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Home My WebLink AboutE2022-0243 - Permitsgwrf}� City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 v 4 Job Address: 476 MORNING CANYON RD Bldg: 1 Floor: Suite. Description of Work: ELEC/ INSTALL (3) A/C UNITS (H2O22-0200) Inspector Area: 5 Legal Description: Owner: CORY CHARLES Address: 16632 HALE AV STE 1 IRVINE CA 9 - Phone: Issued Date:04/27•T202 F Processed By: New Construction Residential Multi -Family: 0 1-2 Family: :0 Service 0-600V up to 20OA: 4 0-600V over 20OA: 0' Over600V or1000A: 0 O/H to U/G 0 TOTAL Fee: I "E2022-0243` Electrical Permit: E2022-0243 Project No : 1448-2021 Inspection Requests Phone (949)644-3255 Code Edit: 231 o% oC Q PMR CT Q b(= Worker'sC wpel5sr 1 FAIRW ATH RD bier : STATE SANTA ANA, CA 92i05 �hpCn• _--�' Policy No: 9266: ,�. 714 231 7272i ® t0 Expire : 12/21121 ic' 716745 • K �� .121311 QY3 •'' f 3 053615 01 20 ��•Y�� vs,oli7 '8Ja €:i.... _ire 'i °PcyB Insurance 1PENSATION INS FUND i R Iw Outlets Moto r •,�r�,. (FVA� \\e': Re Iles/Ou ets: 0 $0.00 0 01 / "^' 0 �'�Q10r Tem Und ground: Fixtures: 0 $0.00 1 P/ KV�' (�(� 5t'd $0.00 ub I: _ tep Circuits: ! 0 10 o 50 HP/0 $0.00 - - Low Volta 50 to 100 HP/KW/ f 0 ' MIS' cuit: $0.00 Over 100 HP/KW/KVA: $0.00 t_ \111�1a Mgmt Fee : -Check Fee: tkedl 5� - Eac wrelip' 0 $0.00 P' ck/Temp Power: $0. investigation Fee: Tim ocks: 0 $0.0 Temp Power P .00 Issuance Fee: Addi 'onal Fee: .00 Supplemental Fee: an C e : $0.00 ee Due at Permit Issuance e0PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 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 0 0 0 $59.00 Mou $i 1.00 $u.00 $0.00 $0.01) $0.00 $0.00 $38.00 $0.00 OWNER -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) (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 L) all of or U portions of the 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). ❑ 1, 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 legal) 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 7000) of Division 3 of the Business and a e; an my licens is in full force and effect. License Class License No Date 2X u 27 Contractor Signature WORKERS' GOMPENSATION DECLARATION WARNING: 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 ($100,00 N ADDITION To THE irCIST 0° COMPE'L:AT:ON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: ,L 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 thr nce of t;ie work for which this permit is issued. Policy No. pand will maintain 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' compensatior lin�grance carrier and policy number are: amp of Agent _ ]I cert:fy that, in the v+ 'f I ;hoUld beco anature of Aoi an Policy Number Date 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 agref tion ro ' ' ns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date z 20�Z NG AG NCY hereby affirm under penalty of perjury that there is a constructi n le ng age cy for the performance of the work for which this permit is issued (Section 3097, Civ Code). ender's Name Lender's Address y my signature below, I certify to each of the following: I am the property owner or authorized to act on the Lan I have read this application and the information I have I agree to comply with all applicable city and count I authorize representatives of this city or cou ACTION PERMIT EXPIRED PERMITCANCELLED PERA4ITEXTENDED PERMIT FINAL CER77FICATE OE OCCUPANCYISSUED or Authorized DATE owner's behalf. led is correct. :es and state laws BY g to building construction ,for inspection purposes. 1 Property Owner's or Authorized Agent's Name IcL- / Kt -. Date LION OF COMPUANCE'MTN CODE OF FOR OFFICE USE ONLY ERAL REGULATIONS PART tit OF TITLE40 AND ID RULE 1403. 1 SUBMITTED ASBESTOS NO LIFICATION TO: ❑ EPA ❑ AQMO A&BE5�6'sN0T7FICATION IS NOT APPLICABLE TO POSED DEMOLITION. SIGNATURE: