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Home My WebLink AboutE2020-0270 - Permitsof Newport Beach - Building Division IIIIIIIIIIIIIII�IIIIIIIIIIIII�IIIIIIIIIIIIIIIII FEES II Electrical Permit: E2020-0270 't 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 2 0 0 2 7 0 Project No: 9City w 'e� Permit Counter Phone (949)644-3288 Residential '�'.a,t�°v,�s" Inspection Requests Phone (949)644-3255 Job Address: 853 VIA LIDO SOLID Bldg: 1 Floor: Suite: N 0 to 1 HP/KW/KVA: Description of Work: ELEC A/C DISCONNECTS (3) $0.00 Temp Underground: 0 $0.00 1INJISPECTOR Inspector Area: 1 ON SATURDAYS !! a7 Code Edit: 2019 a (, Legal Description: TR 907 LOT 312(AND ELY1/2 LOT 311 $0.00 e® e 0 $0.00 o ° Owner: THOMPSON JOHN Contractor: TRI - PACIFIC HEATING &A/C Worker's Compensation Insurance Address: 853 VIA LIDO SOLID Address: 2116 E WALNUT AVENUE Carrier: OLD REPUBLIC NEWPORT BEACH, CA 92663 FULLERTON CA 92831 Policy No: MWC312170 Phone: Phone: 714-888-6820 Expire :03/01/2021 Con State Lic: 894392 IssuedDate:06/04/2020 Lic Expire: 04/30/2021 Low Voltage /( Bus Lic: BT30044853 50 to 100 HP/KW/KVA: Processed By: G' 7 I N \ Lic Exp Date: - 09/30/2020 0 $0.00 o o moo." oNoo PERMITS EXPIRE 980 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. FEES New Construction Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) Residential Receptacles/Outlets: 0 $0.00 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: 0 $0.00 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: 3 $81.00 1-2 Family: 0 $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 Service Signs 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 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Piggy Backlremp Power: 0 $0.00 Investigation Fee: $0.00 Over 600V or 1000A: 0 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $35.00 O/H to U/G 0 $0.00 Additional Fee : $0.00 Supplemental Fee: $0.00 TOTAL Fee :$116.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $116.00 PERMITS EXPIRE 980 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. ER -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, alsorequires the applicant far 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 penally of not more than five hundred dollars ($500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or im roved for the purpose of sale). 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not ap ly to an ownereefproaperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I arr4exempt ff6rAlicensure under the Contractors' State License Law for the following reason: Bymy signature bdoev I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit. I cannot legal sell a structure ttat 14have built as an owner -builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and PAf.ess'igns Code, js available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/colaw.html. 9ignahfre of PropgaY Owner or Authorized Agent Date LICENSED CONTRArCTOR'S DECLARATION I leieby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se tion 000 of Division 3 of the Business and Pro ession Code, and my license is in full force ajl�I�f fgCt. • a a e 4cgr$i Class • • • • License No Date Vii% Contractor Signature WOMFRS' COMPENSATION DECLARATION *RAING:�FAILURE6* SftVE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (§100,600), IN ADDITION TO THE COST OF COMPENSA•ION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Y• •• Thereby affirm undoupenalty of perjury one of the following declarations: LJ I have and w61"lintain 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 thl rformance of the work for which this permit is issued. Policy No. have and 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 JsArnce carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # ❑I certify that, in the p4alty nte?oftwork 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 that, if i should becomt to rkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisio s.Signature of Applicant DateDECLARATION REGAUCTION LENDING AGENCY I hereby affirm under pf perjury that thereis a construction lending agency for the performance of the work for which this permit is issued (/action 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 pr"ed ed is correct. I agree to comply with all applicable city and county ordman s and state laws relating to building construction. I authorize representatives of this city or county td enter theAbove-identified ro inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name D e ACTION DATE BY DECLARATIONOFCOMPLIANCEWITNCODEOF FOR OFflCE USEONL FEDERAL REGULATIONSPART 61OFTITLE40AND PERMITEXPIRED AQMORUL.E 1903. ISUSMfTT€DASBESTOSN07IFLCATIONTO: PERMITCANCELLED ❑ EPA PERMIT EXTENDED ❑ AQMD ❑ ASBESTOS NOTIRCARONIS NOT APPLICABLE TO PERMITFINAL PROPOSED DEMOLITION CERTIRCATEOF OCCUPANCYISSUED SIGNATURE: