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Home My WebLink AboutE2021-0447 - Permitsw r} City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II Electrical Permit: E2021-0447 .'� O 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 2 1 0 4 4 7 w x p Project No :2087-2018 `:,. � Permit Counter Phone (949)644-3288 `'.Iceea�av - Inspection Requests Phone (949)644-3255 Job Address: 1703 PLAZA DEL SUR Bldg: 1 Floor: Suite: NE) eEMMUMON WORK Description of Work: ELEC/INSTALL A/C UNIT 13.65dB (H2O21-0440) Inspector Area: Legal Description: N TR 518 BLK K LOT 31 Owner: DINE ASSOCIATES Contractor: Address: 2020 E ORANGETHORPE AVE #210 Address: FULLERTON CA 92831 0 Phone: Phone: 0-600V over 20OA: Con State Lic: Issued Date:07/27/2021 Lic Expire: f Bus Lic: Processed By: \ Lic Exp Date: New Construction Residential Multi -Family: 1-2 Family: JMR HEATING & A/C 27324 CAMINO CAPISTRANO #147 LAGUNA NIGUEL CA 92677 949-310-9380 1055619 07/31/2021 BT30069149 10/31/2021 Rece ptac I e/Switch/Outlets Receptacles/Outlets: 0 $0.00 $0.00 Fixtures: 0 $0.00 $0.00 Sep Circuits: 1 $7.00 Low Voltage 0 $0.00 Service z $0.00 Signs 0-600V up to 20OA: 0 $0.00 Branch Circuit: 0-600V over 20OA: 0 $0.00 Each Add Circuit: Over 600V or 1000A: 0 $0.00 Time Clocks: O/H to U/G 0 $0.00 Additional Fee TOTAL Fee: Code Edit: 2019 z $0.00 Motors/Transformers (HP/KVA) Sub Panel: 0 Worker's Compensation Insurance 0 Carrier: TECH. INS CO. Policy No: TWC3995878 M Expire : 06/25/2022 $0.00 10 to 50 HP/KW/KVA: X FEES 0 $0.00 Motors/Transformers (HP/KVA) Sub Panel: 0 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 $0.00 $0.00 Piggy Back/Temp Power: 0 $0.00 $0.00 Temp Power Pole: 0 $0.00 $0.00 Plan Check 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: $38.00 Supplemental Fee: $0.00 Fee Due at Permit Issuance : PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Mon&yo Friday 7;00I.m. torq:30,R5n. and Saturday from 8:00 a.m. to 6:00 p.m C 0& 6 ® L p a i a u s o eo6 o ae � C 4fiL G [y8 O y OL,a 4 G • BU• v4 G C i C 4 4wlp 6U 00 O O OVO OFi� IWNER-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) lection 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 is 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 of 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, usiness 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 n 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 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 I am exempt from licensure under the Contractors' State License Law for the following reason: y 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 legal) 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.html. ignature of Property Owner or Authorized Agent Da .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 7000 of Division 3 of the Business and Profe io o , a license is in full force nd effect. icense Class License No Date Contractor Signature I/ORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED AOUSAND 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: 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 the Ffiance of the work for which this permit is issued. Policy No. ave and will Bin In 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 Isurance carrier an olicv number are_ n t I Tier Polic?Jum4erW Expiration Date Tie of Agent _ Phone # certify that, in the performance of the w rjwh 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 ti n ro slops. t, if I should become subje tothewon rs' cpr v'si of Section 3700 of the Labor Code, I shall forthwith comply with those p �7 nature of Applicant CLARATION REG ING CONSTRUCTI CY ereby affirm under penalty of perjury that tl} d°, 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 oft following: I am the property owner or authorized to act on the propert owner's behalf. I have read this application and the information I have vi s correct. I agree to comply with all applicable city and county Bina&,gste s relating to building construction. I authorize representatives Of this city or count tD ter property for inspection purposes. nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name ACTION DATE BY DECLARATION OF COMPLIANCE MTH CODEOF FOR OFFICE USE ONLY FEDERAL•11L•G0L4T1ON, JD,4RT6} OF TIT741*D AQMDRULTTcc 440336 ❑ ISIJBAOVTED ASSESMS LVa7FIC4I1ON'dds ❑ E'PA • • • • , ❑ AQMD PERMITEXPIRED PERMIT CANCELLED PERN9'7T EXTENDED PROPOSE QKSnNORFICATIONISNOTAPPLICABLETO 4 rM 4' `Y'•.• e PERMITEXTE CERTIFICATEOF a •i i •• �• SIGNATURE:• OCCUPANCYISSUED u •