HomeMy WebLinkAboutE2019-0468 - PermitsCity of Newport Beach - Building Division
r<1 100 Civic Center Drive, Newport Beach, CA 92660
`. Permit Counter Phone (949)644-3288
IIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIII II PElectrical Permit: E2019-0468
Project No:
:
Inspection Requests Phone (949)644-3255
Job Address: 112 OCEAN FRONT E Bldg: 1 Floor: Suite:
Description of Work: ELEC REPLACE DISCONNECT FOR A/C UNIT REPLACEMENT (H2O19-0409)
Ilk P
Inspector Area: 1 Code Edit: 2016 , ,, 4
Legal Description: EAST NEWPORT BILK 11 LOT 19
Owner: CLOSE RICHARD & SALLY
Contractor:
Address: 1299 OCEAN AVE #900
Address:
SANTA MONICA, CA 90401
Phone:
Phone:
Con State Lie:
Issued Date:07/1012 19
Lie Expire:
New Construction
Bus Lie:
Processed By:
Lie Exp Date:
EVEN FLOW HEATING & AIR INC
1700 CENTERY AVE
RIVERSIDE CA 92506
954-684-4979
917275
06/30/2020
BT30068042
07/31/2020
Worker's Compensati8l� ITAll ' OFIE�D°I�SPF,CTOR'
Carrier: NORGUARD�A1�I�xiAROVe1I, °
Policy No: EVWC956689 eeD a ossec°
Expire: 06/20/39_44-41�z °
30" WIDE X 36"`DEPTH.
REQUIRMFOR °
D DeeCO
A/C DISCOMVECTS °°-°°
eeoDa°
° D o s o
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.
FEES
°
•O
OG°°BQ
D C
New Construction
Receptacle/Switch/Outlets
Motors/Transformers(HP/KVA)
o°eo
Residential
Receptacles/Outlets:
0
$0.00
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:
1
$7.00
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 20OA:
0
$0.00
Each Add Circuit:
0
$0.00
Piggy Back/Temp Power:
0
$0.00
Investigation Fee:
$0.00
Over 600V or 1000A:
0
$0.00
Time Clocks:
0
$0.00
Temp Power Pole:
0
$0.00
Issuance Fee:
$35.00
O/H to U/G
0
$0.00
Additional Fee:
$0.00
Supplemental Fee:
$0.00
TOTAL
Fee:
$42.00
Plan Check Fee : $0.00
Fee Due at Permit Issuance:
$42.00
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.
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 (a)
Section 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
he 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
professions 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
iot 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
3usiness 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
mprovements 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
m 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
apply 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).
3 1 am exempt from licensure under the Contractors' State License Law for the following reason:
3y 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 legall)
;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
7rofessions Code i available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw. MITI.
31gnature of PreplMy0 Avner or Authorized Agent Date
ACENSED COMWACTOR'S DECLARATION
:Ae1ebJ:iffirm *dgPddhalty of perjury that I am licensed under provisions of Chapter 9 (comT ncingwith Section 7000) of Division 3 of the Busi as and Prof s ions nd my license is in full force
rrV effgct. f
*cen��Class License No /%%/`7 te" % Contractor
S ature
NPR6ERS' C.gr0rMSATION DECLARATION
VARNING!FAILURE TO SECORE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLO ER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE
?OST 69 COMPENSA.T1PfI.0AMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
lh%?dbj, ffirm L11Vgr pdhalty of perjury one of the following declarations:
•'have
• :.
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
• or •ante of the workforwhich this permit is issued. Policy No.
yP. 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' compensatioi
s rants rnepr u_cud� p�o�li�c/g numbed are: /�/ a �^�t
;arrier' I �� Policy Number��`7/�(l Expiration Date �D �3L///
dame of Agent Phone #
:1I certify that, in the perform a of the wo for which this permit is issued, I shall not employ any person in any manner so as to become subjec to the workers' compensation laws of California, and agre
hat, if I Ou d become sub' c o the o 'compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pr isions. !//G/
)ECLArRATION tueI EGAR ING C NSTRUCT LENDING AGENCY 1 D to
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
3y 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 complywith all applicable city and county ordi ces and aws relating to building construction.
1 authorize rep(esentatives of this city or county to ant t ab0 Ified property for inspection purposes.
7ionehlre of Pr edv Owoe or Authorized ADent Print Propertv Owner's Or Authoriz Agent's Name Date
ACTION DATE BY
ui= aw r<vir yr w0nrutrr1R-r xnrn..e ,
FEDERAL REGULATIONS PART 61 OF TITLE40AND
AQMDRULE 1403.
PERMITEXPIR€D
❑ I SUBMITTED ASBESTOS NOTIFICATION TO.
❑ EPA
❑ AQMD
PERAOTCANC€TIED
PERMITEKTENDED
❑ ASBESTOS NGHFICARONIS NOT APPLICABLE TO
PROPOSED DEMOLITION,
PERMiTFINAt
CERTIFICAT€OF
SIGNATURE:
OCCUPANCYISSUED