HomeMy WebLinkAboutE2022-0402 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
W h Permit Counter Phone (949)644-3288
"tarnx*'�
Job Address: 2001 PORT RAMSGATE PL
Bldg: 1 Floor:
Description of Work: ELEC -BBQ
Inspector Area: 4
Legal Description: N TR 6624 LOT 98
Owner: HOOK SCOTT/ROBIN
Contractor:
Address: 2001 PORT RAMSGATE PL
Address:
NEWPORT BEACH, CA 92660
Phone:
Phone:
Con State Lic:
Issued Date:07/06/2022
Lic Expire:
Bus Lic:
Processed By: vi�
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
Over 600V or 1000A: 0 $0.00
O/H to U/G 0 $0.00
TOTAL Fee : $41.50
Suite:
LA PAZ LANDSCAPE DEVELOP
10 PORTLAND PL
LAGUNA NIGUEL CA 92677
949-443-4200
937052
0913012022
BT30059605
07/31 /2022
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
Electrical Permit: E2022-0402
Project No : 1540-2022
Inspection Requests Phone (949)644-3255
Code Edit: 2019
Worker's Compensation Insurance
Carrier: STATE COMP. INS
Policy No: 9210309
Expire : 05/11/2023
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 Backlremp Power: 0 $0.00
Temp Power Pole: 0 $0.00
Plan Check Fee :
Temp Underground:
0
$0.00
Sub Panel:
0
$0.00
0
$0.00
0
$0.00
Record Mgmt Fee:
$0.00
Plan Check Fee:
$0.00
Investigation Fee:
$0.00
Issuance Fee:
$38.00
Supplemental 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 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 P.m.
ILDER 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 items)
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
le 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
of more than five hundred dollars ($500).
7 1, 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,
'usiness 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).
7 I am exempt from Iicensure under the Contractors' State License Law for the following reason:
Iy my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year priorto completion of the improvements covered by this permit, I 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.
Iignature 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 *ioof Division 3 of the Businesand Profe si o y license is in full force
nd effect.icense Class License No Date/�✓�Co�ctor Signal
IIORKERS'COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE I5 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYLTIES AND CIVIL FINES UP TO ON UN ED THOUSAND DOLLARS ($100,000), IN ADDmON TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
I hereby affirm under penalty of perjury one of the following declarations:
li ZI I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations a ovided for by Section 3700 of the Labor Code, for IN
rformance 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' compensatio
Is
rance carrier and policy number are:
arrier o y No bar Expiration Date
Name of Agent Phone #
❑I certify that, in the pert mance f the or iC s Pe s issued, I shall not employ any person in any manner so as to become subject to the workers' corn ens ation laws of California, and agre
that, if I should becomes bject to e r ,' sati vi 'ons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant Date
DECLARATION REGA ONSTR TIO �NDIN
I hereby affirm under penal of perjury that th is a construction lending agency for the performance of the work for which this permit is issued (Section 3 97, C" it Code).
Lender's Name Lender's Address
By my signature below ertify to each of the following:
I am the propert ner or authorized to act on the property o " e s be
I have read thi pplication and the informati rovid d cc
I agree to comply with all applicable city d county or a at s relating to building construction. g
1 authorize representatives of this city o county to ab a-i d rc rty for inspection purposes. /�
Signature of Property Owner or Authorized _ _ Print Property Owner's or Authorized Agent's Name �-G at
AC77ON
DATE
Y
71
DECLARATION OF COMPLIANCE WITH CODE OF
FOR OFFICE USE ONLY
7
FEDERAL REGULATIONS PART 61 OF TITLE 40 AND
AQMD RULE .403.
-
PERMfT EXPfRED
❑ I SUBMITTED ASBESTOS NOTIFICATION T0:
❑ EPA
PERMITCANCELLED
❑ ALIMD
PERMIT EXTENDED
El
PPROPOSEDrDEMOD TION.RON IS NOT APPLICABLE TO
PERMIT FINAL
1
_j
CERTlFiCA TE OF
SIGNATURE:
OCCUPANCYISSUED