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HomeMy WebLinkAboutE2021-0717 - PermitsCity of Newport Beach - Building Division .�' 41 100 Civic Center Drive, Newport Beach, CA 92660 - Permit Counter Phone (949)644-3288 Job Address: 1620 KINGS RD Bldg: 1 Floor: Suite: Description of Work: ELEC/INSTALL (2) A/C UNITS 48dB & 43dB (H2O21-0600) Inspector Area: Legal Description: 3 N TR 1221 LOT 12 Owner: FOROUTAN Contractor: Address: 1620 KINGS RD Address: NEWPORT BEACH, CA 92663 Phone: Phone: Con State Lic: Issued Date:10/19/2021 Lic Expire: Bus Lic: Processed By: a �Lic Exp Date: RC A/C & HEATING 169 N MAPLE ST STE D CORONA CA 92880 951-735-8046 657924 06/30/2023 BT30066849 04/3012022 New Construction Receptacle/Switch/Outlets Residential Receptacles/Outlets: 0 $0.00 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1-2 Family: 0 $0.00 Sep Circuits: 2 $14.00 Low Voltage 0 $0.00 Service Signs 0-600V up to 20OA: 0 $0.00 Branch Circuit: 0 $0.00 0-600V over20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Over 600V or 1o00A: 0 $0.00 Time Clocks: 0 $0.00 O/H to U/G 0 $0.00 Additional Fee : $0.00 TOT Electrical Permit: E2021-0717 Project No : 1484-2020 Inspection Requests Phone (949)644-3255 LC - Code Edit: 2019 ILU Worker's Compensation Insurance Carrier: STATE COMP Policy No: 1354374 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 Plan Check Fee : Temp Underground: 0 $0.00 Sub Panel: 0 $0.00 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 ie at Permit Issuance : $52.00 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. LDER 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 1e 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). 7 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Iusiness 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). 7 1 am exempt from licensure under the Contractors' State License Law for the following reason: y 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 legally ell 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 cf 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.html. ignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se tion 7000) of Division 3 of the Business an rofessS�' s Code, and my license is in full force icense Class C . Zu License No .c Da � Contractor Sig not l �7(s.��- WORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 7 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, forth( erformance of the work for which this permit is issued. Policy No. have and will rya.Qtain workers' rance carrier aqd policy number Te of Agent certify that, in p, if I should become iature of Applicant _ as reggired by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' Date Ice of the work forwhich 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 agreE to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date hereby affirm under p , penalty of perjury that there is aconstruction lending agency for the 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 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. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. authorize representatives of this city or county t enabove= en Ie property for inspection purposes. ^ /_ iqnature of Property Owner or Authorized Agent '" / Ny Print Prcoerty Owner's or Authorized ADent's Name Y /©w ef,..11 ACTt01V PERMIT EXP4RED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY!SSUED DATE I BY FEDETLIL roc zULATIONS PART 61 OF TITLE 40 AND AQMDRULE 1403. ❑ ;SUBM.TTED ASEESTOS N077FICATION TO: ❑ EPA ❑ AQMD ❑ ASBESTOS M07IRCA77ON IS NOT APPLICABLE TO _ P11CPOSEDDEflOLIT10N. SIGilATURC: