HomeMy WebLinkAboutE2019-0871 - Permitswl� City of Newport Beach Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
II�IIIIII IIIIIIIIIII VIII IIIIIIIIIIIII II II Proisject l 2392-20Pert: E2019-0871
Job Address: 4 GLENEAGLES DR Bldg: 1 Floor: Suite:
Description of Work: ELEC/INSTALL NEW AIC UNIT 40.5dB (AC PRO; AWH09QB-D2DNB5K/O
Inspector Area:
Legal Description: N TR 15388 LOT 36
Owner: ZHANG LI JUN
Contractor:
Address: 4 GLENEAGLES DR
Address:
NEWPORT BEACH, CA 92660
Phone:
Phone:
Con State Lic:
Issued Date:12/23/2019
Lic Expire:
�{
Bus Lic:
Processed By:®
Lic Exp Date:
New Construction
Residential
Multi -Family:
1-2 Family:
Service
0-600V up to 20OA: 0
0-600V over20OA: 0
Over 600V or1000A: 0
O/H to U/G 0
TRUADDITIONS CORP
630 S GLASSELL ST SUITE #201
ORANGE, CA 92866
714-289-4652
1059227
10/31/2021
BT30060454
09/30/2020
Inspection Requests Phone (949)644-3255
Oil
z
FEES
Code Edit: 2016
74�
ril
Worker's Compensation Insurance
Carrier: EXEMPT
_sB
Policy No:
Expire
Receptacles/Outlets:
Oil
Fee : $62.00
Plan Check Fee :
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.
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FEES
Receptacle/Switch/Outlets
Motors/Transformers (HP/KVA)
Receptacles/Outlets:
0
$0.00
0 to 1 HP/KW/KVA:
0
$0.00
Temp Underground:
0
$0.00
$0.00
Fixtures:
0
$0.00
1 to 10 HP/KW/KVA:
0
$0.00
Sub Panel:
1
$27.00
$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
Signs
Over 100 HP/KW/KVA:
0
$0.00
Record Mgmt Fee:
$0.00
$0.00
Branch Circuit:
0
$0.00
Plan Check Fee:
$0.00
$0.00
Each Add Circuit:
0
$0.00
Piggy Back/Temp Power:
0
$0.00
Investigation Fee:
$0.00
$0.00
Time Clocks:
0
$0.00
Temp Power Pole:
0
$0.00
Issuance Fee:
$35.00
$0.00
Additional Fee :
$0.00
Supplemental Fee:
$0.00
Fee : $62.00
Plan Check Fee :
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.
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)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, prior to its issuance, also requires the applicant for
Te 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
iot more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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
Tproved 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
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).
7 1 am exempt from licensure under the Contractors' State License Law for the following reason:
ly my signature below I acknowledge that, except for my personalresidence 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.htm].
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profession ode, and my license is in full force
nd effect. /
icense Class License No Date ��Zs i'piQ contractor SignatureY
VORKERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
7 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 IN
Orformance of the work for which this permit is issued. Policy No.
I 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'
urance carrier and are:
Policy Number
of Agent
Date
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 to the workers' compensation laws of California, and agre
I, if I should become subject to the rs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. - /
nature of Applicant '`y✓ DaIt 1Z -7 0X7
CLARATION REGAR ING CONSTRUCTION LENDING AGENCY ''N
Ireby 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
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 have provided is correct.
1 agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or courr(y tova» ter th ove-identified property for inspection purposes. -
Owner or Authorized
Civil Code).
ACTION DATE BY
DECLARATION OF COMPLIANCEWITH CODEOF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART fitflF TfTLE40AND
�A446 ROI-€'1QQJ • .
PERMfTEXPIRED
,❑VSI1VM1JTEgASBESTOSN017F1CATI0NTOr
• •❑ EPAAD••• ••• �
PERMITCANCELLED
PERMITEXTENDED
❑ ASBESTOS MODIFICATION IS NOT APPLICABLE TO
PRQ$ QSEQ DEM•OIITION. • � �
PERMIT FINAL
CERTIFICATEOF
!SIVNAJVRt.:
OCCOAANCYISSOED
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