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HomeMy WebLinkAboutE2019-0047 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288. Job Address: 58 BALBOA COVES Bldg: 1 Floor: Suite: Description of Work: ELEC DISCONNECT FOR NEW A/C UNIT INSTIL (H2O19-0052) Inspector Area: 1 Legal Description: N TR 1011 LOT 58 Owner: HEARN SHANNON Contractor: Address: 58 BALBOA COVES Address: NEWPORT BEACH CA 92663 $0.00 Phone: Phone: 0/H to U/G 0 Con State Lic: Issued Date:01/28/2019 Lic Expire: Branch Circuit: Bus Lic: Processed B) . Lic Exp Date: New Construction Residential Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Service 0 0-600V up to 20OA: 0 $0.00 0-600V over20OA: 0 $0.00 Over 600V or 1000A: 0 $0.00 0/H to U/G 0 $0.00 111111111111111111111111Jill 11111plllp111111lllp 11Electrical Permit: E2019-0047 E 2 6 1 9 0 9 4 7 Project No : 2441-2018 Inspection Requests Phone (949)644-3255 JONES CHRIS GENERAL CONTRACTOR 20362 SANTA ANA AVE #17 NEWPORT BEACH CA 92660 714-668-1190 909473 01/31/2020 BT30064873 10/31/2019 _ Receptacle/Switch/Outlets Receptacles/Outlets: 0 $0.00 Fixtures: 0 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Signs $0.00 10 to 50 HP/KW/KVA: Branch Circuit: 0 $0.00 Each Add Circuit: 0 $0.00 Time Clocks: 0 $0.00 Additional Fee : $0.00 Code Edit: 2016 1 N S11' C"' TO !R Worker's Compensation Insurance Carrier: EXEMPT Policy No: Expire: 30" WIDE X 36"-KPTH FEES 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 Plan Check Fee: REQUIRE4.FOR 6 A/C DISCONNECTS loll • ° O C P O ®© O C O 4° O °r. e 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. 0 Temp Underground: ° 0 4[0.00. Sub Panel: 1 $2Z6W�190 lop f1t1l!11 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 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 wjth 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 L) all of or L) 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 improved 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 nut apply 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). ❑ lam 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 legal) 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://w .leginfo.ca.gov/calaw.html. 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 B slness and Professions bd and my license is in full force and effec( ... _' _ _ %,I ..„, License Class �a� „ _ - '� '' `License No 4~1 �te lift Mt Contra t ignature 11/QF4WS' COJVIRENSATION- DECILARATION WARNING1:AILURIE•rB"Q1�aE 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 COST OFLCOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I Derlek%laffitm undlr p6milt' f per)" ',;me'of the following declarations: I hSVp 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 e 'r•nance of the ovorl�for which this permit is issued. Policy No. f1He and wA1:113igtbin 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' compensatio irfAft.1hte carrier and policy number are: Writ.,.: Policy Number Expiration Date Mame of7\gent • • • •" Phone # •••• I certify that, in the performance of the6woorwhich 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 ogretha `i ishould q'�cemQ�subject to>� wo pensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those pr> olgisions. _ Signature of p icant DECLARAT N REGARDING CUNSTR14TION LENDING AGENCY I hereby 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). Lender's Name Lender's Address By 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 ordinances an tate laws relating to building construction. I authorize representatives of this ci't 0 o enter the ab -identified property for inspection purposes. Signature of Property Owner or Autho e t Print Property Owner's or Authorized A ent's N mQ Cb�i�i �If1eS ate—�47 ACTION DATE By DECLARATION OF COiMPt1ANCEtNIT CO F FOR OFFICE DSEDNL FEDERAL REGULATIONS PART 69 DF TfTLE40.AND PERR?rTEXPtRED AQMDRUEE 1403. I Sf16114tTFEDASBESTOS N071FfCA71DN TO: PERh7rTCANCELiED ❑ EPA PERMFTEXTENDED ❑ AQtifD ❑ ASBESTOS NOTIFiCATtONtS NOT APPLICABLE TO PETfiVflTFlNAL PROPOSED DEMOLITION. CER7iFfCATEOF OCCf/PANCXISStfED SIGNATURE.,