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Home My WebLink AboutE2017-0386 - Permits9 City of Newport Beach - Building Division 111111111111111111111111111111111111111111111111111 Jill ilElectrical Permit: E2017-0386 o 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 1 7 0 3 8 6 Project No `'�, Permit Counter Phone (949)644-3288 'Pttvzrsse. Inspection Requests Phone (949)644-3255 Job Address: 614 MICHAEL PL Bldg: 1 Floor: Suite: Description of Work: ELEC FOR NEW A/C UNIT Inspector Area: 3 11 Legal Description TFt 4116 LOT 6 �� EMPIR Owner: BIGLAND ILLAF�Y C tractor: E PLUMB HEATING 8A/C VVorKers..ppmpensation'Insurance Address: 614 MICH EL PL Address: 16329�WALRU�S,LA�IE G;= I... _ <<°'Cgriietl:'k&(JIBLIG:1INDERWRITE)2S.' ° NEWPORT BEACH CA 92663 „ HUNTING*ON BEAbH CA 92649 Policy No: ATW60044 Phone: Phone, ,7f1437947t3 Expire;l0/15/201;}7 ftgn9taSeLic741$4. mmmm°° Issued Date:07/24/2017 Lic Expire 04/36/2016. Bus LIc: BT30065767 ., 4 -°m0 m e00mOC Processed By: _ t,tc EXp Date t Q7(31/2097 - FEES New Construction j Receptacle/Switch/Outlets Motors/Transformers (HP/Ka/A) Residential Receptacles/Oujlets 0 $0.00 Oto 1 HPlKW/KVA: 0 , $OAO, Temp Underground: 0 $0.00 Multi-Family:0 $0 Fixtures 0 $0.00 ? 1 }o 10HP/KW/KVA 0 $0.00 Sub Panel: 0 $0.00 1-2 Family: 0 0 11,,SepCirduitq''" D $0.00 10 to 50 HP/KW/KVA 0 jN $0 00 0 $0.00 Lqw VpltaQe_;.I , 0 $0.00 50 to 1100 HA)fCWACVA. ��b` ` )$0.00 0 $0.00 Service Signs t' ' ' ' I Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: $0.00 0-600V up to 20OA: 0 $0.00 Branch Circuit: 0 $0.00 Plan'Check Fee: $0.00 0-600V over 200A: 0 $0,00 Each Add Circuit 0 $0.00_-._ . Piggy-Backrremp-Power 0 $0 00 vestigation Fee: $0.00 __" .__ Over 600V or 1 OOOA: $6 b0-"--- -- Time'Clocks: 0 $6.00 Temp Power Pole;, 0 $0 00 _ Issuance Fee: $33.00 O/H to U/G $0.00 Additional Fee $0.00,Agpplemental Fee: $0.00 TOTAL Fee $33.00.. .. _ - "'"" `" Plan Check Fee : $0.00 Fee Due at Permit Issuance: $33.00 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. IINER-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) action 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 Busines's 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 (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, stress 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 oMhe property, am exclusively contracting with licensed Contractors -to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not Ay to an own86gf.%8perty who builds or improves thereon, and who contracts for the projects with a licensed Contractor p rsua t o the Contractors' State Lice se Law). J est:exemptfromJicensure under the Contractors' State License Law for the following reason, If appYZA` e. my stnaturE:bAow I acknowledge that, ekcept.for my personal residence in which FmuFffa—vave resided for at least one year prior to completion, of the improvements covered by this permit, I cannot legal a Structure that/ have built as an owner -builder if it has not been constructed In Its entirety by licensed contractgTs2l y( %ta tat a' &06rjthe applicable law, Section 7044 of the Business and ifeesions Code, Is available upon request when this application is submitted or at the followiincf it ttp:/hwJwia nYo.ca.gov/calaw.html. natYre of Prgpertg Uvner or Authorized AgentDate M.NSED CON'rR9CTOR'S DECLARATION ti .; , +� O.RI: :«py affirm dntl@Cpenalty of perjurythat I am ilicensed under pfovlslons of Chapter 9`(6gfflinJ SfIfIf TV0)-bt` Dlvlswn o the Business and roe ions Co e, and my I e is in full force I effect. .... , nse Class - License No _ Datet-772 `� `�>! Contractor Signatu _ ?R9l1RS' COMPEPISATION DECLARATION « 1 •„ NOW [IST OP JOMPENVTIOVyDPMAGES hb M9 affirm uJiVer penalty of 31 have and will maintain a ormance of the work for wh have and will maintain wo )sura -carrier and policy nul PENALTIES AND CIVIL FINES UP TO 9f l!It UNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE trflcate-'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 this permit Is issued. Policy No. S, COmpghs io nsurance, as re uvir-end Se(cti�on 3700 of th a o Co e, n a ^L3 % �°`T�,he I&6r which this permit is issued. M workers' con, ensa' r a '. .® y to 0 1 esti P Y P m er M`F° r _, +p� Iry Ion Date is of Agent certify that, in the perfoym n e f the if I should become s7e til a wo permit is issued, I shall not employ any person in any manner so as to become subject provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provi nature of Appli CLARATION RtGAADING C N RUCTION LENDING AGENCY Ireby affirm unde alty of p jury there is a construction lendin a enc se-ef4tle-vrark- Ider's Name Lender's A my signature bel w, I certify tga€6Li I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I haverovided is correct. I agree to comply with all applicable city and ounty o din oes and state laws relating to building construction. I authorize representatives of this city or co ty to ent above -identified property for inspection purposes. of Property Owner or workers' compensation laws of California, and sp. I11l dip.._.._ permit is issuAdIStclipp,3097 Name - z `i - zo Civil. Code). ACTION DAF DECLARATION OF COMPLIANCE MTNCODEOF FOR OFFICE US NLy FEDERAL REGULATIONS PART 61 OF T17LE40AND AQMDRULE1403. PERMITEXPIRED ❑ I SUBMITFED ASBESTOS N071FICATION TO. ❑ EPA ❑ AQMD PERMITCANCELLED PERMITEXTENDED ❑ ASBESTOS NORRCATIONIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL CERTIRCATEOF SIGNATURE: OCCUPANCYISSUED