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Home My WebLink AboutE2017-0259 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 12 ODYSSEY CT Bldg: 1 Floor: Description of Work: ELEC FOR NEW A/C UNIT Inspector Area: 3 Legal Description: TR 7817 LOT 1 UNIT 121 OF TOGETHER Owner: YANNI DANIEL t' Address: 12 ODYSSEY CT NEWPORT BEACH, kA 92V'.3 Phone: Ilk' Issued Date:05/17/2017 Processed *[E2017-0259]* Electrical Permit: E2017-0259 1111111111111111111111IN111111111111111111111111 Project No : Suite: V,9 Jo'o 0( Code Edit: ATED ON APy24 041 01 ; r OWN�ERIAL[' �p VA NI nkkil • fi v A t Tte Lit 01� � k�7 Lic41r c • j ` e' jx Exp Datev q p. x iyk Y ' (949)644-3255 a T ' P ®TPS P Worker's Compensation Insurance s•P• ✓ PP Carrier : -01, Policy No: PO Expire P P 0161 &PmPP. 900CC P P6C0[ a V ' a �r•W New Construction R��pR cle) witch/Outlets ''e to /Transformers (HP/KVA) IWO,� Residential ReOdptacles/Outlets: 1 X00 °-0to1HP/KW/KVA: 0 .00 \�5n*Temp erground: 0 $0.00 Multi -Family: 0 $0.00 Fixtures: r0 0. 0 1 to 10 HP/KW/KVA: $0.00 +ti3ti�Panel: 0 $0.00 1-2 Family: 0 $0.00 ep Circ�euit: ,±,,Q" �" $04,4Q(� 10 to 50 HP/KW 0 �$0 60 0 $0.00 wVrltagd4 0 if$600 50 to 10 W/KVA: ��i0 0 $0.00 Service S ns l\r`+� 0 0 HP/KW/ a�' $0.00 Record Mgmt Fee: $0.00 0-600V up to 20OA: 0 $0.00 Br ch Circuit: 0 $0.00 " Plan Check Fee: $0.00 0 -BOON over 200A: 0 $0.00 Eac Add Circuit: 0 Pi ack7t4`p Power: 0 $0.00 Investigation Fee: $0.00 Over 600V or 1000A: 0 $0.00 Time locks: $0.00 . - erpp 136 er Pole: 0 $0.00 Issuance Fee: $33.00 O/H to U/G 0 $0.00 Additi al�F< $0. m, Supplemental Fee: $0.00 TOTAL Fee: $34.00 Check Fee: $0.00 Fee Due at Permit Issuance: $34.00 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 6:00 a.m. to 6:00 p.m. INER-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 itdm(s) , ction 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or r.spair any structure, prior to its 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 La - -t 9 ('r/ommencing 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 S - 7031.5 b any applicant for a permit subjects the applicant to a civil penalty of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (—) all iness and Professions Code: The Contractors' State License Law does not apply to an owner_gWr cgv'ements are not intended or offered for sale. If, however, the building or improvemen d wit r6ved for the purpose of sale). �,n,� s owner of the property, am exclusively contracting with licensed Contiwel$s to cons``t��u$r,t, y to an *;Imer of property who builds or improves thereon, and whq.cdnlracts for the proj�C[S'v I am ezempPfrom licensure under the Contractors' State Vsefise Law for the following reas�g� ny sigrrpiurebelow I acknowledge that, except for r 1y sonal residence i "fch I must Ir v� a struclur2 "I I have built as an owner-buiWprr It has not been co cted in its entirety by 'essions Cade, is available.upon reque�shWJ�i'an is applicatioJr ubmitted t foHow no lature of Proper9y Owner or Aufhoft6-lAge C 3 _ portions of the work, and t structure is not intended or offered for sale (Section 7044, who, through employees' r p rsonal effort, builds or improves the property, provided that the loar of comp letion,tth(t�tne Builder will have the burden of proving that it was not built or Business and Professions Code: The Contractors' State License Law does not pursuant tylbe'Co ractors' State License Law). I understand that a vents covered by this permit, I cannot law, Section 70441of. the Business and Ireby affirm under prralry of e ' rlt I icensed unde r Ions L gpt (nmencing with Section 7000) of Division 3 of the Business not Professions Cdde, and my license is in full force ieffect. '� s?; 1 a !rase C L e t� u�°'.t's — ate Contractor Signature IR♦♦K'E ATION D '" /''�,�p�\ tAlyG FAI e J $CURE WORKERS' PENSATIO`fit IS UNLAWFUL LL�H$ T E OYER TO CRIMINAL PENALTIE AND -fit Flye$lyp TO ONE HU RED THOUSAND DOLLARS ($100,000), IN ADDITION TOT iT OF COM NSATIOH OA Q s PRO D F N CTION 3706 OF THEOD �N ST, RNEY'S FEES. lJ' rehy affir un alty o rjury - e followingNNN d i I� - T41ave A ill m ' tain a ificate of cons to ff or o rs' compensation, issue by t� it Indus6i)l Relation as pro ided r by Section 3700 of the Labor Code, for formance of t wo for.._ is PIS u 0l, is o. % w `as.us have and will Sint ii worker ompe at'I La ins s required by Section 37 of t Code f5l6e erformance of the hi h this ermit is issued. My workers' compensat Trance carrier a policy - `.r� rier IN Policy Number \� Ex e is of Agent I t��` �. certify that, in the p or ki the work for which if I should become ject to the workers' com ea! lature of Applicant areby affirm und¢f penaltyf peopry lder's Name my signature below, I certifyNo each I am the property owner or a thoriz I have read this application SIN the I agree to comply with all appli btr I authorize representatives of th c` ACTION PERMIT€XPIRED PERMIT CANCELLED PERMIT FINAL CERTIFICATEOF OCCUPANCYISSOED to act on the or K Pted, I shall not employ any person� ary mannek� �'to be mLtsubject to the workers' compensation laws of California, and agree of Section 3700 of the Labor �, I shall fort 'th corup Ith those prowsio ®moi D I In lending a or the perfo00. ciiAt,fe�work for which this permit is issued (Section 3097, Civil Code). Len r'"s Ad owner's ba�h 5s=rre ,es d'9 -fate laws o building construction. identified opert inspection purposes. Print ProDertv Owner's or Authorized Agent's Name/V,_ 7C�•..w� Date By I I a L,L..Ai riviv ur uvmrumvY CYvi t n1 VUC Ur FEDERAL REGULATIONS PART 89 OFTITLE40AND AQMD.RULE 9403. ❑ I SUtBMITTEDASBESTOS NOTIFJCATLON TO: 13 EPA ❑ AQMD ❑ ASBESTOS N071FICA770MIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: