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Home My WebLink AboutE2021-0455 - Permits (3),�wtf, City of Newport Beach - Building Division 'E2021-0455' Electrical Permit: E2021-0455 T �� . 100 Civic Center Drive, Newport Beach, CA 92660 � v v If�E �� Project No rw °,`ty, �: Permit Counter Phone (949)644-3288 i XX 36 DEPTH na nuN;a ,,. REQUIRED FOR Inspection Requests Phone (949)644-3255 A/C DISCONNEC-,S Job Address: 406 BAY AVE E Bldg: 1 Floor: 2 Suite: I Description of Work: ELEC -DISCONNECT FOR A/C CONDENSER INSTALLATION Inspector Area: 1 Legal Description: TR 12035 LOT 1 UNIT 5 OF PROJECT LOCATED ON AP 48-111-25 TOGETHER Owner: PEYTON THOMAS Contractor: Address: 406 E BAY AV UNIT I Address: NEWPORT BEACH, CA 92661 Phone: 949-887-7139 Phone: Con State Lic: Issued Date:08/04/2021 Lic Expire: Bus Lic: Processed By:T � Lic Exp Date: New Construction Residential Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Service 0-600V up to 20OA: 0 $0.00 0-600V over20OA: 0 $0.00 Over600V or1000A: 0 $0.00 O/Hto U/G 0 $0.00 TOTAL Fee: $67.00 ALISO AIR INC 29736 AVE DE LAS BANDERAS RSM CA 92688 949-589.2021 526420 0313112022 BT30019236 03/3112022 Receptacle/Switch/Outlets Receptacles/Outlets: 0 $0.00 Fixtures: 0 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Signs Branch Circuit: 0 $0.00 Each Add Circuit: 0 $0.00 Time Clocks: 0 $0.00 Additional Fee : $0.00 Plan Code Edit: 2019 Worker's Compensation Insurance Carrier: LIBERTY MUTUAL - Policy No: WC2Z61036218090 Expire : 07/01/2022 FEES Motors/Transformers (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 Back/Temp Power: 0 $0.00 Temp Power Pole: 0 $0.00 Temp Underground: 0 $0.00 Sub Panel: 1 $29.00 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 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. 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) 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 e 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 'rofessions 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 U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 nproved 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). I am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 Nave Hilt 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.htmi. I'Sn3:are of Property Owner or Authorized Agent Date .ICENSED C0N 7 RACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing ith echo 7 00) of Division 3 of the Business and P fessions Cod s'I u I force no effect. t f icer.se Class License No Date -1 �Contractor Signature VGKKERS' COMPENSATION DECLARATION NG: FAILURE TO -crURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUWECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE qF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereh', affirm under penalty of perjury one of the following declarations: IN ADDITION TO THE 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 r-rance of the work for which this permit is issued. Policy No. and will mairtain 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' carder and policy number are: Policy Number me of Agent I certify that, in the performance of the work for which this permit is t, if I should become r$Xgtt to the workers' compensation pgaviski of Applicant Date I shall not employ any person in any manner so as to become subject t t e workers' compensation laws of California, and agree HOR>I with comply with those provisy Date I hereby affirm under penalty of perjury that the is struction lending agent a performance of the work for which this permit is issued (Section 3097, Civil Code). Ender's Name Lender's Address y my signature below, I certify to each of th 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 c un y ordinances and state laws relating to I authorize representatives of this city or county enter the above -id '� of Property Owner or Authorized d l% ACTION DATE e DECLARATION 9F COMPLIANCE 147TN CODE OF R OFFICE USE FEDERAL LALIONSPART61OFTITLE40AND LE 1403. PERMITEXPIRED ❑ I SUBMITTED ASBESTOS N077FICATION TO: ❑ EPA ❑ AQMD PERMITCANcaLED PERMIT EXTENDED ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL L CERTIFICATEOF OCCUPANCYISSUED SIGNATURE: