class License No Dat ' LContractor Signat WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNG E HOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST 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 thi a rmance of the work forwhich this permit is issued. Policy No. have and will main ' rkersco ation insurance, as req .red by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatior tsurance carrier and p licy n bar are t :arrier i Policylpb Expiration Date lame of Agent 3I certify that, in the performance a work for which this rmit is issued, shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree iat, if I should become su ject o the ork s mpensaf pr isions of S ction 3700 of the Labor Code, I shall forthwith comply with those prove. lions. ��'�G signature of Applicant DetL1�` IECLARATION REG G ON RUCTION LENDING AGEN hereby affirm under enalty perj ry that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code), o ender's Name Lender's Address ly my signature below, I certifyt each of the following: I am the property owner o uthorized 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 count ances and state laws relating to building construction. 1 authorize representatives of this city or county enter he above -identified property for inspection purposes. %� 'signature of Property Owner or Authorized Agen w Print Property Owner's or Authorized Aqent's N� CGv (§' ate AC77ON DATE BY DECLARATION OF COMPLIANCE WITH CODE OF i FEDcRAL"REGULATiONti PART 61 OF TITLE 40 AND V AGNIC RILE 1403, ❑ I S109MITI EO PFBE' TOS NOTIFICATION TO: ❑ EPA ❑ AOMD ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO I PROPOSED I)LMOLI IION. Sf(;NPTUKE: FOR OFFICE USE ONLY PEVAITEXPIRED PERMIT CANCELLED PERM)TEXTENDED PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED