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Home My WebLink AboutE2022-0302 - Permitsu ; City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 v Permit Counter Phone (949)644-3288 sr Job Address: 15 ESCAPADE CT Bldg: 1 Floor: Suite: Description of Work: ELEC/INSTALL A/C UNIT 46dB (H2022-0246) Inspector Area II�IEIIII0III�IIII�IIII�I�III0II�3IIIII0II� II Legal Description: TR 7817 LOT 4 UNIT 290 OF PROJECT LOCATED ON AP 424-041-01 TOGETHER Owner: DEPIERRO JAMES Contractor: D L S HEATING & A/C Address: 15 ESCAPADE CT#290 Address: 8542 LARTHORN DRIVE MEWPORT BEACH CA 92663 HUNTINGTON BEACH CA 92646 Phone: Phone: 714-231-8002 Con State Lic: 584220 Issued Date:05/11/2022 Lic Expire: 01/31/2024 Bus Lic: BT98040420 Processed By: \ Lic Exp Date: 12/31/2022 New Construction Receptacle/Switch/Outlets Residential Receptacles/Outlets: 0 $0.00 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1-2 Family: 0 $0.00 Sep Circuits: 1 $7.00 Low Voltage 0 $0.00 Service Signs 0-600V up to 200A: 0 $0.00 Branch Circuit: 0 $0.00 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Over600V or1000A: 0 $0.00 Time Clocks: 0 $0.00 O/H to U/G 0 $0.00 Additional Fee: $0.00 Fee : Plan Electrical Permit: E2022-0302 Project No: 1735-2021 Inspection Requests Phone (949)644-3255 Code Edit: 2019 Worker's Compensation Insurance Carrier: STATE FARM Policy No: 92GOK7865 Expire : 01/06/2023 FEES MotorslTransformers (HP/KVA) 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 pp� P� LW D. 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 e at Permit Issuance : $45.00 PERMIFS.EXp�IRE 18Q,P/IY44FTER 4SSUANCE OR LAST VALID INSPECTION Construction Hours: Monday° Fridity 7:Cp a.m.;to &: 0$u.m. and Saturday from 8:00 a.m. to 6:00 p.m. A 9 Y C B 6 GB O B NH tl8 i' ® Y tlOp � � E Ovti G � p i OBG J 4 f: O GC pg p{rp i B bti BC` Ob(i 7WNER-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 items) (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 U all of or U portions oflthe 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 improved 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 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, I cannot legally 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 to LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) f Division 3 of the Business and Professions Co , a lice��ns//e��is in full force and effect. C�'— License Class License No Date i % Contractor Signature ERS' COMPENSATION DECLARATION 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 COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. affirm under penalty of perjury one of the following declarations: 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 thi 2ce th rk for which this permit is issued. Policy No. e I d will airktain workers' compensation igsurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation :e carrier a d policy numbey/dT@ \ /' �1 /%VI /7 /'a \ (l ..Y�.,�' l,, K.r Expiration Date le of Agent certify that, in the performance of the work if I should become Sake& to the worlfers not employ any person in any 700 o4 th I abm Code, I shall 'signature of Applicant IF " IECLARATION REGA ING C S CTION 1_00flqb AGENCY hereby affirm under penalty of pbrrury that there is a construction lending agency for the performance of the work for w 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 prop y owner's be f. I have read this application and the information I have provided is correct I agree to comply withal[ applicable city and county ordinances and st laws relating to building construction. I authorize representatives of this city or county,to enter bo -i ntifed party for inspection purposes. tinnature of Pmoertv Owner or Authorized Aqent Print Property Owner's or ACTION PERMIT EXPIRED PERMIT CANCELLED PERMITEXTEIDED PERMIT FINAL CERTIFICATE OF OCCJPANCYfSSUED so as to become subject to the workers' gggompen§ation laws of California, and agre t comply with those provi\o _ . 5 / r / /?� Date / l f J/ t this permit is issued (S€ction 3097, Civil Code) DATE By FEDERAL R;43"TIQNSPARd 64-OF TITL.F•40ANQ AWORULE•1493. • : : •. •. ❑ I SUBMIiTCD ZSBEgTQI NOJTICATIQNYO: ❑ EPA ••• •' ❑ AQMD ❑ ASBESTOS N07IRCA-RON IS NOT APPLICABLE TO PROPOSED DEIMMTIQN• •�• •�• i•� see • • e e e e o e SIGNATURE-' ono 00 0° e c eae es ,v Snw