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Home My WebLink AboutE2019-0502 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIII II Electrical Permit: E2019-0502 a 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 1 9 0 5 0 2 Project No Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Job Address: 126 VIA WAZIERS Bldg: 1 Floor: Suite: Description of Work: ELEC/INSTALL (2) NEW A/C UNITS 47dB & 49dB W/SOME DUCT WORK (BRYANT: 124ANS-24 & 49) Inspector Area: Legal Description: 357 TR 907 LOT 356 SWLY 171/2 FT THEREOF(AND NELY 17 1/2 FT LOT Owner: WADE WRC CLARK Contractor: Address: 126 VIA WAZIERS Address: NEWPORT BEACH CA 92663 Phone: Phone: Code Edit: 2016 Con State Lic: Issued Date:07/24/2019 Lic Expire: 0 Bus Lic: Processed By: Lic Exp Date: DYNAMIC AIR SERVICES INC 21088 BAKE PKWY #104 LAKE FOREST CA 92630 949-340-3917 753286 02/28/2021 BT30064634 10/31/2019 New Construction Code Edit: 2016 Receptacle/Switch/Outlets Residential 0 to 1 HP/KW/KVA: 0 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 Low Voltage 0 $0.00 Service Signs 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 10o0A: 0 $0.00 Time Clocks: 0 $0.00 O/H to U/G 0 $0.00 Additional Fee : $0.00 TOTAL Fee : $87.00 FEES Code Edit: 2016 `g J 0 to 1 HP/KW/KVA: 0 $0.00 1 to 10 HP/KW/KVA: /`y, Worker's Compensation Insurance 10 to 50 HP/KW/KVA: Carrier: OAK RIVER INS $0.00 Policy No: DYWC912320 0 Expire : 03/01/2020 X FEES Motors/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 Piggy Backlremp Power: 0 $0.00 Temp Power Pole: 0 $0.00 Plan Check Fee: Temp Underground: Sub Panel Record Mgmt Fee: Plan Check Fee: Investigation Fee: Issuance Fee: Supplemental Fee: Fee Due at Permit Issuance PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday &F4day 7:60 a.m. fo 6:31%A.rt1.•9nd Saturday from 8:00 a.m. to 6:00 p.m. m o ° °® m o o• ° 0 0 - ° ° C .00 $0.00 $52.00 $0.00 $0.00 $0.00 $0.00 $0.00 $35.00 $0.00 OWNER -BUILDER DECLARATION 1 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). ❑ 1, 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). 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 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). ❑ 1 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 legall, 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 License No Dat Contractor Signaur.AC NORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: :11 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 )pyformance of the work for which this permit is issued. Policy No. have and will mai al 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' Hance carrier and pd%c number areT—) n n Date of Agent 3 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 agre fat, if I should becomes ject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provia_l'O S. ignature of Applicant DatPJ(C/ IECLARATION REGARDING CONSTRUCTION LENDING AGENCY 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). ender's Name Lender's Address y 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 county ordinances and state laws relating to building construction. I authorize representatives of this city or counted to nter the above -identified property for inspection purposes. j lonnture of Pmnerty Owner or AuthorizADenf V -. Print ProDertv Owner's or Authorized ADent's NSA/ - D@ ACTION DATE BY vrLILAMIIviv ur r-uMeLfAnr.0 rn rrr UVVE ur FEDERA R1��(TF1ST(ONS12rdRT 6f OFdITt€40AND PERMIT€XPIRED AQML),i{LE7d03. + •• ❑ istiv ti-EDrnS�sTosAowjcupcTo. PERMITCANCELLED ❑.•EP$• i ••• s•• • PERMITEXTENDED ❑ AQMD ❑ ASBESTOS M077RCATiONIS NOTAPPLICABL.E TO PERMITFINAL 11. Zti PROPOSfVQfXOLIVON.• • s•• CERTIFICATEOF - • • a OCCUPANCYISSUEO SIGNATOW. •.. • e • • • -0 .. .0