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Home My WebLink AboutE2019-0857 - PermitsCity of Newport Beach - Building Division o 100 Civic Center Drive, Newport Beach, CA 92660 ` Permit Counter Phone (949)644-3288 Job Address: 133 VIA JUCAR Bldg: 1 Floor: Suite: Description of Work: ELEC/INSTALL (2) NEW A/C UNITS DISCONNECT Inspector Area: 1 Legal Description: Owner: LIDO ISLE LP Contractor: Address: 655 BREA CANYON RD Address: WALNUT CA 91789 Phone: Phone: Con State Lic: Issued Date:1211212019 Lic Expire: BusLic: Processed By: Lic Exp Date: E 2 0 1 9 0 8 57 III AUTUMN AIR INC 1119 W COLLINS AVE ORANGE CA 92867 714-744-4432 1057685 09/30/2021 BT30064735 10/31/2020 New Construction 0 $0.00 Receptacle/Switch/Outlets Residential 0 to 1 HP/KW/KVA: ��py� CJ Receptacles/Outlets: 0 $0.00 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1-2 Family: 0 $0.00 Sep Circuits: 0 $0.00 .. o Policy No: WCV550234601 Low Voltage 0 $0.00 Service mm ° m m • Signs mmm•om m 0-600V up to 20OA: 0 $0.00 Branch Circuit: 0 $0.00 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Over 600V or1000A: 0 $0.00 Time Clocks: 0 $0.00 O/H to U/G 0 $0.00 Additional Fee : $0.0c TOTAL Electrical Permit: E2019-0857 Project No: 1381-2019 Inspection Requests Phone (949)644-3255 FEES 0 $0.00 Motors/Transformers (HP/KVA) 1 0 to 1 HP/KW/KVA: ��py� CJ $0.00 Code Edit: 2016 m 000e•a $0.00 10 to 50 HP/KW/KVA: 0 m me . •.m°ec 0 Worker's Compensation Insurance Over 100 HP/KW/KVA: 0 $0.00 Carrier: COMPWEST INS Issuance Fee: .. o Policy No: WCV550234601 e m ° • m • $0.00 . m Expire : 05/16/2020 mm ° m m • •. o ..•ma oomco mmm•om m mm•000 000mon o 0 oOOo 000cn oomo FEES 0 $0.00 Motors/Transformers (HP/KVA) 1 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 Backrremp Power: 0 $0.00 Temp Power Pole: 0 $0.00 Check Fee: Temp Underground: 0 $0.00 Sub Panel: 1 $27.00 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. NNER-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) action 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 t 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 `) portions of the work, and the structure is not intended or offered for sale (Section 7044, siness 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 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 signaturEPIM vO tacknowledge 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 strticture 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 Coda is.aveilable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/caJaw.html. natyre of PropQRy Owner or Authorized Agent Date :EBBED CONTRACTOR'S DECLARATION reb affirm %npgr.g,Malty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business a P ofessions Code, and my license is in full force 6n1d class License No Dat ml is 1 -"k- Contractor Signal —� 1W5RS`CbmPEhSATION DECLARATION '.NING: 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 7 01-00MPENSAr10N, DeMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE; INTEREST, AND ATTORNEY'S FEES. reby affirm untleryetlalty of perjury one of the following declarations: 1*11a'v'e and wglmaimtain 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 the CrIMance of Me A;efor which this permit is issued. Policy No. have andII aintain 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' compensation rance carrie n policy numbe jgr,: of Date 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 to the workers' compensation laws of California, and agre It, if I should become s lel to the workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pro is' s. (nature of ApplicanttZ Y -te ICLARATION REC3ARDDru CONSTRUCTION LENDING AGENCY 6reby affirm undef 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 have provided is correct. I agree to comply with all applicable city and coun ordi nces �erty ating to building construction. I authorize representatives of this city or county t e er�rdlJ,at' aabo for inspection purposes. nature of Property Owner or Authorized A ant \ p p �/ S i Print Property Owner's or Authorized ACent's Nnmwd 1,AtLA1ArI ACTION DATE BY DECLARATION OF COMPLIANCE Min CODEOF FEDERAL REGULATIONS PART 61 OF TITLE40AND AQMDRULE 1403. P£RMITEXPIRED ❑ 1SUBMITTEDASBESTOS NOTIFICATION TO: PERMITCANCELLED ❑ EPA ❑ AQMD PERMIT EXTENDED ❑ ASBESTOS M077FICA770NIS NOTAPPLICABL.E TO PERMITEINAL ^% PROPOSED DEMOLITION! - CERTIPICATEOF OCCDPANCYISSUED SIGNATURE: