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Home My WebLink AboutE2020-0055 - PermitsCity of -Newport-Beach - Building Division 1111111111111111111 im 111mi 1111111111111 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 2 0 0 0 5 5 Permit Counter Phone (949)644-3288 s . Job Address: 443 112 BEGONIA AVE Bldg: 1 Floor: Suite: Description of Work: ELEC - DISCONNECT FOR RELOCATION OF A/C CONDENSOR Inspector Area: 5 Legal Description: PM 305-37 PAR. 2 OF PROJECT 938-01 LOCATED ON AP 459-095-24 TOGETHER Owner: ASHBY ALISA Contractor: Address: 443.5 BEGONIA AVE Address: CORONA DEL MAR, CA 92625 Phone: Phone: Con State Lic: Issued Date:01/28/2020 Lic Expire: Bus Lic: Processed By: 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 over 20OA: 0 $0.00 Over 600V or 1000A: 0 $0.00 O/H to U/G 0 $0.00 TOTAL Fee: $62.00 LEWIS AIR SERVICES 23121 ANTONIO PKWY#155 RANCHO SANTA MAR CA 92688 949-589-0609 972182 04/30/2020 BT30046705 12/31/2020 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 Electrical Permit: E2020-0055 Project No: Inspection Requests Phone (949)644-3255 Code Edit: 2019 Worker's Compensation Insur Carrier: OAK RIVER Policy No: LE Expire : 0 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 Plan Check Fee: $0.00 Ten ;'' round: Sub"1?ael: Record Mgmt Fee: Plan Check Fee: Investigation Fee: Issuance Fee: Supplemental Fee: Fee Due at Permit Issuance PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID ID INSPECT70N Construction s =ram onda`�- h ft t? aaA. to .30 p.m. and Saturdayfrom 8:0 a.m. to 6.38 p.r . ® © O O O O O O O 0 0 0 © o 0 0 0 0 0 O O O O O ® O O O O O O O O O O O O O O O C O O O O 0 0 0 O O C O O O O O O O O O O O O O G O O O C tJ O O O O O O C C 0 $0.00 1 $27.00 0 $0.00 0 $0.00 $0.00 $0.00 $0.00 $35.00 $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) 1 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'h'e'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 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). 'I El 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 propertyl'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 hcensu'el under the Contractors' State License Law for the following reason: By my signature below Ii 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! bu@It 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.Ga.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR':S DECLARATION 1 hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and qny license is in full force and effect. 7�22�i \' License Class License No Date / Contractor Signature WORKERS' COMPENSATION 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 ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of pedury one of the following declarations: ® 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 the erformance of the work for which this permit is issued. Policy No. have and 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' compensation 'ns rance carrier and polic nu ber are. C, Carrier (�tGiC� Policy Number L C l� G A' � 3 ( Expiration Date P l of Agent - i ]I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compe sation laws of California, and agre iat, if I should become subject to the workers' compensation p visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. j signature ofApplicant�� —�-� D `'� 0 DECLARATION REG DING CONSTRUCTION LENDING AGENCY hereby affirm under penalty; of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By my signature below, I certify to each of the following: 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. agreecomply I PP 1 authorize a resenth' VIVa applicable city and county ordinances and state laws relating to building construction. P city or county to enter the above-i fied property for inspection purposes. // -� j /� � _., fit / l G „ Signature of PropertyOwner.oSf,this g Authorized Agent Print Property Owner's or Authorized Agent's Na r�( Date ACCTLG+Iif DATE BYCL4 Tl€ hfOFirO!! PUANCE TffC{?DEOF FOROFRCE S€t�NLY FEDERAL REGULA77ONSPAR 61 O_cTs'TLE,40Af±E) � o O O O O O O WD RULE1403. I SUBMITTED Aa S€ aVOTI O I,10i� TO; PERfl t .t-4�-s-eY £� ED FERP4ITCAty.CELLED © EPA ❑ t'lQMD ASBESTOS N077RCA770NIS.NOT APPLICABLE TO PERW TE~ SUDED PERWITFINAL PROPOSED DEMOLITION - ' - p f�E..C�'..�'i�. `°v CYLS?LD SIGNATURE: