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Home My WebLink AboutE2019-0321 - PermitsCity of Newport Beach -Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIUIIIIIIIIIIIIIIIIIIIIIIII Electrical Permit : E2019-0321 100 Civic Center Drive, Newport Beach, CA 92660 a Permit Counter Phone (949)644-3288. Pre BC 1 t No : Inspection Requests Phone (949)644-3255 Job Address: 62 LESSAY Bldg: 1 Floor: Suite: I, Description of Work: ELEC A/C DISCONNECT „ REQUIRED FOR Inspector Area:. 6 A/C DISCONNEUTS Code Edit 2016 Legal Description: 14798 LOT 10 OF PROJECT 936-46 LOCATED ON AP 461-23148 e eeo m¢enoo ¢° b Owner: KATH JOHN JOSEPH Contractor: ALICIA AIR CONDITIONING Worker's Compensation Insurance Address: 62LESSAY Address: 26824 VISTA TERRACE Carrier :SERVICE GROUP • NEWPORT BEACH, CA 92657 LAKE FOREST CA 92630 Policy No; WC047015951 •° ¢ ¢ ° ° Oe ° Phone: Phone: 949-770-2495 Expire ; 07/01/2019 Con State Lic: 525314 Issued Date:05/17/2019 Lic Expire: 02/28/2020 Bus Lic: ST20102054 ooee°¢e o o Processed By: Lic Exp Date: 09/30/2019 0000 FEES uction Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) : 0 $0.00 Receptacles/Outlets: 0 $0.00 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: 0 $0.00 $0.00 F[Residential Fixtures. Sep Circuits: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 10 0 $0.00 Sub Panel 1 $26.000 to 50 HP/KW/KVA: o $0.00 0 $0.00 Low Voltage 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 0 $0.00 20OA: 0 $0.00 Signs Branch Circuit: Over 100 HP/KW/KVA: 0 $0.00 o $0.00 Record Mgmt Fee: $0.00 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Piggy Backrremp Power: 0 Plan Check Fee: $0.00 Investigation Fee: $0.00 $0.00 Over 600V or 100oA: 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 980 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 'NER-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) oticn 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 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 fessions 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 more than five hundred dollars ($500). I, as owner of the property, ormy 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, iness 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 rovements 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 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 ly to an OV%T. bf property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I ajn exemplirom licensure unde11 r the Contractors' State License Law for the following reason: "; ignat4@ oel% 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 legal) a structurs'thaYNhave 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 fe%gions Codel is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Date It2ture of Prgperty Owner or Authorized Agent :84{SED CONSF�CTOR'S DECLARATION Ireby affirmndgrgffnalty of perjury that I am licensed under provisions of Chapter 9 (commencing th Section 7000)pof Division 3 of the Business a d Professions Code, and my license is in full force I pjfect. �•• Date S��/� / Contractor Signature rp�9Class License No ,[i1�RS' COTVIPENSATION DECLARATION � FAILURFdC CBOURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPL ER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO E HUNDRED THOUSAND DOLLARS ($100,00), IN ADDITION TO THE ININ IT OF COMPENSATION, DAMAGES AS PROVIDED FORIN SECTION 37060E THE LA60R CODE, INTEREST, AND ATTORNEY'S FEES. rebyiaffirm u•ride( penalty of perjury one of the following declarations: I have and wilt 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, formance of the work for which this permit is issued. Policy No. /have 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' compensatiol Pence carrier and policy number are: mer Policy Number Expiration Date. Phone # me of Agent 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 t the workers' compensation laws of California, and agre t, if I should become ubject tRAh art ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pati ions. 1 mature of Applicant Dat CLARATION REG RDING CONSTRUCTION LENDING AGENCY =reby 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). 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 owner's behalf. I have read this application and the information I he provided is correct. _ - I agree to comply with all applicable city and count ordinances and state laws relating to building construction. / q I authorize representatives of this city or county t enterttF>eabove-iden_ _identified d property for inspection purposes. A �JCCr✓l �6Rf Dat .i �� f ACTION DATE - BY uca.tsaarwrrv.R �, FEDERAL REGULATIONS PART 61 OF TITLE40AND AQMO RULE 1403. - ❑ i SUBMITTEDASBESTOS NO7IFICATIONTO. ❑ EPA ❑ AQMD ❑ ASBESTOS NOTIRCATIONIS NOT APPLICABLE TO PROPOSED DEMOLITION. EXPIRED CANCELLED EXPENDED FINAL = — CEHUPILAft yrI I II SIGNATURE: OCCUPANCYISSUED