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HomeMy WebLinkAboutE2020-0020 - Permits0,,_„ � City of Newport Beach - Building Division lJ11J111111111p11111111pll111111p111p1111111111 JillElectrical Permit: E2020-0020 ,� 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 2 0 0 0 2 0 Project No . Permit Counter Phone (949)644-3288 z�x,rau.�"` Inspection Requests Phone (949)644-3255 Job Address: 18 TURNBERRY DR Bldg: 1 Floor: Suite: Description of Work: ELEC -DISCONNECTS (2) FOR A/C INSTALLATIONS Inspector Area: 8 Legal Description: TRACT 15387 LOT 9 POR OF LOT AND POR LOT 8 Owner: DUNCAN LAURIE Address: 18 TURNBERRY DR NEWPORT BEACH, CA 92660 Phone: Issued Date:01/09/2020 Processed New Construction Residential Multi -Family: 1-2 Family: Service 0-600V up to 20OA: 0 0-600V over 20OA: 0 Over 600V or 1000A: 0 O/H to U/G 0 TOTAL Fee: Contractor: KEMNITZ A/C & HEATING INC Address: 188 TECHNOLOGY SUITE C FEES IRVINE CA 92618 Phone: 949-453-8500 Con State Lie: 695874 Lie Expire: 09/30/2020 Bus Lie: BT30010593 Lie Exp Date: 07/31/2020 Code Edit: 2019 Worker's Compensation Insurance Carrier: NORGUARD INS Policy No: KEWC038134 Expire: 02/01/2020 INSPECTOR 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 � o m d a L 9 IJ O Y Y L 9 O O o s o 0 0 Y s Y Y mo e a D o s c• Y L ., o • •G OS•J 9 L O f)fG O C C P W ti L � Y• •NY Y Y YV YV YVV FEES Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) Receptacles/Outlets: 0 $0.00 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: 0 $0.00 $0.00 Fixtures: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: 2 '$54.00 $0.00 Sep Circuits: 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 0 $0.00 Low Voltage 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 0 $0.00 Signs Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: $0.00 $0.00 Branch Circuit: 0 $0.00 Plan Check Fee: $0.00 $0.00 Each Add Circuit: 0 $0.00 Piggy Back/Temp Power: 0 $0.00 Investigation Fee: $0.00 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $35.00 $0.00 Additional Fee : $0.00 Supplemental Fee: $0.00 89.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $89.00 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. • o � o m d a L 9 IJ O Y Y L 9 O O o s o 0 0 Y s Y Y mo e a D o s c• Y L ., o • •G OS•J 9 L O f)fG O C C P W ti L � Y• •NY Y Y YV YV YVV IWNER-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) lection 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 is 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 'rofessions 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 of more than five hundred dollars ($500). 7 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, lusiness 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 nprovements 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 nproved 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 p 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: y 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 ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. ignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION 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 nd effect. icense Class License No Date / R Contractor Signature ✓ORKERS' COMPENSATION DECLARATION ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER T RIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, ereby affirm under penalty of perjury one of the following declarations: 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 thr erfo mance of the work for which this permit is issued. Policy No. LlL91 h veand will 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' compensatior r nc carrier and policy number are: Policy Number Date lame of Agent vnone s 71 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 agree iat, if I should become subject to ork ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant l� /' _ Date"V 7,r, IECLARATION REG ING ON RUCTION DING AGENCY hereby affirm under penalty(bJWdury that th a construction lending agency for the performance of the work for which this permit is issued (Section 3097 ender's Name Lender's Address ly 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 an ate lawrelating to building construction. f� I authorize representatives of this city or county to e -i e' d n property for inspection purposes. linnafurw of Prnnertv Owner nrAufhnrized ADen Print Prooertv Owner's or Authorized Agent's Name ACTJON DATE 'vi BY v Uc1.LAf UvAv ur tumruAwn c vvirn i vuc ur FEDERALREGULATION�PAW-MOFTfiiEdRAND PERMITEXPIRED AQMD RULE 1403. • ; e ; ; •; •• [31SUBMITTED ASBE$TQSk71R �Tr0 00 ; PERMfTCANC€LIED ❑ EPA • • •• +•• •+` P£RMITEXTENDED ❑ AQMD ❑ ASBESTOS N017191CAT10NIS NOT APPLICABLE TO PERMITFINAi 7M PROPOSED DEMOLITION. •;• ••• •+• •+• ;•• CERTIFICATEOF ; •• •+ • a OCCUPANCYISSUED SIGNATURE: ••. +•. •�- • e i` i e• Civil Code).