HomeMy WebLinkAboutE2020-0109 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
job Address: 325 CORAL AVE Bldg: 1 Floor:
Description of Work: ELEC/DISCONNECT TO A/C
H2O19-0137
Inspector Area: 2
Legal Description: BALBOA ISLAND SEC 3 BLK 15 LOT 23
Owner: MORRIS STEVEN W Contractor:
Address: 3 L AVE Address:
/NEWPORT BEACH, CA 92662
Phone:
Issued
Processed
New Construction
Residential
Multi -Family:
0
$0.00
1-2 Family:
0
$0.00
Service
0
$0.00
0-600V up to 20OA:
0
$0.00
0-600V over20OA:
0
$0.00
Over 600V or 1 OOOA:
0
$0.00
0/H to U/G
0
$0.00
TOTAL Fee:
Phone:
Con State Lic:
Lic Expire:
Bus LIC:
Lic Exp Date:
JJ11111111111111111111111111111111111111111111111111 JillElectrical Permit: E2020-0109
Project No :
SKY HEATING AND COOLING
769 N GLASSELL ST
ORANGE CA 92867
714-883-0623
1045281
12/31/2021
BT30065983
02/28/2021
Receptacle/Switch/Outlets
Receptacles/Outlets: 0 $0.00
Fixtures:
0
$0.00
Sep Circuits:
1
$7.00
Low Voltage
0
$0.00
Signs
$0.00
10 to 50 HP/KW/KVA:
Branch Circuit:
0
$0.00
Each Add Circuit:
0
$0.00
Time Clocks:
0
$0.00
Additional Fee :
$0.00
Inspection Requests Phone(949)644-3255
INSPECTOR
Code Edit: 2019
....
Worker's Compensation Insurance °
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Carrier: NORGUARD INSURANCE ®° • :°.•°
Policy No: SKWC149863
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Expire: 02/01/2021
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REVIEW ANDAPFKOVA_ , ... ,
FEES
pRCi
0009
O
Motors/Transformers (HP/KVA)
O O
0 to 1 HP/KW/KVA:
0
$0.00
1 to 10 HP/KW/KVA:
0
$0.00
10 to 50 HP/KW/KVA:
0
$0.00
50 to 100 HP/KW/KVA:
0
$0.00
Over 100 HP/KW/KVA:
0
$0.00
Piggy Backrfemp Power: 0 $0.00
Temp Power Pole: 0 $0.00
Plan Check Fee :
Fee Due at Permit Issuance:
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.
NO CONSTRUCTION NOISE
pRCi
0009
O
O O
(p0G
Temp Underground:
0
$0.00
Sub Panel:
0
$0.00
0
$0.00
0
$0.00
Record Mgmt Fee:
$0.00
Plan Check Fee:
$0.00
Investigation Fee:
$0.00
Issuance Fee:
$35.00
Supplemental Fee:
$0.00
Fee Due at Permit Issuance:
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.
NO CONSTRUCTION NOISE
INER-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)
fiction 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
ifessions 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, 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,
ainess 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
Irovements 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
)Iy 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).
I am exempt from licensure under the Contractors' State License Law for the following reason:
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 legally
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
�fessions Code, Ovailable upon request when this application is submitted or at the following Website:http://www.leginfo.ca.gov/calaw.htmi.
nature of Property Owner or Authorized Agent Date
)ENSED CCIAfPACTOR'S DECLARATION
Irt bi affirm yAdar%natty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Caidawaad my license is in full force
I effect. • • • ) —
ense.Class • License No Date LZ� Contractor Signature u
)RffRS' Ci 5MPE:NSATION DECLARATION
MIING! FAILURETO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUN ED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
iTbP COMPENS4TION, gAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
tVy affirm CAA? SJnalty of perjury one of the following declarations:
and WHIP maintain a certificate of consent to self -insure for workers' compensation, issued by the
ce of the wwk for which this permit is issued. Policy No.
and will'fhainfain workers' compensation insurance, as required by Section 3700 of the Labor Code,
carrier and'pQlicy number are:
• • • • Policy Number
of Agent
Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
for the performance of the work for which this permit is issued. My workers'
Date
JI certify that, in the performance of the wor 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 agree
iat, if I should become subject to w rker ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions„-�
Iignature of Applicant Date /a/v)
IECLARATION REGADIN C NSTRUCTION LENDING AGENCY
hereby affirm under p nalty erjury 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
ly 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 comply with all applicable city and county ordinances and sit j���?`� relating to building construction. /] I
I authorize representatives of this city or county to ptepthe-g C �6tifi y for inspection purposes. �' r /" „/1" _ ,f 719112
of Property Owner or Authorized
ACTION
DATE EY
DECLARATION OF COMPLIANCE WITH CODEOF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 61 OFTITLE40AND
AQMD RULE 1403.
PERMITEXP/RED
❑ I SUBMITTEDASBESTOS IV077FICATION TO;
❑ EPA
❑ AQMD
PERMITCANCELLED
PERMIT EXTENDED
AJ
0 ASBESTOS NOT APPLICABLE TO
PERMITFINAL
PROPOSED DEMOLITI y7ION15
CER77FICATE OF
SIGNATURE:
OCCUPANCYISSUED