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HomeMy WebLinkAboutE2019-0313 - PermitsCity of Newport Beach - Building Division 100 Civic center Drive, Newport Beach, CA 92660 ' Permit Counter Phone (949)644-3288 Job Address: 517 VIA LIDO SOUD Bldg: 1 Floor: Suite: Description of Work: ELEC A/C DISCONNECT ' Inspector Area: 1 Receptacle/Switch/Outlets Legal Description: N TR 907 LOT 450 Receptacles/Outlets: Owner: FASH VICTORIA $0.00 Address: 517 VIA LIDO SOLID Contractor: NEWPORT BEACH, CA 92663 Address: Phone: Low Voltage 0 Phone: Issued Date:05/16/2019 Con State Lic: Plggy Backf temp Power: Lic Expire: Processed By:Bus Lic: --__ Lic Exp Date: New Construction Residential Multi -Family: 0 1-2 Family: 0 Service 0-600V up to 20OA: 0 0-600V over 20OA: 0 Over 600V orIo00A: 0 O/H to U/G 0 I IIIIIII IIII IIIII IIIII IIIII IIII IIIBI IIIII IIIII IIIII IIII IIII ALICIA AIR CONDITIONING 26824 VISTA TERRACE LAKE FOREST CA 92630 949470-2495 525314 02/28/2020 ST20102054 09/30/2019 Electrical Permit: E2019-0313 Project No: Inspection Requests Phone (949)644-3255 Code Edit: 2016 Worker's Compensation Insurance Carrier` SERVICE GROUP Policy No: WC047015951 Expire: 07/01/2019 MOters/Transformers (HP/KVA) Receptacle/Switch/Outlets $0.00 Receptacles/Outlets: 0 $0.00 $0.00Sep Fixtures: Circuits: 0 $0.00 50 to 100 HP/KW/KVA: Low Voltage 0 $0.00 $0,00 0 Signs Plggy Backf temp Power: 0 $0,00 $0.00 Branch Circuit: 0 $0.00 $0.00 Each Add Circuit: 0 $0.00 $0.00 Time Clocks: 0 $0.00 Additional Fee: $0.00 Electrical Permit: E2019-0313 Project No: Inspection Requests Phone (949)644-3255 Code Edit: 2016 Worker's Compensation Insurance Carrier` SERVICE GROUP Policy No: WC047015951 Expire: 07/01/2019 MOters/Transformers (HP/KVA) 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 Plggy Backf temp Power: 0 $0.00 Temp Power Pole: 0 $0.00 Temp Underground.- Sub nderground:Sub Panel Record Mgmt Fee: Plan Check Fee: Investigation Fee: Issuance Fee: Supplemental Fee: Fee Due at F 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, o eoe• . m .' •emooe 0 ° ee ee e ° o°e oomo °°• e ° �O eeooe � ommoo ° ooeooe ® o 0 0 aeemme o e e ° em ooe0000 6 O ° 00°m° Om00 0 $0.00 1 $26.00 0 $0.00 0 $0.00 $0.00 $0.00 $0.00 $35.00 $0.00 $61 i NER-BUILDER DECLARATION Gr repair any structure, prior to its issuance, also requires the applicant for Code- An city or county that requires a permit to. construct, alter, improve, demolish,Secapplicant to a civil penalty of ns of the Contractors' State License Law (Chapter 9 (commencinginora with subjects the app n 3 of the Business and I hereby affirm under penalty Professions Co t I am Y xempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable ;ems :tion 7031.5, Business and Pro permit to file a signed statement that he or she is licensed pursuant to the the alleged provided 7 that the any portions of the work, and the structure is not intended or offered for sale (Section 7044, fessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 703. Y more than five hundred dollars ($500). all of or (� p I, as owner of the property, or my employees with wages as their sole compensation, o l do of property who, through employees' or personal effort, builds or improves the grope y, ;iness and Professions Code: The Contractors' State License Law does not apply ro'ect Section 7044, Business and Professions Code: The Contractors' State License Law does not )roess and are not intended or offered for sale. If, however, the building or improvement is sold within on year of completion, She 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 p 1 Y permit.I cannot legall ply to an owns r efpr�PertY who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I aryl exemptfroRPlicensure under the Contractors' State License Law for the following reason: Section 7044 of the Business and I aryl xemptnaturep b®low I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion ththe improvements covered b t Is Date IlcatlOn is submitted or at the following Web site:http:llwww.leginfo.ca.gov/calaw.html. full force II a structure tha4 Lb�ve built le an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, blesSjpns Code, is available upon request when this app' gnatare of Property Owner or Authorized Agent ICENSED C64T} RACTOR'S DECLARATION Dat Contractor Sig70oNE ure reraby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing th Section 7000) of Division 3 of the Busine and Professions(%oderantmY-IieeRsa"I Zq:flect. License No it's •ClTHE ass • • • lgg�RS' COMPENSATION DECLARATION 'pFMING: FAILUR IIQQ $$F•TRE R pGE3 AS PROVOIOEO FOR IN SECTIO GE IS TRELABOR CODE, INTEREST, AND ATTORNEY'S FEES. PENALTIES AN. CIVIL FINES UP HUNDRED THOUSANe DOLLARS (E'100,000), IN ADDITION TO COVE MPE Code, for th OST OF COMPENATTOlJ, qAM • • . • . nalt of perjury one of the following declarations: herebyaffirm gdF•�Pq Y P 1 ry 370o of ... T 1 have and, wilt Maintain a certificatce issued�Pol cy Noself-insure for workers' compensation, issued by the Director the performance of Relations work for which this permit lis issued. Myhworkebrsr ompensatio erformance of the work for which this permit t9u��'eve and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, Expiration Date nsure�ce carrier and policy number are: policy Number _ Phone # barrier Name of Agent Date S workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisi s- [31 certify that. in the perfo ante of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to a workers' compensation laws of California, an that, if 1 should become su ject to the - Signature of Applicant DECLARATION der p ally CONSTRUCTION is DING AGEN Lender's Address I hereby affirm under pe ally of perjury that there is a construction lending agency for the performance of the work for which this permit is issued ( action 3097, Civil Code). Lender's Name - gy my signature below, I certify to each of the following: I am the properly owner or authorized to act on the property owner's behalf. S/� l` 1 have read this application and the information I have provided is correct. for inspection purposes. �v� r!-2[/j�r% .Date I agree to comply with all applicable city and co my ordinances and state laws relating to building construction. 4oue-ideRtiGa I authorize representatives of this city or count to e Print Pro ert Owner's or Authorized Agent's ame H1R OFFI SEONLY __ ..__ _. o.,,..e,+„owner or AuthorizedA ert _ __-,,,, ,.,..c rnnnPna CE WfTff CODEOF TACTION DATE RY F€DERAL REGULAIJUF93 rwn,AQMD RULE 4403. 13 fSUBMITTEDASBESTOSNOTIFICATION TO: © EPA D ❑ AQMU ❑ ASBESTOS NOTfFICAAONIS NOT APPLICABLE i0 �__ �l —19 1 PROPOSED UEMOGTION. SIGNATURE: OCCUPANCYISSUED