The URL can be used to link to this page

Home My WebLink AboutE2020-0319 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive. Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 2000 PORT CARDIFF PL Bldg: 1 Floor: Suite: Description of Work: ELECTRICAL TO BBQ Inspector Area: 4 Legal Description: N TR 6623 LOT 13 Owner: CHANGE DERRICK Contractor: Address: 2000 PORT CARDIFF PL Address: NEWPORT BEACH, CA 92660 Phone: 949-287-1419 Phone: Con State Lic: Issued Date:06/2912020 Lic Expire: Bus Lic: Processed By: Lic Exp Date: New Construction Residential Multi -Family: 1-2 Family: i22iiiiii II INFINITY POOL SERVICE 9121 ATLANTA AVE #638 HUNTINGTON BEACH CA 92646 714-262-9164 891370 02/28/2021 BT30053051 11/30/2020 Receptacle/Switch/Outlets Receptacles/Outlets: 3 $3.00 $0.00 Fixtures: 0 $0.00 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Service Signs 0-600V up to 200A: 0 $0.00 Branch Circuit: 0-600V over 20OA: 0 $0.00 Each Add Circuit: Over 600V or 1000A: 0 $0.00 Time Clocks: O/H to U/G 0 $0.00 Additional Fee Electrical Permit: E2020-0319 Project No : 1166-2020 Inspection Requests Phone (949)644-3255 Code Edit: 2019 Worker's Compensation Insurance Carrier, STATE COMP Policy No: 9159411 Expire : 05/20/2021 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 $0.00 $0.00 Piggy Back[Femp Power: 0 $0.00 $0.00 Temp Power Pole: 0 $0.00 $0.00 Plan Check Fee : INNSP _ Ur Temp Underground: Sub Panel: Record Mgmt Fee: Plan Check Fee: Investigation Fee: Issuance Fee: Supplemental Fee: Fee Due at Permit Issuance 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. $38.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $35.00 $0.00 IWNER-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) 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 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 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). I, 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). I am exempt from licensure under the Contractors' State License Law for the following reason: y 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.html. signature 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 with Se ion 7 00) of Division 3 of the Business a of s C e and my license is in full force nd effect. 1zi Contractor Signal icense Class License No Date PORKERS' COMPENSATION DECLARATION 'ARNING: 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 ($100,000(, 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: 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 ce of the work for which this permit is issued. Policy No. 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' compensa carrier and policy number are: Policy Number is of Agent Date 71 certify that, in the pertor an e o he ork r hich this permit is issued, I shall not employ any person in any manner so as to become subject to the worke compensation laws of California, and agree iat, if I should become�suwbj c o e r rs c pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant /x /— Date1�� IECLARATION REGARDING tGNSMiCTION LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ender's Name Lender's Address ly my signature below, I certify to each of the following: I 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 c rdinanc and st s relating to building construction. I authorize representatives of this city or coun to a ve-id ed property for inspection purposes. ignature of Property Owner or Authorized Agenl,�� Print Property Owner's or Authorized Agent's Name V "� Date ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODEOF FOR OFFICE USE ONLY - 'FE"_RAL RECULATfONS PART 61 OF TITLE40 AND AQP1-RULE 1403 PERMITECPIRED _ I ❑ f iUdMIT1ELA,,13ESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD ❑ ASBESTOS NORFICATIONIS NOTAPPLICABL.E TO PROFOSEL DEWOUT/ON. PERMITCANCELLED PERMIT EXTENDED PERMIT'FINAL ,'i�%•1% _ _ CERT HCAT€ OF SrGNs+T11RF: OCCOPANCYISSUED