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Home My WebLink AboutE2018-0304 - Permits�ws City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 rs Permit Counter Phone (949)644-3288 R Job Address: 2505 CRESTVIEW DR Bldg: 1 Floor: Suite: Description of Work: ELEC -DISCONNECT FOR A/C H2O18-0268 Inspector Area: Legal Description: Owner: HSIEH Address: 2505 NE Phone: Issued Date:05 01/: Processed By: 2 N TR 1140 LOT 69 IIIII��IIIII ProElectrical ect is I Permit: E2018-0304 i� 10 al �e Edit: 21 QS® -/ LOWhorl Contr ALPS HEATIN TVIE R ss: 1 HOWE C BEACH A 92663 mom, ANAHEIM 805 P n_I *� PkA e• 714- 8 E to Lic: �79`�, Lic New Construction % Ra v Residential �, Re4 pt es Multi -Family: 0 $0.00 Fi:dt1 s: 1-2 Family: 0 $0.00 Sep Low Voltage Service Signs 0-600V up to 20OA: 0 $0.00 Branch C'rc�it: 0-600V over 20OA: 0 $0.00 Eac h,,Add irc Over 600V or 1000A: 0 $0.00 Time lxlock O/H to U/G 0 $0.00 Additional Fee: TOTAL Fee: $39.00 PER + S Construction Hours tts? o $0.00 0 t /KW/KVA: 0 0 $0.00 ®1`,$ P/KW/KVA: 0 1 $6:Q11 EQ t0 50 HP/KW/KVA: 0 0 �5Q to 100 HP/KW/KVA: S,� er 100 HP/KW/ 0 $ Otg'C O�V�jC$d�0 Pi99y empPo e� 0 $0.00 ower PDIe'�� Plan {949)644-3255 �N' $0.00 gro jcceo Temp (u °0 $0.00 $0.00 6�3ib0 ane 0 $0.00 0 $0:00 0 $0.00 $0.00 Record Mgmt Fee: $0,00 Plan Check Fee: $0.00 0.00 Investigation Fee: $0.00 $0.00 Issuance Fee: $33.00 Supplemental Feer $0.00 Fee Due at Permit Ic¢nanrc • mvu nn I YS AFTER ISSUANCE OR LAST VALID INSPECTION 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. )WNER-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 it the checkmarprio I have placed next to the applicable items) emolish, or Section 70o file Bsignedssand Professions ta statement that he or shAny is licensed purscounty uant tothe requires prov sons of the Contractorsmit to construct, ' State improve. L cense Law (Chapter 9 (commenany cing withrSection 7000) of Divisto its issuance, also ion 3 of the Busquires the liness end he permit s file e g professions 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 o rot more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do `) all of rt (_) portions of the work, and the structure is not intended improves offered for sale (Section 7 044, m sines and Professions not mended : The Co far sale. State Livenswever, thew dos o a p ly to an t snsolder fwithm one year of completioy who, through lnYthe Owees' or ner-Build' ersonal ffwill havle t orburden of proving l that itwasnot builttor off mproved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section Contractor Business, dons Code: he ntrLaw). 'State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contya oy[su3flt` o the Contractors' Stat Lid', as Law). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By a structure below halve built as an owner submitted f i has not been constructed idence in n its enlih I st have TIMe used conttractotrs�,{Ae fa that a cop t least on yeac nr to compI of ffWU�ab a s tSection 7044tof the Business his permit, I nand lega Professions Code, is available upon request when this application is submittedh@ o lowing Web site:http``(w+,xw, `info.pa.gov caJ�u ft(i 5 'iF• s; -Date Signature of Proper6lAwner or Authorized Agent - \\ LICENSED CbNSRACTOR S DECLARATION � f 0 nse is in full force C4greq)paffirm yrldf:rpenalty of perjury that I am�Cen un er visions of Cha ommencmg with Sect!00 of Division 3 of the Bus' nd Prof I c- 9ndeffeCt. ; ' �..-.y=�' „,j * l ,,,,.: ,e �Da(e `'' `5 f �' contractor Signature ORKERS' CQ�NSATION D�CkARAT P f ,. f IRNING: FAILUR! TO $$E��GURE WORKEj2'ahfiPEN PTION COVE WE I U FUL errs A L &IE N - R"i0 CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THO A ':DOLLARS (5700,000), IN AOO :84F COMPENSMI DAMAGES AS PROVIDED FOR IN SECTI r DO�i F 4 e0 00�.` TE A 0.NEV'S FEES.� 'P,tyy affirm lyr, pP,nalty of perjury one _ e foil' sing aecla�Of�,;y q ter` 1:6d "Z""-:1f irDve and wilesmaintain a certl tate of sent se �y3r��ra�s for workers' compen Ji bb he of Industrial Relations as provided for fly S ti "'3700 of the Labor Code, for tl OC ante of the work for which th permit i sued. 16y No. , ' S 4h 3y N e, for the performance of the work fo�tlf'ts permited. My workers' compensati< av and vAli'lMitljain workers' .. n insurance, a q , EE eac vr carrier and Policy number are. x r IjC -- 8rFi0N • • • PG be < one # ame of Agent '^. ,.to nlpen laws of California, and agr �I certify that, in the performance of e'Vyor mit-is-issueds+sM®Ik+et-emP any per on in y e so as t b e�sd e t to thew ers' c Q� a sation rov' ' e abor C II fort`h,,u, h��lj*wi h those pro isions. iat, if i should become subject to t w er P t D C ignature of Applicant TION LEND —'G DECLARATION REG RDI C>�$� IV hereby affirm under a perjury�that t C Rat ti n ag cg o theLenper Address of the work for which mit is issu�� ender's Name ;y my signature below, I certify to each of the f g: ,r��(tfC I am the property owner or authorize to act on the propW owner's behalf. I have read this application and the irormation I hav re I agree to comply with all applicable cl a y ordinance a mg to b ' constr ��y A �� I authorize representatives of this city W cRr�n Ll� -I entified pro r Ins urposes. G�/lS7l"K Da�[ P actor Prnoertv Owners or Authorized Agent s Name � ACTION [3,-.1 SUBMfTTEDASBESTOS M071FICATIONTO: ❑ EPA ❑ ARMD 1°ODEMOLITION. n-DON1SNOTAPPLICABL.ETO SIGNATURE: OCCUPANCYISSUED