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Home My WebLink AboutE2019-0239 - Permits�,�wtv�pr City of Newport Beach - Building Division 04 4 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 v � $ °'�t�rnticri'e Job Address: 8 COLONIAL DR Bldg: 1 Floor: Suite: Description of Work: ELEC TO BBQ (S2018-0205) Inspector Area: Legal Description: N TR 15389 LOT 42 Owner: SMITH CHRISTOPHER Contractor: Address: 8 COLONIAL DR Address: NEWPORT BEACH, CA 92660 Phone: 760-802-5696 Phone: Con State Lic: Issued Date:04/24/2019 Lic Expire: Bus Lic: Processed By: �t`.�i"�r� / Lic Exp Date: PHOENIX POOLS AND SPAS INC 32084 TALL OAK CT TEMECULA CA 569593 01/31/2021 BT30065582 01/30/2020 New Construction Receptacle/Switch/Outlets Residential Receptacles/Outlets: 0 $0.00 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1-2 Family: 0 $0.00 Sep Circuits: 1 $7.00 Low Voltage 0 $0.00 Service Signs 0-600V up to 20OA: 0 $0.00 Branch Circuit: 0 $0.00 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Over 600V or 1000A: 0 $0.00 Time Clocks: 0 $0.00 O/H to U/G 0 $0.00 Additional Fee : $0.00 Electrical Permit: E2019-0239 Project No : 0031-2019 Inspection Requests Phone (949)644-3255 yf f� IN ,e , '��. 6� e� �,9 yam, Code Edit: 2016 l 1 ' Worker's Compensation Insurance Carrier: INS OF THE WEST Policy No: WSD5043202 Expire : 0911512019 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 Back/Temp Power: 0 $0.00 Temp Power Pole: 0 $0.00 Plan Check Fee : Temp Underground: 0 $0.60 Sub Panel: U $0.00 n $O:Go ' 0 $0:GG' Record Mgmt Fee: $O:GG Plan Check Fee: $0AA Investigation Fee: "" $0.00 Issuance Fee: $35.U6' Supplemental Fee: $0.6G e at Permit Issuance: $42.00 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. )WNER-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 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). 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) 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 p ly 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 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 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.htmll signature of Property Owner or Authorized Agent I Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencin with Section 7000) of Division 3 of the siness anQ�P,�fessi ns d and my license is in full force is effect. i 1„21 _ I f^ / /�� icense Class License No DEL T T "I Contracto gnatur llllLLff..k'�IkN 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 (S100,000), IN ADDITION TO THE DST 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 wily 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 elormance of tt.c %jerk for which this permit is issued. Policy No. and vMi 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' carrier Bou pulicy number are: I?f is of Agent,i_ cr;ify that, in the p ". 3bould_become Policy Number Expiration Date ice of the work for which this permit is issued, I shall not employ any person in any manner so as to becc tTh or ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with GLARATION REGARDING CONSTRUCTION LENDING AGENCY arebyaffirm uoJ:a penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued i�rr's Name Lender's Address m� signature below,I Certify to each of the following: 1 am the property owner or authorized 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 County oNI-the. inances dfstate laws relating to building construction. I authorize representatives of this city or county to �INr the . A icjeptified property for inspection purposes. to the workers' compensation laws of California, and (/ 3097, Civil Code). ACTION DATE BY DECLARATION OF COMPLIANCEWITH CODEOF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OFTITLE 40 AND AQMD RULE 1403. PERMIT EXPIRED - ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERM IT CANCELLED PERMIT EXTENDED PROPOSED DEMOLITION. ASBESTOS T)ONIS NOT APPLICABLE TO PERMITFINAL CERTIFICATEOF SIGNATURE: OCCUPANCYISSUED