The URL can be used to link to this page

Home My WebLink AboutE2020-0038 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIII II d 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 2 0 0 0 3 9 H ` Permit Counter Phone (949)644-3288 A-s C b Job Address: 2712 VISTA UMBROSA Bldg:1 Floor: Suite: Description of Work: ELEC/(3) EXTERIOR OUTLETS (LANDSCAPE/BBQ) Inspector Area: Legal Description: N TR 6905 LOT 55 Owner: HALL JAMES Contractor: Address: 2712 VISTA UMBROSA Address: NEWPORT BEACH, CA 92660 Phone: Phone: Can State Lic: Issued Date:01/21/2020 Lic Expire: Bus Lic: Processed By: Lic Exp Date: OCEANSCAPE DESIGN INC 17ALONDRA RANCHO SNTA MARG CA 92688 949-713-9022 749315 09/30/2021 BT30048809 10/31/2020 New Construction Receptacle/Switch/Outlets Residential Receptacles/Outlets: 3 $3.00 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1-2 Family: 0 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Service Signs 0-600V up to 20OA: 0 $0.00 Branch Circuit: 0 $0.00 0-600V over 20DA: 0 $0.00 Each Add Circuit: 0 $0.00 Over600V or100oA: 0 $0.00 Time Clocks: 0 $0.00 O/H to U/G 0 $0.00 Additional Fee: $0.00 Electrical Permit: E2020-0038 Project No : Inspection Requests Phha (949)644-3255 i a.rA Code Edit: 2019 Worker's Compensation Insurance Carrier: SECURITY NATL INS CO Policy No: SWC1232553 Expire: 04/01/2020 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 Fee : $0.00 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: $35.00 Supplemental Fee: $0.00 Fee Due at 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. 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 itemt'sp , >ection 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 m 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 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) 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 n 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 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: 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 legal) 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:hftp://v w .leginfo.ca.gov/calaw.html. signature of Prope.11 CNner or Authorized Agent Date .KEN32D CONTRACTOR'S DECLARATION hereby affirm under peralty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sect' n 7 00) of Division 3 of the Business and Profe sio , an m cen is in full force ra effect / i�ensa Class _ _ License No DatP� 2/ Contractor Signature VORKEERS' 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 CeT 2' OMPENSf T'CN PPMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. henry affirm under penalty of perjury one of the following declarations: �a l ave.. 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 the EVm4I.ce of the werk''or which this permit is issued. Policy No. �(ave and will melrtain 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 I& a.e carrier and oo;icy number are: ier oli Number Expiration Date le of Agent Phone # certify that, in the p OrmanVk wh this permit is issued, I shall not employ any person in any manner so as to become subject to the workers'�EompVnsation laws of California, and agreE if should become 'ect ensatio ovisions coon 3700 of the Labor Code, I shall forthwith comply with those provisions / lature of Applicant Date rreby affirm under penaM"orperjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ider's Name Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized t the property owner's beelf have read this application and the inf rmation I Vg cy reI agree to comply with all applicable ci andcol tLid stao building construction.I authorize representatives of this city or u -id r inspection purposes.l/(/ nature of Property Owner or Authoriz g t Print Property Owner's or Authorized Agent's Nam ACTION DATE BY DECLARATION OF COMPLIANCE IMTN CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OFTITLE40AND AQMD RULE 1403. PERMIT EXPIRED ❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMIT EXTENDED ❑ ASBESTOS N071FICATIONIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: PERMITFINAL 071Z6 Z I 6: •IU CERTIFICATE OF v�7• OCCUPANCYISSUED