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Home My WebLink AboutE2020-0261 - PermitscY City of Newport Beach - Building Division *E2020-0261* Electrical Permit: E2020-0261 100 Civic Center Drive, Newport Beach, CA 92660 Project No N '-.; �. Permit Counter Phone (949)644-3288 9`"�erxru�� Inspection Requests Phone (949)644-3255 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. Job Address: 314 L ST Bldg: 1 Floor: Suite: Description of Work: ELEC INSTALL (2) DISCONNECTS OF (N) A/C UNITS (H2O20-0281) IC T UO Inspector Area: 1 Code Edit: 2019 same e e Legal Description: TR 518 LOT 15 BILK M AND LOTS 16 TO 18 INC BILK M .... • c eemm mmeomc Owner: SOMERS LAWRENCE Contractor: DEPENDABLE GRAHAM AC Worker's Compensation Insurance Address: 314 L ST Address: 2952 CENTURY PLACE Carrier: FALLS LAKE FIRE AND CASUALTY ° • • ° NEWPORT BEACH, CA 92661 COSTA MESA CA 92626 Polley No: FLA000131 °tete° Phone: Phone: 714-546-1653 Expire: 07/01/2020 °° •°o •• ° Con State Lie: 472690 m�e/�mJ Issued Date:06/01/2020 Lie Expire: {p�' p{�� y-® p� g 7�m 04/30/20225/.iBJEC"I' 1'O FEELD INSFF,CTI rR'w CV® CONS RUC Bus Lie: BT01013104 REVIEW AiND"PROVAt, 1 1 IOY VV®!'j Processed Bv�%M,Lie Exp Date: 12/31/2020 ° e • m o®° 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: 2 $54.00 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 Backfremp 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: $89.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance, 569.00 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. DWNER-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' Stale 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 L) 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 improved 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 bBlp(y lAknowledge 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 selt1 jggc;ure 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 Profession Codepisavailable upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.html. Signature of Property Ofner or Authorized Agent Date LICERAM CONTRACTOR'S DECLARATION I herEby affirm unrjt+r-ustillty of perjury that I am licensed under provisions of Chapter 9 (commending With Section 7000) of Division 3 o the Business and ofessions Code, an my lice is in full force ani effecte .... License glass License No /Date d ✓ ctor Signatu - % wo••... f%K RS' COVAMATION 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 ($100,000), IN ADDITION TO THE COS-l`4PCCYIPENSATIQN, D fVAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm und%rpnalty of perjury one of the following declarations: ZDI•have.••. and will.reaiatain 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 the W'rrnailice of thgg"Itfbr which this permit is issued. Policy No. 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' compensatiol insurance carrier and policy number are: Policy Number Date me of Agent —rnone a I 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 t, if I should become subjept to thep�yorkersc 7pensatiorovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. mature of p t CLARA REGARDING CONSTRUCTION LENDING AGENCY ;reby affirm u Iddeer�penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued Section 30 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 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 cc" ordinances and state laws relating to building construction. I authorize representatives of thisfltY or count enter th above-Ontified perty for inspection purposes. /� ,.,nn,.e ..r o.,..,e.r„ n,.,ner A,.ur��an Aea�ri>•, �. %fiYs Print Prooertv Owner's or Authorized AgelamtiM %/hlUfili�i�i�/ Date ACT70N DATE BY PERMITEXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMITFINAL —20 17— CERTIFICATEOF OCCUPANCY7SSUED FEDERAL REGULATIONS PART 61 OF TfTLE40 AND AQMD RULE 1403. 1 SUBMfTTEDASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD ❑ ASBESTOS MOTIHCA1701VIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: