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Home My WebLink AboutE2017-0142 - PermitsCity of Newport Beach - Building Division *E2017-0142' c+4 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 T Job Address: 1973 PORT PROVENCE PL Bldg: 1 Floor: Suite: Description of Work: ELEC FOR CONDENSER @ SIDE OF RES (H2O17.0166) Inspector Area: Legal Description: 4 N TR 6624 LOT 53 Owner: RANNALA ERIK & KRISTEN Contractor: Address: 1973 PORT PROVENCE PL Address: NEWPORT BEACH CA 92660 Phone: 415-309-5109 Phone: Con State Lic: Issued Date:03/27/2017 Lic Expire: New Construction Bus Lic: Processed By: `- AnK Lic Exp Date: NORTON ERICK HEATING & A/C 21371 FLEET LANE HUNTINGTON BCH CA 92646 949.355-2473 575335 06/31/2017 BT30042221 04/01/2018 Electrical Permit: E2017-0142 Project No: 0532-2016 Inspection Requests Phone (949)644-3255 e o •emm seo o a e oeoeoe gp/ moseee m m W u ptoo O O f jS ff \ T e m 0me0mU mmmoo Code Edit: 2016 o e m e mu a o0 0 e e e o e Worker's Compensation Insurance Carrier: WIC EXEMPT Policy No: (NO EMPLOYEES) Expire : mm o0 m o e m o e o moamoc sees 0 0 e000 PERMITS EXPIRE 160 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. FEES New Construction Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) Residential Receptacles/Outlets: 1 $1.00 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: 0 $0.00 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 20OA: 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 Backfremp 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: $0.00 O/H to JIG 0 $0.00 Additional Fee : $0.00 Supplemental Fee: $10.00 TOTAL Fee: $11.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $11.00 PERMITS EXPIRE 160 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) 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 @p(Prssions Cede, 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 �ptm are than.fivehiiadred dollars ($500). LJ 1, is owner of the!property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Min andofegrions 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 6rMdr%ed for tog purpose of sale). ®.i as ownCr &41;i%property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not aya19 jo an owner of gIroperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ Pam exefipt f? licensure under the Contractors' State License Law for the following reason: Y 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 legalh sell a structure Aat 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 CQgt, %available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Simiqure of Property Owner or Authorized Agent Date LICENSED (i®ALTRACTOR'S DECLARATION I hereby affir%w"? penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. /' '''7 2. / License Class License No Date,) S- 'J -1✓% Contractor Signature ,>� NORKERS' COMPENSATION DECLARATION NARNING: 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 ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 711 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 th performance 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' rance carrier and policy number are: ier Policy Number Expiration Date of Agent 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' compensation laws of California, and agre lould become esuu lett to the work I mpensa/tip�n p�D ens of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �7 / of Applicant Date Z >"'— / L ereby 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) Idler's Name Lender's Address 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. 1 agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or cou y o ante he abo e -identified property for inspection purposes. ` j y'� nature of Pronertv Owner or Authorized AGenI 7� d�_ � _ Print Property Owner's or Authorized Agent's Name>�e C Date_ ACTION DATE By DECLARATION OF COMPLIANCEWITN CODEDF FOR OFFICE USE ONLY FEDERAL REGULA TIONS PART 61 OFTIILE40AND AQMD RULE 1407. - PERMIT EXPIRED I SUBMITTEDASBESTOS NOTIFICATION TO:. ❑ EPA ❑ AQMD PERMIT CANCELLED PERMITEXTENDED ❑ ASBESTOS NOTIFICAT IONIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL CERTIFICATEOF SIGNATURE: OCCUPANCYISSUED