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Home My WebLink AboutE2022-0304 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II Electrical Permit: E2022-0304 qt 100 Civic Center Drive, Newport Beach, CA 92660 N 2 0 2 2 0 3 0 4 6 Project No w _ � Permit Counter Phone (949)644-3288 fidiaae,u.+''a - Inspection Requests Phone (949)644-3255 Job Address: 446 MORNING CANYON RD Description of Work: ELEC A/C DISCONNECT, Bldg: 1 Floor: Suite: �^a ' A C WICT X 36DEPTH �.� REQUIRED FAA ° ° Inspector Area: 5 • .°, Code Edit: 2019 A/C DISCQNNECfs •° ° °° ° Legal Description: • , °°°° o Owner: BRIGHTON NICK Contractor: OASIS AIR CONDITIONING Worker's Compensation Insurance •°°•a® •°•° Address: 446 MORNING CANYON Address: P O BOX 937 Carrier: INSURANCE CO OF THE WEST NEWPORT BEACH, CA 92660 SAN JUAN CAP CA 92693 Policy No: WSD5045393 ...... Phone: Phone: 949-420-1321 Expire : 12/31/2022 `° ° °°°°•• Con State Lic: 767272 Issued Date:0511112022 Lic Expire: 08131/2023 •• °®•°.° ��%��/7 Bus Lic: BT30072724 °°.• ®°°°.° Processed By: L.�'H,�`-- _ _Lic Exp Date: 07/31/2022 FEES New Construction Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) Residential Receptacles/Outlets: 1 $1.75 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: 0 $0.00 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: 0 $0.00 1-2 Family: 0 $0.00 Sep Circuits: 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 0 $0.00 Low Voltage 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 0 $0.00 Service Signs Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: $0.00 0-600V up to 20OA: 0 $0.00 Branch Circuit: 0 $0.00 Plan Check Fee: $0.00 0-600V over 200A: 0 $0.00 Each Add Circuit: 0 $0.00 Piggy Backrfemp Power: 0 $0.00 Investigation Fee: $0.00 Over 600V or 1 OOOA: 0 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $38.00 O/H to U/G 0 $0.00 Additional Fee : $0.00 Supplemental Fee: $0.00 TOTAL Fee: $39.75 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $39.75 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 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, priorto its issuance, also requires the applicant for ie 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 L) all of or U 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 arg pot 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 fort p upose of sale). I„ as owner of tae 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 osnero of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). yam exempt from licensure under the Contractors' State License Law for the following reason: Ily m�•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 legalll elPa structure+¢ p},I,tiiave 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 Irpfe5%ions Code, is'dvailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. signature of Property Owner or Authorized Agent Date AGE SED CdA CTOR'S DECLARATION yara4y affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing w" h Section 7000) of Division 3 of the Business an �esswns Code, and my license is in full force -icense'Flass • • License No Date 5 Contractor Signature YP.%KERS' CgMPfN,,SATION DECLARATION U$aIUG *FAILURPrO ACL%RE 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 :0§T OF COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: I have 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 th performance 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' carrier and policy number are: Policy Number Date me of Agent rIIWM. I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre t, if I should becom rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisiioonss/- (nature of Applicant cat a workers' rape Date '^ 5' - t I - Z Z ICLARATION REG RDI NSTRUCTION LENDING AGENCY ereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Secti n 3097, Civil Code). Tder's Name Lenders Address my 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 1 have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or count tvYvy a above-i entifiedpropertyfor ins ection ur oses. �/) _ �q mature of Prooertv Owner or Authorized Agent ' /=�c" Print Property Owners or Authorized Agent's Naj R ✓t y b J'c(-&Lwzg- AC77OV I DATE I BY PERMIT CANCELLEL PERMITEXTENDED 61 OF T17LE40 AND ❑ ISUBUTTEDASBESTOS M077FICATION TO: ❑ EPA ❑ AQMO ❑ ASBESTOS NORFICARON IS NOT APPLICABLE TO PROPOSEDDEMOLITION. OCCUPANCYtSSUED �I II SIGNATURE: