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Home My WebLink AboutE2021-0720 - Permitsw , City of Newport Bea" - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 fi Permit Counter Phone (949)644-3288 'riirs�cc+'} Job Address: 706 MARIGOLD AVE Bldg: 1 Floor: Suite: Description of Work: ELEC/INSTALL (1) A/C UNIT 47.7dB (H2O21-0602) Inspector Area: l0 Legal Description: Owner: INOUYE WAYNE/SHANNON Contractor: Address: 703 HELIOTROPE AV Address: CORONA DEL MAR CA 92625 Phone: Phone: Con State Lic: Issued Date:10/19/2021 Lic Expire: sr Bus Lic: Processed By: A' Lic Exp Date: MCMASTER HEATING & AC INC 2 MCLAREN #C IRVINE CA 92618 949-481-7995 726607 12/31/2021 BT30041972 01/31/2022 Electrical Permit: E2021-0720 Project No : 2777-2019 Inspection Requests Phone (949)644-3255 Code Edit: 2019 �:,,. �m Worker's Compensation Insurance [° Carrier: HARTFORD Policy No: 72WECZU8138 rj�' Expire : 02/02/2022 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: 0 $0.00 1-2 Family: 0 $0.00 Sep Circuits: 1 $7.00 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 20DA: 0 $0.00 Each Add Circuit: 0 $0.00 Piggy Back/Temp Power: 0 $0.00 Investigation Fee: $0.00 Over 600V or 1 OOOA: 0 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $38.00 O/H to U/G 0 $0.00 Additional Fee : $0.00 Supplemental Fee: $0.00 Plan Check Fee: 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 . :. 0 P 00 00 . . . ° .. .°. . ° ° o o ° ° ° 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) ction 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 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, liness 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 ply 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). LJ 1 am exempt from icensure 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, I cannot lei 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 7 00) of Division 3 of the Business and Pr fessions Code, and my license I and effect. License Class License No Date / /�.t Contractor Signature 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 HU R D THOUSAND D I$100,0001, IN ADDITION TO COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I 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 th1 formance of the work forwhich this permit is issued. Policy No. have and wil in am workers' com ensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatior trance came and Wolicy number ar Tier 6 Poll cyle Expiration Date ne of Agenyy �� Phone # 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 agree I, if I should become sub' to the workers' compen ns of Section 3700 r Code, I shall forthwith comply with those provisions. nature of Applican Dqi CLARATION RE ARD G CO CTION LENDING AGENCY ereby affirm under penal t perjury that there is a construction lending ncy for the perfo of the work for which permit is issued (Section 3097, Civil Code). Ider's Name C Lender's Address my signature below, I certify o eac o e o owing: 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 state laws relating to building construction. I authorize representatives of this city or county toniter the above- inspection purposes. nature of Prooertv Owner or Authorized A / 9r-tnf-Hropener ACTION I DATE BY PERMITEXPIRED PERMIT CANCELLED PERMITEXTENDED PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED EAAQb:D RU" 1403' U. a SUSMFTTfD:. or Authorized 61 OF T17LE40 AMD NOTIFICATIONTO:. ❑ AQMD' ❑ ASBESTOS NOITFICA170HISNOT APPLICABLE TO .. P•ROAOSEI3DEhNOWTM. u aSfGNAFURE: o o° o 0