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E2018-0735 - Permits
A City of Newport Beach - Building Division 4 100 Civic Center Drive, Newport Beach, CA 92660 1 Permit Counter Phone (949)644-3288 n � '�tr+xa Job Address: 2448 WINDWARD LN Bldg: 1 Floor: Description of Work: ELEC DISCONNECT FOR A/C Inspector Area: 3 Legal Description: N TR 5178 LOT 18 Owner: KRAUS SCOTT RICHARD Address: 2448 WINDWARD NEWPORT BEACH, CA 92660 Phone: Issued Date:11/09/2018 Processed Bv: IIIII111111IIII1111111111111111IIIIlilllllllllll O� Suite: ELECTRICAL METALLIC TUBING (EMT) IS NOT ALLOWED FOR EXTERIOR APPLICATIONS Contractor: NEXGEN A/C INC Address: 700 N VALLEY ST STE K ANAHIEM CA 92801 Phone: 657-208-1987 Con State Lic: 1011173 Lic Expire: 02/29/2020 Bus Lic: BT30055503 Lic Exp Date: 06/30/2019 Electrical Permit: E2018-0735 Project No : Inspection Requests Phone (949)644-3255 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. Code Edit: 2016 Qeeeme -- New Construction Receptacle/Switch/Outlets • Tb o Residential Worker's Compensation Insurance e e `�r o Carrier: NATIONAL LIABILITY INS e e • • ° Temp Underground: 0 oe "" Policy No:A9WC985382 0 $0.00 Expire : 01/29/2019 e•• $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: 1 $26.00 1-2 Family: 0 $0.00 Sep Circuits: 0 .eeeoa 10 to 50 HP/KW/KVA: 00 © n 00 . $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. FEES New Construction Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) 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: 1 $26.00 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 MgmtFee: $0.00 0-600V up to OOA: 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 1 OOOA: 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: $61.00 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 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. OWNER -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) IT(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 the 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 not 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, Business 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 improvements 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 im 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 apply to an ownerAf property who builds or improves thereon, and who contracts for the projects_ with a licensed Contractor pursuant to the Contractors' State License Law). R. L%rh exempt from licensure under the Contractors' State License Law for the following reason: By my signatura:vloW.I acknowledge that, except for my personal residence in which:) must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a structure that I h9ve 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 prOfgyslons Code! is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of ProperiKOwner or Authorized Agent to LICEUSED COWT ACTOR'S DECLARATION I hereby affirm Voer penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wit an Se tion 7 00) of Division 3 of the Busines and rotes ions .e e, d i my lice is in full force Uh0@ffect. Q 4idense Class/�i'1:i License No —� 7 Date 1 Qlit Contractor Sign D 1111 RSC.OMPFFNSATION DECLARATION WARNING: FAILURM-"SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDR HOUSAND DOLLAR , 00), IN ADDITION TO THE ,D1061Pro COMPENSATION,UAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 1bereh4 affirm uhoOftenalty of perjury one of the following declarations: ❑ 1 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 performance of the work for which this permit is issued. Policy No. ive and will mar workers' compensation insurance, as required by Section 3700 %AWe Labor Code, for the performance of the work for which this permit is issued. My workers' compensatior Ice c ri )rr p umber a}e: y,/� 7 I. vXr Cie.. a Policy Number Aq 1J G %,Y4 PA � Expiration Date � � / of Agent T Phone # certify that, in the rman of, or for which this permit is issued, I shall not employ any person in any manner so as to become subject to t Ib workers' compensation laws of California, and agree I, if I should bac 'act t ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisi s. nature of Applican Dat CLARATION REG RDING NSTRUCTION DING AGENCY Ireby affirm under enalty of rjury that the a construction lending agency for the performance of the work for which this permit is issued action 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 to act on the property owns ' behalf. I have read this application and the information I have ided correct. I agree to comply with all applicable city and coo _ y rdin nces �ataaaws relating to building construction. I authorize representatives of this city or countentified property for inspection purposes. ACTION DATE / I t I SY I PERMIT€7CP/R€D I I I P€RMlTCANLECtED P5iM7TEXT€ND€D 1 _ OCCUPANCYISSDED ❑ i S€iBMfTtEDASSESTOS NO77FICATfON TO. ❑ EPA ❑ AOMD ❑ ASBESTOS M07IRCA770NIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGMATURE: