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HomeMy WebLinkAboutE2019-0723 - PermitsCity of Newport Beach Building Division Illlf IIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIII II Electrical Permit: E2019-0723 `. 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 1 9 0 7 2 3 Project No . 0724-2019 Permit Counter Phone (949)644-3288 - - y u - Inspection Requests Phone (949)644-3255 Job Address: 2826 CATALPA ST Bldg: 1 Floor: Suite: Description of Work: ELEC/AC UNIT DISCONNECT Inspector Area: 8 0 Legal Description: N TR 5018 LOT 71 1-2 Family: Owner: PARK ANDREW/JENNIFER Contractor: Address: 2826 CATALPA ST Address' NEWPORT BEACH, CA 92660 0-600V up to 20OA: Phone: Phone: 0-600V over20OA: Con State Lic Issued Date:10/25/2019 Lic Expire: �/� Bus Lic: Processed By: Y 7, Lic Exp Date: New Construction Residential Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Service Policy No: 9027984 714-396-0896' ; 0-600V up to 20OA: 0 $0.00 0-600V over20OA: 0 $0.00 Over 600V or1000A: 0 $0.00 O/H to U/G 0 $0.00 AL Fee: Temp Underground: Sub Panel: 0$0.00 1 $27.00 0 $0.001 0 $0.00 Record Mgmt Fee: $0.00 i Plan Check Fee: $0.001 ; Investigation Fee: $0.001 Issuance Fee: $35.00; Supplemental Fee: $0.00' Fee Due at Permit Issuance: PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Friday 7:00 a.m. to 6:80 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. Code Edit: 2016 BEACH CITIES CONSTRUCTION Worker's Compensation Insurance 1964 VISTA CANDALL Carrier: STATE FUND NEWPORT BEACH CA 92660 Policy No: 9027984 714-396-0896' ; Expire : 10/01/2020 . 580586 - 11/30/2021 Motors/Transformers (HP/KVA) BT30056744 0 10/31/2019 0 to 1 HP/KW/KVA Temp Underground: Sub Panel: 0$0.00 1 $27.00 0 $0.001 0 $0.00 Record Mgmt Fee: $0.00 i Plan Check Fee: $0.001 ; Investigation Fee: $0.001 Issuance Fee: $35.00; Supplemental Fee: $0.00' Fee Due at Permit Issuance: PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Friday 7:00 a.m. to 6:80 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. FEES Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) Receptacles/Outlets: 0 $0.00 0 to 1 HP/KW/KVA 0 $0.00' Fixtures: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sep Circuits: 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 Low Voltage 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 Signs Over 100 HP/KW/KVA: 0 $0.00 Branch Circuit: 0 $0.00 Each Add Circuit: 0 $0.00 Piggy Back/Temp Power: 0 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Additional Fee : $0.00 Plan Check Fee : $0.00 Temp Underground: Sub Panel: 0$0.00 1 $27.00 0 $0.001 0 $0.00 Record Mgmt Fee: $0.00 i Plan Check Fee: $0.001 ; Investigation Fee: $0.001 Issuance Fee: $35.00; Supplemental Fee: $0.00' Fee Due at Permit Issuance: PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Friday 7:00 a.m. to 6:80 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. LNER-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) ction 7031.5, Business and Professions Cade: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure,' prior to ifs issuance, also requires the applicant for 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 fessions 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 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, ;iness 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 rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the OwnervBuilder will have the burden of proving that it was not built or 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 ,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: 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 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 fessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. nature of Property Owner or Authorized Agent Date TENSED CONTRACTOR'S DECLARATION :reby 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 Pr ons Code, and my license is in full force effect. a / q,, mse Class License No aS�rG Date XC%�/tontractor Signa )RKERS' COMPENSATION DECLARATION It :NTNG: 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 T OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. reby affirm under penalty of perjury one of the following declarations: I 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 thi j�ftance 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 Trance carrier ar1,' licy number are: �^ dor 91 _. rls � Expiration Date ❑I certify that, in the performance ogtIrWhich this permieiis issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre that, if I should become subje t to tompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those p Is ns. /J J SiTnature of Applicant Dat . '�" c— DECLARATION REGA,R6111M tbNTMUCTION.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 Bye,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 provid correct. I agree to comply with all applicable city and county ordin a at laws relating to building construction. I authorize representatives of this city or county to n h ntified property for inspection purposes.: / Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name �Lr^' O �S' AC710N DATE 8Y DECLARATION OF COMPLIANCE tMTH CODEOF FOR OFFICE USE ONLY •. ••• • . FEDERAL REGULATIONSPART $1 OFTtTLE40AND • °AOMtU1RUl03. PERMIT EXPIRED • • • • QAEDASBESTOS N0711=1CA710N T0: PERMIT CANCELLED • : ° • • AQMD I,P€RMITEXTENDED 0 ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PgOF S�EDDEMOLITION. •• 0 PERMITRIVAL ... 1 C€RTIFiCATEOF • e • a °• '10CCUPANCYISSOED • : 7: S;CI1ATJRE.