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Home My WebLink AboutE2021-0627 - Permits%wwzrr City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 23 POINT LOMA DR Bldg: 1 Floor: Suite: Description of Work: ELEC A/C DISCONNECT Inspector Area: 6 Legal Description: N TR 7432 LOT 49 Owner: DHAR USHA Contractor: Address: 23 POINT LOMA DR Address: CORONA DEL MAR, CA 92625 Phone: Phone: Con State Lic: Issued Date:09/23/2021 Lic Expire: Bus Lic: Processed By: Lic Exp Date: `E2021-0627` Electrical Permit: E2021-0627 Project No : ALPS A/C & HEATING INC 1895 S SANTA CRUZ ST ANAHEIM, CA 92805 714-633-8892 667953 04/30/2023 BT30047511 07/30/2022 Inspection Requests Phone (949)644-3255 Code Edit: 2019 Worker's Compensation Insurance - • , Carrier: AMERICN ZURICH INS _ - Policy No: WC110287600 , Expire : 04/01/2022 ' 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: 1 $29.00 1-2 Family: 0 $0.00 Sep Circuits: 0 $0.00 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 200A: 0 $0.00 Branch Circuit: 0 $0.00 Plan Check Fee: $0.00 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Piggy Backlfemp Power: 0 $0.00 Investigation Fee: $0.00 Over 600V or 1000A: 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 TOTAL Fee : $67.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $67.00 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. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indi (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, derr the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License I Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Secti not more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of t Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through I improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of comp improved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor I am exempt from ]!censure 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 y sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I un Professions Ccde, is z'railable upon request when this application is submitted or at the following Web site:http://www.legin Signature of Property Owner or Authorized Agent LICENSED CGNTRACTOR'S DECLARATION I hereby affirm uodbr penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wit %Section r7000) c effort. Li License Class License No Date COMPENSATION DECLARATION ad below by the checkmark(s) I have placed next to the applicable item(s) sh, or repair any structure, prior to its issuance, also requires the applicant for (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of work, and the structure is not intended or offered for sale (Section 7044, ployees' or personal effort, builds or improves the property, provided that the ion, the Owner -Builder will have the burden of proving that it was not built or and Professions Code: The Contractors' State License Law does not to the Contractors' State License Law). prior to completion of the improvements covered by this permit, I cannot ;land that a copy of the applicable law, Section 7044 of the Business and 3 of the Business and Contractor Signature and my license is in full force ARMING: FAILUFE TO -CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTI S AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE Jai OF COMPEI'SA, ION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. azleoy affirm under penalty of perjury one of the following declarations: I have and 'dill m-intain a certificate of consent to self -insure for workers' compensation, issued by the Director of ndustrial Relations as provided for by Section 3700 of the Labor Code, for th erformance of the work for which this permit is issued. Policy No. / hace and vr.11 makitain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the pe nce carrier and policy number are: arrier Policy Number me of Agent I certify that, in the perfomlanc f the work ich this permit is issued, I shall not employ any person in any manner: t, if I should becomelsubject to o s' compensation provisions of Section 3700 of the Labor Code, I shall forthwith ignature of Applicant DECLARATION REG R ON CTION LENDING AGENCY hereby affirm under penalty erjury that there is a construction lending agency for the performance of the work for which 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 property owners behalf. I have read this application and the information I have prow adL correct. I agree to comply with all applicable city and county prdinan sand tetlaw s relating to building construction. I authorize representatives of this city or count o enter t a identified property for inspection purposes. ignature of Property Owner or Authorized Agent Print Property Owner's or Aut of the work for which this permit is issued. My workers' Date as to become subject to the workers' compensation laws of California, and agre )mply with those provision Q' Date ` is permit is issued (Secti n 3097, Civil Code). Name w ACTION DATE 8Y DECLARATION OF COMPLIANCE Aq TH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF ITLE 40 AND AQMD RULE 1403, PERMIT EXPIRED ❑ 1 SUBMITTED ASBESTOS NOTIFIC, ITION TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMIT EXTENDED El ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION, PERMIT FINAL - ].1.3 J Ds -A- Po'- CERVI'iCA T E CF OCCUPANCYISSUED SIGNATURE: