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HomeMy WebLinkAboutE2018-0310 - PermitsCity of Newport Beach - Building Division *E2018-0310* Electrical Permit: E2018-0310 o 100 Civic Center Drive, Newport Beech, CA 92660 Project No Permit Counter Phone (949)644-3288 '"w rrrv.T�4' Inspection Requests Phone (949)644-3255 Job Address: 517 VIA LIDO SOLID Bldg: 1 Floor: Suite: Description of Work: ELEC REPLACE DISCONNECT (1-118-0273) New Construction Residential Multi -Family: 0 $0.00 v 7^ L q 0 $0.00 Service I Inspector Area: 1 0-600V up to 20OA: 0 Code Edit: 2016 0-600V over20OA: 0 $0.00 Over 600V or1000A: Legal Description: N TR 907 LOT 450 $0.00 O/H to U/G 0 Owner: FASH VICTORIA Contractor: ALICIA AIR CONDITIONING Worker's Compensation Insurance Address: 517 VIA LIDO SOLID Address: 26824 VISTA TERRACE Carrier: SERVICE GRO`J NEWPORT BEACH, CA 92663 $0.00 LAKE FOREST CA 92630 Policy No: WC03412%@MVIDE X 36" DEPTH Phone: Phone: 949-770-2495 Expire: 07/01/2018 Con State Lie: 525314 REQUIREWQfl Issued Date:05/ /2018 Lie Expire: 02/28/2020 .... us Lie: 4 A/C DISCO hI�I TS m • ° ° ° f Processed By: Laic Exp Date: 09130/201 8 ° • ° New Construction Residential Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Service 0 $0.00 0-600V up to 20OA: 0 $0.00 0-600V over20OA: 0 $0.00 Over 600V or1000A: 0 $0.00 O/H to U/G 0 $0.00 Receptacle/Switch/Outlets Receptacles/Outlets: 0 $0.00 Fixtures: 0 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Signs 0 $0.00 Branch Circuit: 0 $0.00 Each Add Circuit: 0 $0.00 Time Clocks: 0 $0.00 Additional Fee: $0.00 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: 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. Temp Underground: °0 so.&° Sub Panel: °°S° $2536.° 0 $0°.00 Record Mgmt Fee: ° ° $O.W ' Plan Check Fee: $0.00 Investigation Fee: $0.00 Issuance Fee: $33.00 Supplemental Fee: $0.00 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, pO.or 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 (_) 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 n roved for the purpose of sale). 1, 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,htmi. ignature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (comm ing with Section 7000) of Division 3 of th .Business and a 'o Code, an y license is in fu e nd effect. t 1 + icense Class License No Da Contr to Signature IIORKERW�40WPENSATION DECLARATION 'ARNLNG: FAILURE TQ SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES ANOy L FINES UP TO ON UNDRED THOUSAND DOLLARS (6100,000(, IN ADDITION TO THE O&rOF COMP TJ,�•Alal, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm un?Jgr penalty of perjury one of the following declarations: �•• 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 thf rk for which this permit is issued. Policy No. nd jill 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' compensatior §nce carueraltlpolicy number are: Policy Number Date Nares of Agent rnune n • •• •• I ceRify tha% In tie perform ce of thew hich 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 afire Matrif should Become subjec o s' co ensa ' n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. yy, S g alu Y oPf�ic2 ft 95te l— O DECLARATION REGARDING ST TION LENDING AGE I hereby affirm under penalty perjury that there is a constructs ending agency for the performance of the work for which this permit is issued �(t'nection 3097, Civil Code). Lender's Name Lender's Address By 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 ve provided is correct. I agree to comply with all. applicable city and cou rdina c s and state laws relating to building construction. I authorize represen�a�esof this city or county t n e ve-i ntified property for inspection purposes. Signature of Property caner or Authorized Agent Print. Propert Owner's or Aut ' ed Agent's Name � at AC170M DATE BY P€RMITEXPIRED PERMfTCANCELLED PERMIT EKTENDED PERMIT –k 3 CERTIFICATEOF OCCUPANCYISSUED I SUBMITTEDASBESTOS NOIIFICATIONTO. ❑ EPA ❑ AQMD ❑ ASBESTOS N077FICARONIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE FOR OFFICE