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HomeMy WebLinkAboutE2018-0739 - PermitsCity of Newport Beach - Building DivisionIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Electrical Permit: E2018-0739 + - 100 Civic Center Drive, hawport Beach, CA 92660 Permit Counter Phone (949)644-3288 Project No: s? Inspection Requests Phone (949)644-3255 Job Address: 14 WINDSOR Bldg: I Floor: Suite: Description of Work: ELEC REPLACE DISCONNECT FOR A/C REPLACE (H2O18-0720)sm Inspector Area: 4 ppyyy Legal Description: N TR 10151 LOT 7� Code Edit: 2016 rt Owner: MAHDAVI KHOSROW Address: 14 WINDSOR Contractor: ALISO AIR INC NEWPORT BEACH CA 92660 Address: 29736 AVE DE LAS B ANDERAS Worker's Compensation Insurance Carrier: Phone: Phone: RSM.CA O LIBERTY MUTUAL 92688 RSM A 921 ELECTRICAL METALW �TrOJ¢3IMIZ61036218098 Issued Date:11/13/2018 Con State Lie: 526420 /2019 30" WIDE " DEF; (EMT) IS NOTALLOWEDFOR X 36 Lie Expire: 03/31/2020 r , Processed 8 Bus Lie: Lie Exp Date: 6 /28EXTERIOR APPLICATIONS REQUIf3ED.FOR 02/28120199 /20 NC DISCONNEC�v New Construction Residential V O O FEE.Receptacle/Switch/Outiets"• ff ° _ ° Motors/Transformers (HP/KVA) ° • Multi -Family: 0 $0.00 Receptacles/Outlets: Fixtures: 0 $0.00 Oto 1 HP/KW/KVA: 0 $0.00 Temp Underground: 0 $0:00 1-2 Family: 0 $0.00 Sep Circuits: 1 to 10 HP/KW/KVA: 0 %,%i; $0 0°° 0 $0.00 Sub Panel: 1 $26.` v ° $0.00 10 to 50 HP/KW/KVA: Service Low Voltage Signs 0 $0.00 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 ° °0 $@�tl° ° °°°,°� 0-600V up to 20OA: 0 $0.00 0-6000 over 200A: r Branch Circuit: $6.00 0 Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: , $S VT $0.00 0 $0.00 Over 6000 1OA: 0 $0.00 Each Add Circuit: Time Clocks: 0 Plan Check Fee: • • ° ° $0.00 Piggy Back/Temp Power: 0 $0.00 Investigation Fee: $0.'00 0 O/H to U/G 0 $0.00 Additional Fee: $0.00 Temp Power Pole: 0 g $0.00 $0.00 Issuance Fee: $35.00 $0.00 TOTAL Fee : $61:00 Supplemental Fee: $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $61.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Friday 7:00 a.m. to 6:30 and Saturday p.m. from 8:00 a.m. to 6:00 p.m. O p applicable item(s) NNER-BUILDER DECLARATION applicant for 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 laced next to trequires he action 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, priori its issuanc1 ofe, also Division 3t to a Businesspenalof 3 e permit to file a sig that haned tement that heer she is exempor she is t from licensure and the basis forprovisions of the exemption. Any violation e Contractors' Liof Section 7031.5a Law censtby any ppler 9 (commencing canit fora permit subjects the applicant 3 of the Business and ,t more than five hundred dollars ($500). ortions of the work, and the structure is not intended or offered for sale (Section 7044, the I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of rt L) p isiness 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 Iprovements 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 (proved 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 iply 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 from licensure under the Contractors' State LiIly cense Law for the following reason: applicable law, Section 7044 of the Business and 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 lega by icensed n its rlofes structure that is availbuilt as able uponnrequest wuilder ifhen this application has not is submitted orlat the folllowing (Webs to http://www.legin otors. I e at gov/calaw.html and that a copy of the app ignature of Property Owner or Authorized Agent rofessions Code, and my license is in full force .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (cornmencing wlSh Se 0 7000 of Division 3 of the B and effect �( a�t l/ Cc lracto Ignature Icense Class � License No NORKERS COMPENSATION DECLARATION gyAp'' E HUNDRED THOUSAND DOLLARS 1$100,000), IN ADDITION TO THE VARNING: FAILURi 7si4 RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES PND CIVIL FINES U :OST OF COMPENSATION, WAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ,'Wela;affirm,uruder penalty' of perjuiy one of the following declarations: .... p issued b the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th Have and will maintain a certificate of consent to self -insure for workers' compensation, Y rmence of thawork for which this permit is issued. Policy No. y�veand WiQ malrAain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I We carrier and policy number are: Expiration Date _ _ . Policy Number _Phone # to the workers' compensation laws of California, and agree Bions. &?- l� f My workers' of the work for whi o employ any person in any manner so as to ��the pe rf moensation provisions of Section 3700 of the Labor Code, I shall forthwith comply natufe or P* v im. ION LENDING AGENCY ISEARATI Ireby affirm under p a y of perjury that there is a construction lending agency for Lender's Address of the work for which this permit Is Ider's Name my signature below, I certify to each of the following: s e alf I am the property owner or authorized tc f-errth prow I have read this application and th I ave prov' rract. I agree to comply with all applicable c' rdinances and state laws relating to building construction. I authorize representatives of thi I Dunt to enter the above -identified property for inspection nt Property Owner's or Authorized fjI(jer OCCUPANCYrSSUED (Section 3097, Civil Code). iA It BY FEDERALREGULATIONS FART67OFTfRE40AIVO ACTION AQNDRULE 1403. ❑ I SDBNNTTEDASSESTOS NOTIFICATION TO: EXPIRED EPA CANCELLED ❑ AQMD IS NOT APPLIC48L.E TO €XT€NDED ©OPSBESTos OSED DEMOUTION,RON FINAL I "ATEOF SIGNATURE: OCCUPANCYrSSUED (Section 3097, Civil Code). iA It