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HomeMy WebLinkAboutE2019-0439 - Permits1 r City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 1412 SERENADE TER Bldg: 1 Floor: Suite: Description of Work: ELEC/DISCONNECT FOR A/C UNIT Inspector Area: 2 Legal Description: TRACT 1700 LOT 34 & POR OF LOT 45 Electrical Permit: E2019-0439 IIIIuIIIIIIIIIIIIIIIIIIIIII��lllllllllllllllllllllllllllll Project No : Owner: GEOFFROY DAVID PAUL Contractor: ECONO AIR Address: 1412 SERENADE TER Address: 555 VANGUARD CORONA DEL MAR, CA 92625 Receptacles/Outlets: BREA, CA 92821 Phone: Phone: 714-695.6661 Issued Date:06/25/2019 Con State Lia Lic Expire: 445220 02/28/2020 Processed By: Bus Lic: BT30064026 $0.00 Lic Exp Date: 08/31/2019 New Construction 0 to 1 HP/KW/KVA: Receptacle/Switch/Outlets Residential r1 1 to 10 HP/KW/KVA: Receptacles/Outlets: 0 $0.00 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1-2 Family: 0 $0.00 Sep Circuits: 0 $0.00 n y, Low Voltage 0 $0.00 Service Investigation Fee: Temp Power Pole: Signs $0.00 Issuance Fee: 0-600V up to 20OA: 0 $0.00 Branch Circuit: 0 $0.00 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Over 600V or 100oA: 0 $0.00 Time Clocks: 0 $0.00 O/H to U/G 0 $0.00 Additional Fee: $0.00 TOTAL Fee: $61.00 Plan Inspection Requests Phone(949)644-3255 Motors/Transformers (HP/KVA) 0 to 1 HP/KW/KVA: 0 Code Edit: 2016 r1 1 to 10 HP/KW/KVA: 0 $0.00 M1 :, Worker's Compensation Insurance sst`. Carrier: ARCH INS COMPANY ^ ; Policy No: ZAWCI-25387-00 0 Expire : 10/01/2019 Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: n y, C. H^ Motors/Transformers (HP/KVA) 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: 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 Record Mgmt Fee: Plan Check Fee: Piggy Backrremp Power: 0 $0.00 Investigation Fee: Temp Power Pole: 0 $0.00 Issuance Fee: Supplemental Fee: Fee Due at Permit PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday Friday 7:00 a.m. to 6:30 p.m. and„Saxrirday from 8:00 a.m. to 6:00 p.m. e sai i ii• •ojk i ii• i' 9 4O Y iiii iYi. 2 3Go OJ LOJ ii ii _ 4V QO tl Cii tai G CG YLY ti• l W t 4 L 0 $0.00 1 $26.00 0 $0.00 0 $0.00 $0.00 $0.00 $0.00 $35.00 $0.00 DWNER-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 :he 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 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 of not 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, Business 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 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 im roved for the purpose of sale). rs to construct the project (Section Contractor Business and Professions Code: The Contractors' State License Law does not 1, as owner of the property, am exclusively contracting with licensed Contractocts with a licensed Contracto apply to an owner of property who builds or improves thereon, and who contracts for the projer pursuant to the Contractors' State License Law). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: ompletion of the improvements covered by this permit, By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to c-1cannot legally sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.govicalaw.htmi. Date Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Prof ssions o e, d my license is in u force and effect. Date r Contractor Signature License Class License No WORKERS' COMPENSATION DECLARATION COREST STIOF COMPENSATION DAM GES AS PROVIDED FORARNNG, FAILURE TO SECURE TIN SECTION OGE 15UNLAWFUL, THE FUL, AND COOS, LL SUBJECT N EMPLOYER TO ATTORNEY'S FEESRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S'Iae,000), IN ADDITION TO THE I hereby affirm under penalty of perjury one of the following declarations: I 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 neiformance of the work for which this permit is issued. Policy No. 't is issued My workers' comoensatio have and will alntain workers' compensation insurance, as required by Section 3700 of the Labor Code, rnnce carrier nd olicy number are: for the performance of the work for which this perm) Date ne of Agent certify that, in the ZDCON ZTRN C rmit is issued, I sha:3700:0of ploy any person in any manner so as to become subject to the workers' compensation laws of California, an egret if I should becomrovisions of Sectiothe Labor Code, I shall forthwith comply with those prq�w/�ions. DatA�� nature of Applican` CLARATION REGGENCY :reby affirm under penalty of perjury that there is a construction lending agency for Lender's Address of the work for which this permit is issued (Section 3097, Civil Code). Ider's Name my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's b alf. I have read this application and the information I have provided is c ec . I agree to comply with all applicable city and county ordin ces s to we relating to building construction. I authorize representatives of this city or county enter t ab -id erty for inspection purposes. inafure of Pmoertv Owner or Authorized Agent Print Property Owner's or Authorized Agent' Name ACTION DATE 8Y FEDERAL REG ULA TIQNSP RT 61 QF T1716E 40 AND AQMpii11L1:?403. • • • • • • PERMITEXPIRED ❑ P M4TEQA MSOSNOTMAP0B1TO: PERMITCANCELLED E ••' `•` •• ANMD PERM(TEXTENDED ❑ ASBESTOS NOTIFICA770MIS NOT APPLICABLE TO PERMIT FINAL '1 PROPO SF°D.KJ10L VJO, , • • ° e • • • e CERTIFICATEOF / SIGNATgRt. °; : s • • ° OCCUPANCY[SSUED • • • • ° °