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Home My WebLink AboutE2020-0565 - Permitscl� „r3q City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 )" $ou�"a 11111111111111p11111111p11111111p111111111111111111 Electrical Permit: E2020-0565 E 2 0 2 0 0 5 6 5 Project No : 1501-2018 NO CONSTRUCTION WORK Inspection Requests Phone (949)644-3255 Job Address: 3811 RIVER AVE Bldg: 1 Floor: Suite: A Description of Work: ELEC/INSTALL (1) A/C UNIT 46.5B (MITSUBISH; MXZ-5C42NA20N SATURDAYS° 'HIGH DENSITY AREA Inspector Area: 1 Legal Description: RIVER SECTIO BLK8a 'i= LZ� C� Owner: BARRETT JEFF Address: 3811 RIVER AVE Contractor: RB Etlf NICAL____ " Addre , llj0621 BLOOMFIELD #25 NEWPORT BEACHj�A 66 ' LOS ALAMITOS CA 90720 Phone: Jr Phone: 714-614-2446 ,:: ,;- 'Con State Lic: 594181 L Issued Date:10/14/2020 Lic Expire 05/31/2022 y'r1 Bus Lic: BT30005613 Processed By: 1w . Lic Exp Date 108/3112021 ki, ZwFes. New Construction "I:;LN�ote: > a ts: utlets Residential ��"�ts: 0.00 Multi -Family: 0� 0 1-2 Family: 0 y-' f'Loxft starteol) $0.00 Service 'd�-Signs 0-600V up to 200A: 0.i', Branch Circuit: 0 $0.00 0-600Vover 200A: 0',;: Eachircui: $0.00$0.00Over 600V or 1000A: 0Time Clocks0/H to U/G -. 0`4A i i ^'F - $0.00 TOTAL Fee: Code Edit: 2019 Worker's Compensation Insurar If appfiCaar:WESCO INS CO Policy No: WWC3486885 ❑ 80% bxPiM TONE02refut d to whom., FEES --- Motors/Transformers (HP/KVA) 0 to 1 HP/KW/KVA: 0 $0.00 Temp Unde 1 to 0 $0.00 Sub Panel: 10 t 50 /K / e� 50 to P/ s a �i f Over 100 HP/KEN/�O& roof�✓ c rd Mgi 1' ` started) Plan Check Piggy Back/Temp Power: 0 $0.00 Investigatio -Terap o < rr Pole: 0 $0.00 Iss ,fie Fi 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. r� C�yn� V r0 'ound: 0 $0.00 1 $28.00 0 $0.00 0 $0.00 Fee $0.00 :e: $0.00 ee: $0.00 $37.00 Fee: $0.00 atfance : $65.00 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) 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 L_) 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). I am exempt from licensure under the Contractors' my signature below I ack o r a structure that I have b t as an owner -builder if it Ifessions Code, is availab u o egµ t.when this nature of Property Owner r AuairfEr�Agent— which I must have resided for at least one year prior to completion of the improvelpents covered by this permit, I cannot d iii-lVentirety by licensed contracjgrs, 1k0.4gG9t q4 4�t a copy of the applicablelaw, Section 7044 of the Business and Date .ICENSED CONTRACTOR'S DECLARATION �0 Or LJ 1 UU,/o reTUIIU hereby affirm under penalty of perjury that ham licensed under provisions of Ch2pter9 (cohlmencm'w Secf n 0' o ivision 3 of the Business and Profe io C n ice Is in f cer nd effect. . -I/J icense Class License No =i_ + Date l / •Contractor Si natu VORKERS' COMPENSAfJR11E.NR ODECLARATION ' IARNING: FAILURE TO SECURE WS COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T OUSAND DOLLARS 1$100,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGAS PROVIDED FOR IN SECTION 37D6 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FE5hereby affirmperjury one of the foil v✓Ing�eclarations 3,6 have and will maintain a certificate of consent to self insure for workerscompensation Issued by theDirector of Industrial Relations as provided for by Section 3700 of the Labor Code, for th Am once of the work for which this permit is Issued,. -Policy No have and will m an wo4rkers 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' compensatioi I urance carrier an gcv ndmbar are:, la _ .. . is of Agent certify that, in the perform cr , if I should become subjec to Iignature of ApplicantL -\oq'4p �-�— IECLARATION REGA DI GUCTION LENDING AGENCY hereby affirm under penalty l}@t there is a construction lending Ender's Name C ly my signature below, I certiof the following: I am the property owner od toaI have read this applicatioinformath�n"I�roI agree to comply with all city and county ordinances I authorize representatives of this city or county to epter the _e if not employ a Won In any manner so as to beco e'subject to the workers' ompensation laws of California, and 13700 of the Labor Code, V";t f tkc13tarWi ose provisions. ��) Date / _ !� for the performance oft o k f h' h ih' C a). _ ende'T�ra Address tf3S�). 4nlbaa s' _ Owners or ACTION DATE BY DECLARATION OF COMPLIANCE MTH CODE OF FOR OFFICE USE ONLY FEDFRAL REGULATIONS PART 61 OF TITLE40 AND IQMG RULE 1403. PERMIT EXPIRED ❑ ISU3M.'TT_DFSBESTI)SMOlIFICARO14TO: U EPA. ❑ AQMD PERMITCANCELLED PERMITEXTENDED ❑ ASBESTOS NOTIFICATIONIS NOTAPPLfCABLE TO PRCPCSEP DEMOLITION. PERMIT FINAL CERTfFICATE OF SIGNATURE: OC.CUPANCYISSUED