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Home My WebLink AboutE2017-0647 - Permits�ao�r City of Newport Beach - Building Division o 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone .(949)644-3288 ca Job Address: 200 INTREPID ST Bldg: 1 Floor: Suite: Description of Work: ELEC/INSTALL A/C UNIT (RENEW EXPIRED PERMIT E2016-0344) Inspector Area: Ilp�E 2 0 170 6 4 7�� II Legal Description: TR 7852 LOT 1 UNIT 88 OF PROJECT LOCATED ON AP 424-031-01 TOGETHER Owner: FLEMING LIVING TRUST Contractor: ABC HEATING AND A/C Address: 9021 MUSTANG RD Address: 306 COLLEN PL ALTA LOMA CA 91701 COSTA MESA CA 92627 Phone: Phone: 949-756-0064 Policy No: NAWC636055 Con State Lie: 940181 Issued Date:12/13/2017 Lie Expire: 11/30/2019 C Bus Lie: BT30043258 Processed By: Lie Exp Date: 03/31/2018 New Construction Residential Multi -Family: 1-2 Family: Service 0-600V up to 20OA: 0 0-600V over20OA: 0 Over 600V or1000A: 0 0/H to U/G 0 Electrical Permit: E2017-0647 Project No : Inspection Requests Phone (949)644-3255 e ° omoonc e ° ° • ° c em m e ° ° mo 0 eoono • o•ocn •.moo° 0 0 ooe000 o ° oeoo e e Doses• Code Edit: 2013 ° FEES em e m • • •e Worker's Compensation Insurance moo• • Carrier: NORGUARD,o,e Receptacle/Switch/Outlets Policy No: NAWC636055 pe� Expire : 09/24/2018` e. 0 m ° 0 to 1 HP/KW/KVA: { ° 0 $0.00 Temp Underground: 0 $0.00 e ° omoonc e ° ° • ° c em m e ° ° mo 0 eoono • o•ocn •.moo° 0 0 ooe000 o ° oeoo 9.00 Plan Check Fee: 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. FEES Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) Receptacles/Outlets: 0 $0.00 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: 0 $0.00 $0.00 Fixtures: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: 0 $0.00 $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 Signs Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: $0.00 $0.00 Branch Circuit: 0 $0.00 Plan Check Fee: $0.00 $0.00 Each Add Circuit: 0 $0.00 Piggy Back/Temp Power: 0 $0.00 Investigation Fee: $0.00 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $0.00 $0.00 Additional Fee : $19.00 Supplemental Fee: $0.00 9.00 Plan Check Fee: 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. 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) :tion 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 L) portions of the work, and the structure is not intended or offered for sale (Section 7044, iness 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). 1, as owne` 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 ly to an owh®I•d'flroperty 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 frgp+ licensure under the Contractors' State License Law for the following reason: signs LorepEloQ' 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 cover y this permit, I cannot legally R structure-- SO hbve 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, Sect! 044 of the Business and `a ions Codg, is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.html. % iature of Pyr :)wner or Authorized Agent $NSED CONTRACTOR'S DECLARATION Wy affir"und ePRenalty of perjury that I am licensed under provisions of Chapter 9 (commencing wi Section 7000) of Division 3 of the Business andFL , and my license is in full force �Ifgcf. o e .wee Class License No Date �'� r j 3 `�� Contractor Signature ' Rt�RS' COMlPENSATION DECLARATION NIN(P. FAILU411"8 SEd1RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMP OYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO NE HUAND DOLLARS ($100,0001, IN ADDITION TO THE TMJ'OMPENSATION QAMAGES AS PROVIDED FOR IN SECTION STOS OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Rq,Vaffirm Linder penalty of perjury one of the followin declarations: •• I have d will maintain a certificate of consent self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for thi 0 of the work for which this permit is,iss d. Policy No. ve nd will maintain workers' competes Ion insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatior trance carrier and policy number are. Tier / Policy Number Expiration Date Tie of Agent Phone # certify that, in the pert ce the ork for which this permit is issued, I shall not employ any person in any manner so as to become subject to Itre workers' compensation laws of California, and agree I, if I should become ct t he rkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those proS. nature of Applicant D)visl J Z _ (3- 1 r 7 CLARATION RE DI NSTRUCTION LENDING AGENCY ireby affirm and penalt of perjury that there is a construction lendi �ency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ider's Name Lender's Address my signature below, I certify to each of the following: 1 I am the property owner or authorized to act on the propprt��tiwnee behalf. I have read this application and the information I have�{ir99vided' correct. I agree to comply with all applicable city and s�ppun orfnan sand state laws relating to building construction. I authorize representatives of this city or cour/ty er�Cer tp above-'dentified property for inspection purposes. (� 2 nature of Prooertv Owner or Authorized ADe / Print Property Owner's or Authorized Agent's Name %If A 1 p r .Apo. /I Dat 3 �( ACnON DAT£/ BY urr.[.ta�rtttrrvn VV ti.vmrura�vi.c rrrrn 1. Vr ..1.. r //f FEDERAL REGULATIONS PART 61 OFTIILE40AND AQMDRULE 1403. PERMIT€7CPiRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO:. ❑ EPA ❑ AQMD PERMITCANCELLED P€RMITEXTENDED ❑ ASBESTOS NOTIFICARONIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMITFINAL CERTIFICATEOF OCCUPANCYISSUED SIGNATURE: