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Home My WebLink AboutE2019-0251 - PermitsCity of Newport Beach Building Division IIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIII IIElectrical Permit: E2019-0251 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 1 9 0 2 5 1 Project No: Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Job Address: 1322 KEEL DR Bldg: 1 Floor: Suite: 0-600V up to 20OA: 0 0-600V over20OA: Description of Work: ELEC/NEW AIC 47.5dB W/DUCT WORK (CARRIER; 24AHA49A) Over 600V or 1000A: 0 O/H to U/G 0 $0.00 Sep Circuits: 0 $0.00 $0.00 Low Voltage 0 $0.00 Inspector Area: 4 Signs $0.00 Code Edit: 2016 g R Branch Circuit: 0 $0.00 $0.00 Each Add Circuit: Legal Description: N TR 6634 LOT 60y $0.00 $0.00 Time Clocks: 0 $0.00 $0.00 Additional Fee: $0.00 Owner: ROWE STUART/ANN Contractor: ALISO AIR INC Worker's Compensation Insurance "t Address: 1322 KEEL DR Address: 29736 AVE DE LAS BANDERAS :LIBERTY MUTUAL CORONA DEL MAR, CA 92625 RSM CA 92668 .Carrier Policy No: WC2Z61036218098 r Phone: Phone: 949-589-2021 Expire : 07/01/2019 Con State Lie: 526420w Issued Date:04/26/2019 Lie Expire: 03/31/2020 Bus Lie: BT30019236 Processed By: Lie Exp Date: 02/28/2020 New Construction Residential Multi -Family: 1-2 Family: Service Receptacle/Switch/Outlets 0-600V up to 20OA: 0 0-600V over20OA: 0 Over 600V or 1000A: 0 O/H to U/G 0 FEES Receptacle/Switch/Outlets Sub Panel: Receptacles/Outlets: 0 $0.00 $0.00 Fixtures: 0 $0.00 $0.00 Sep Circuits: 0 $0.00 $0.00 Low Voltage 0 $0.00 Over 100 HP/KW/KVA: Signs $0.00 $0.00 Branch Circuit: 0 $0.00 $0.00 Each Add Circuit: 0 $0.00 $0.00 Time Clocks: 0 $0.00 $0.00 Additional Fee: $0.00 FEES 0 $0.00 Sub Panel: Motors/Transformers (HP/KVA) 0 $0.00 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 Backfremp Power: 0 $0.00 Temp Power Pole: 0 $0.00 Fee : Temp Underground: 0 $0.00 Sub Panel: 1 $26.00 0 $0.00 0 $0.00 Record Mgmt Fee: $0.00 Plan Check Fee: $0.00 Investigation Fee: $0.00 Issuance Fee: $35.00 Supplemental Fee: $0.00 Fee Due at Permit Issuance: $61.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Friday 7:00,p.m. to §:304p.m. Jill Splurday from 8:00 a.m, to 6:00 p.m. 4 4 4 Of%O . 4 4.4 40 C O 4 4.4 O C C G ( 4 GI G G E O 0 C 0 44 4G 4 O O L 4 4 4 00G 40 p0 O'4 004 04 )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 by the checkmark(s) I have placed next to the applicable-ilem(s) lection 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 is permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale 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). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 n roved for the purpose of sale). 1, 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). I am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 of 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. signature of Property Owner or Authorized Agent F Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sec'on 700 of Division 3 of the Business and Professions Code, and my license is in full force nd effect. icense Class License No Da Contractor Signaturab VORKERS' COMPENSATION DECLARATION ARMING: 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 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: 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 thI rmance of the work for which this permit is issued. Policy No. I 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' compensalior )surance carriefIftikDolicv number am _ - r Date Tie of Agent rnune � certify that, in the performance the work or 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 agree I, if I should become subject to the wo. com ensation nmviqions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ' nature of Applicant CLARATION REGARDING CO TION LENDING AGENCY Haby 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). 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 count es and state laws relating to building construction. I. authorize representatives of this city or sou a property for inspection purposes. ,( nature of Pro ert Owner or Author' nt Print Pro ertOwner's or Authorized Agent's Name Dat ACTION DATE BY _ DEC"RATION OF COMPLIANCE WITH CODE OF I FOR OFFICE USEONLY «..�..., .. .,.,...,..�m,�r <...,�r�ra ...., I PERMITEXPIRED I I I PERMITCANCELLED PERMITEXTENDEO OCCt7PANCYISSUED • A4 13 TO: '❑ EPA ❑ AQMD ❑ ASBESTOS NOTTHCATIONIS NOT APPLICABLE TO . pRfF-tl9EhiaUTlprt • �ffiNAifTRI♦' �. �. •• ••• • • •• •• •••