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Home My WebLink AboutE2019-0549 - Permits0City of Newport Beach Building Division llIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 1� Electrical Permit: E2019-0549 c54` °�4 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 1 9 0 5 4 9 Project No '�, Permit Counter Phone (949)644-3288 N�� Inspection Requests Phone (949)644-3255 cxrn� Job Address: 44 BELCOURT DR Bldg: 1 Floor: Suite: Description of Work: ELEC/CHANGE OUT (E) A/C UNIT 55dB* (CARRIER: 24VNAO-60) Inspector Area: 8 Legal Description: TR 11451 LOT 1 UNIT 36 OF PROJECT LOCATED ON AP 442-371-05 TOGETHER Owner: CONNELL SUSAN Contractor: ALICIA AIR CONDITIONING Address: 44 BELCOURT DR Address: 26824 VISTA TERRACE NEWPORT BEACH, CA 92660 M LAKE FOREST CA 92630 Phone: Phone: 949-770-2495 Policy No: 080373684 Con State Lic: 525314 Issued Date:08/0712019 Lic Expire: 0212912020 Bus Lic: BT20102054 Processed By:- Receptacles/Outlets: Lic Exp Date: 09/30/2019 Expire : 07/01/2020 Code Edit: 2016 z FEES M Worker's Compensation Insurance Carrier: AMERICAN HOME Policy No: 080373684 Expire : 07/01/2020 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. e c Y o c c� UG G� ec U • 'V GBG U U OGG O p G LUU GG a Y O 6 E GG p p •1• Y Y O G O Y iY YO C O 000 GU 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 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: $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. e c Y o c c� UG G� ec U • 'V GBG U U OGG O p G LUU GG a Y O 6 E GG p p •1• Y Y O G O Y iY YO C O 000 GU 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 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 (_) 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). 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). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: - By 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, 1 cannot legall, sell 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 Professions 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 Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I 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 C de an license's in full force and effect. / License Class License No � s3 11 y Da �^� ^( Contractor Signatur WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED OUSAND DOLLARS ($100,000), IN A DITION TO THE COST 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: I have and will maintain a certificate of consent to self -insure for workers' compensation, issued prmance of the work for which this permit is issued. Policy No. have and will %q tain workers' compensation insurance, as rance Carrier an blicy number aver^ 117"1 is of Agent —"-- V' ' 11 certify that, in the performance of the work for which , if I should become subject tp-the workers' compenE ignature of ApplicaaIAC /V IECLARATION REGAR 1NG CONSTRUCTION LENDINqAISI hereby affirm under penalty of perjury that there is a ccmctic ender's Name y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property I have read this application and the information I have provis I agree to comply with all applicable city and county ordinam I authorize representatives of this city or countyvto Aer the by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for squired by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatiol etc Expiration Date fT Phone # is issued, I s of empl any person in any manner so as to become subject to the workers' compensation laws of California, and agre iogstplj/3ectio 0 of , Labor Code, I shall forthwith comply with those provis ns. �q '{//� Date uU �- lending agency for the per16�xfance of the work for which. this permit is issued (Section 3097, Civil Code). ier's behalf. is correct. to building construction. )r inspection purposes. so ACT70N DATE DEC T1 OF CO PLIANCE MTN CODE OF FOR OFFICE USE ONLY FEDE t REGULATIONS PART HT OFT17LE40ANDD AQMORULE?4Q31 ; CI Z SUEFk1iT&ASBESTOS NOTIFICATION TO: •• Oy7 : : PERMITEXPIRED • PERMIT CANCELLED • • • • • • AQMD • PERMtTEXTEtVDED • • D ASBESTOS NOT7RCA77ON1S MOT APPLICABLE TO PROPOSEDDEMOLITION PERMIT FINAL CERTIFICATEOF a e OCCUPANCYISSUED � � • • SIf?tATLl: • •