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HomeMy WebLinkAboutE2019-0479 - Permits0,t City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIII�II Electrical Permit: E2019-0479 o,L. 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 1 9 0 4 7 Project No `� Permit Counter Phone (949)644-3288 c�J"�`° 1� Inspection Requests Phone (949)644-3255 Job Address: 4512 WAYNE RD Bldg: 1 Floor: Suite: Description of Work: ELEC/NEW A/C UNIT 41.5dB (DAYBNIGHT; N8MXL-0902120A) Inspector Area: 5 Legal Description: N TR 3519 LOT 97 Owner: EPP Contractor: Address: 4512 WAYNE RD Address: CORONA DEL MAR, CA 92625 $0.00 Phone: Phone: $0.00 Con State Lic: Issued Date:07/16/2019 Lic Expire: �.�- Bus Lic: Processed By: �® Lic Exp Date: New Construction Residential BASIC AIR INC 1157 SALINAS AVENUE COSTA MESA CA92626 714-469.4542 909834 01/31/2020 BT30045172 10/31/2019 Receptacle/Switch/Outlets Receptacles/Outlets: 0 $0.00 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1-2 Family: 0 $0.00 Sep Circuits: 1 $7.00 0 $0.00 50 to 100 HP/KW/KVA: Low Voltage 0 $0.00 Service $0.00 $0.00. Signs $35.00 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 1000A: 0 $0.00 Time Clocks: 0 $0.00 0/H to U/G 0 $0.00 Additional Fee : $0.00 TOTAL Fee: Code Edit: 2016 0 $0.00 Motors/Transformers (HP/KVA) Worker's Compensation Insurance aw r Carrier: AOK RIVER INS $0.00 Policy No: BAWC917646 'r Expire : 10/22/2019 z- 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 Over 100 HP/KW/KVA: FEES 0 $0.00 Motors/Transformers (HP/KVA) 0 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 Backrremp Power: 0 $0.00 Temp Power Pole: 0 $0.00 Check Fee : Temp Underground: 0 $0.00 Sub Panel: 0 $0.00 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 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. ° ° OWNER -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 the 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 (_) 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). 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 ap 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: 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 completion of the Improvements covered by this permit, I cannot 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.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date 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 Professions Code, and my license is in full force and effect. License Class iL'%9 License No 9b q g 3 I Date( Imo_ Contractor Signatu / /7 WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 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 IN pE#formance of the work for which this permit is issued. Policy No. have and w' 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' rance carrielka d policy nurpNr are: I A Number of Date certify that, in the performance of the work for 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 agref if I should become su/b�'ect to the wor rs' co pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pro Isions. lature of Applicant X /�_ ate Ireby 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 owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county�to/enter the a?9-We-identified property for inspection purposes. nature of Pronertv Owner or Authorized Anent - Print Provertv Owner's or Authorized ADent's Name X ACTION DATE BY DECLARATIONOt COMWLIANCLWItHCOL)L (it FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF T17LE40AND P€RMITEXP/RED AOMORULE1403. • . © t SUE"rTEDAS6E5'fd$ NOTIFICATION TO. PERMITCANC€LLED ..� .. • • EDA .• PERMIT EXTENDED i' - i . • • ,�} �''+• • A41VD • . i • i •LJ a$AESAOS NO 17FICA7IONIS NOT APPLICABLE TO PERMITFINAL /,. • PROPOSEDDEMOLITION. CERTIFICAT€OF li - OCCUPANCYISSUED - SIGNATVRE. • • .•