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HomeMy WebLinkAboutE2019-0388 - PermitsCity of Newport Beach - Building Division ' 100 Civic Center Drive, Newport Beach, CA 92660 t Permit Counter Phone (949)644-3288 Job Address: 227 OPAL AVE Bldg: 1 Floor: Suite: Description of Work: ELECIDISCONNECT TO A/C Inspector Area: 2 Legal Description: BALBOA ISLAND RESUB SEC 1 BILK 10 LOT 11 *E2019-0388* Electrical Permit: E2019-0388 Project No : Owner: SCHUMACHER ROBERT E Contractor: COMMAND AIR CORP Address:CAMPO RD NE Address: 4431 CORPORATE CENTER DR #115 $0.00 ALBUQUE UE, NM 87109 0 LOS ALAMITOS CA 90720 Phone: 505-301 586 Phone: 714-952-3900 0 $0.00 0-600V over20OA: Con State Lic: 942279 Issued Da :06/07/2019 $0.00 Lic Expire: 01/31/2020 $0.00 $0.00 Bus Lic: BT30055939 Processed By: Lic Exp Date: 06/30/2019 New Construction Receptacles/Outlets: 0 Residential Fixtures: 0 Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Service Signs $0.0000 0-600V up to 20OA: 0 $0.00 0-600V over20OA: 0 $0.00 Over 600V or 1000A: 0 $0.00 O/H to U/G 0 $0.00 TOTAL Fee: $42.00 Receptacle/Switch/Outlets Receptacles/Outlets: 0 $0.00 Fixtures: 0 $0.00 Sep Circuits: 1 $7.00 Low Voltage 0 $0.00 Signs $0.0000 1 to 10 HP/KW/KVA Branch Circuit: 0 $0.00 Each Add Circuit: 0 $0.00 Time Clocks: 0 $0.00 Additional Fee : 0 $0.00 Inspection Requests Phone (949)644-3255 Code Edit: 2016 Worker's Compensation Insurance ...... ••••' Carrier: NORGUARD INS CO. .•°° '••• Policy No: COWC013618 ee e Expire : 06/04/2020 30" WIDE X 3&''•®EPT�• e° °• REQUIRED FOR .. ° •e . as eoc A/C DISCONNECTSm• -% FEES $0.00 Plan Check Fee: $0.00 Investigation Fee: Motors/Transformers (HP/KVA) Issuance Feer $35.00 •- tee° °�• 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: 0 $0.0000 1 to 10 HP/KW/KVA 0 $0.00 Sub Panel: 0 $0. 10 to 50 HP/KW/KVA: 0 $0.00 b $0.00 50 to 100 HP/KW/KVA: 0 $0.00 0 $0.00 Over 100 HP/KW/KVA: 0 $0.00 Piggy Back/Temp Power: 0 $0.00 Temp Power Pole: 0 $0.00 Record Mgmt Fee: $0.00 Plan Check Fee: $0.00 Investigation Fee: $0.00 Issuance Feer $35.00 Supplemental Fee: $0.00 Fee Due at Permit Issuance: $42.00 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. 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) fiction 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 ifessions 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 `) 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). 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 )ly 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). I am exempt from licensure under the Contractors' State License Law for the following reason: 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 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 of the applicable law, Section 7044 of the Business and fessions Code. js %vailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. nature of Property (O�wner or Authorized Agent Date :fes§ED CO�J�'RACTOR'S DECLARATION Ireb affirm under #analt of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of Division 3 of the Business and Profes 'r ns Code, and m license's it ll force Y P Y P 1 rY P P ( 9 ) Y I effect. p p u �1 q lvg Class • • • ` 2y License No 1 [ 2 2 f I Dat ��' Contractor Signature s €` )RMERS' C. MPtNSATION DECLARATION l 17,11KIP FAILURE SO•SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE IT OF COMPENSATION.GAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. retiy*affirm under penalty of peijury one of the following declarations: j4ve 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 thi Prmtance of the work for which this permit is issued. Policy No. ...., • e and will mairlain 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' compensatior Vde carrhVIaliQ pplicy number are: •"• Policy Number Expiration Date ne of Agent Phone # certify that, in the performance A the work for which this permitj�'ss issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and if I should become subject to workers'pen tion profsions o edfion 3700 of the Labor Code, I shall forthwith comply with those provisions. P P 0 Iature of Applicant Y / Dal C� pfd )reby affirm under pdrnalty 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). Ider'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. I agree to comply with all applicable city and countyor Dances and stat laws I authorize representatives of this city or county to e4 thgr abqvfi idoI�fle # ACDON I DATE PERR4IT EXPIRED PERMIT FINAL CERTIFICATEOF OCCDPANCYISSUED to building construction. x inspection purposes. Print Property Owner's or FEDERAL REGULATIONS PART 61 OFTHLE40AND AOMO.RULE 1403. I SUBMfTTEDASBESTOS W17FICATIONTO. ❑ EPA AOMD ASBESTOS N07IRC4170MIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: G -7P19 ® Y fewo IJ I C!c- oet�