HomeMy WebLinkAboutE2018-0514 - PermitsCity of Newport Beach - Building Division 'E2018-0514'
'xta r 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
ate:
Job Address: 2306 WINDWARD LN Bldg: 1 Floor: Suite:
Description of Work: ELEC A/C DISCONNECT & OUTLET FOR FURNACE
Inspector Area:
Legal Description: N TR 7693 LOT 2
Owner: KROLOPP JEFFREY J
Contractor:
WE CARE
Address: 2306 WINDWARD LN
Address:
41085 GOLDEN GATE CIR
NEWPORT BEACH, CA 92660
MURRIETA CA 92562
Phone:
Phone:
951-600-0700
Con State Lic:
779604
Issued Date:08/03/2018
Lic Expire:
0613012020
Bus Lic:
BT30038344
Processed By: ��
Lic Exp Date:
02/28/2019
New Construction
Residential
Multi -Family:
1-2 Family:
Service
0-600V up to 20OA: 0
0-600V over 20OA: 0
Over 600V or 1000A: 0
O/H to U/G 0
Receptacle/Switch/Outlets
Receptacles/Outlets:
1
$0.00
Fixtures:
0
$0.00
Sep Circuits:
0
Low Voltage
0
Signs
$0.00
Branch Circuit:
0
$0.00
Each Add Circuit:
0
$0.00
Time Clocks:
0
$0.00
Additional Fee :
Electrical Permit: E2018-0514
Project No :
Inspection Requests Phone (949)644-3255
Code Edit: 2016
Insurance
Y 'a
Worker's Compensation
Carrier: CYPRESS
'
Policy No: WCWC703179
"' _�', •'
Expire:01/0112019
FEES
Motors/Transformers (HP/KVA)
$1.00
0 to 1 HP/KW/KVA:
0
$0.00
$0.00
1 to 10 HP/KW/KVA:
0
$0.00
$0.00
10 to 50 HP/KW/KVA:
0
$0.00
$0.00
50 to 100 HP/KW/KVA:
0
$0.00
Over 100 HP/KW/KVA:
0
$0.00
$0.00
$0.00
Piggy Back/Temp Power:
0
$0.00
$0.00
Temp Power Pole:
0
$0.00
$0.00
Plan Check Fee : $0.00
Temp Underground:
0
$0.00
Sub Panel:
1
$25.00
0
$0.00
0
$0.00
Record Mgmt Fee:
$0.00
Plan Check Fee:
$0.00
Investigation Fee:
$0.00
Issuance Fee:
$33.00
Supplemental Fee:
$0.00
e at Permit Issuance :
$59.00
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.
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).
❑ I, 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
im 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
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).
❑ 1 am exempt.hom licensum under the Contractors' State License Law for the following reason:
By my signatur6 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 St. ucture 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
,�rofessons Cade, is mailable upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.htmi.
Signature of Properly Owner or Authorized Agent Date
._ICF.NSED CONTRACTOR'S DECLARATION
I hereby affirm u•,Idar penalty of perjury that I am licensed under provisions of Chapter 9 (commencing w" Sec n 7 O) of Division 3 of the Business a Pro ode, and my license is in full force
and effsct. jQmp
License Class License No Date Lei Contractor Signatur
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE T7 SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPL YER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE
COS, OF COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
i hereby affirmv.Wcr penalty of perjury one of the following declarations:
t7 I N ve and 'vile maintain a certifcate 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
rform ce o4 the work for which this permit is issued. Policy No.
e 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
insure a carrier and policy number are:
crier Policy Number Expiration Date
me of Agent Phone #
certify that, in the pe ormance of or hich thi s a note erson In any manner so as to become subject to a workers compensation laws of California, and agre,
t, if I should becom ubjec e e nsation provjsionsn 3700 of the Labor Code, I shall forthwith comply with those provi . ns
nature of Applica Dat (/—� /
CLARATION RE ARDING CqUSTRUMTeWLENDING AGENCY
areby affirm and r pe perjury that there is a construction lending agency for the performance of the work for which this permit is issue (Section 3097, Civil Code).
rder'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 property owner's b
I have read this application and the information I h provi act.
I agree to comply with all applicable city and cou er es and s r o building construction.
I authorize representatives of this city or coun ve-idntproperty for inspection purposes.
ACDON
DATE /
BY
DECLARATION OF COMPLIANCE iMTN CODE OF
FOR OFFICE USED
FEDERAL REGULATIONS PART 61 OF TITLE40AND
AQMD RULE 1403.
PERMIT EXPIRED
❑ I SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AOMD
PERMIT CANCELLED
PERMIT EXTENDED
❑ ASBESTOS NOTIRCATIONIS NOTAPPLICABLETO
PROPOSED DEMOLITION.
PERMIT FINAL
I
C
CERTIFtCATEOF
�C_
,L'y�
SIGNATURE:
OCCUPANCYISSUED