HomeMy WebLinkAboutE2020-0116 - Permits (2)�svlvr City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
. Permit Counter Phone (949)644-3288
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Job Address: 6 ROCKINGHAM DR Bldg: 1 Floor: Suite:
Description of Work: ELEC/CHANGE OUT (3) (E) A/C UNITS 60dB*, 60dEI* & 64cIB*
Inspector Area
Legal Description: N TR 11449 LOT 51
II III I ISI 0 IMI0 III III ILII I I I 6I II
Owner: YIXIN LIU
Contractor:
CAL HVAC SERVICES
Address: 8 N IST AVE
Address:
8 PANDORA
ARCADIA CA 91006
Receptacles/Outlets:
IRVINE CA 92604
Phone:
Phone:
949-338-8698
$0.00
Con State Lic:
1032743
Issued Date:02/25/2020
Lic Expire:
09/30/2020
$0.00
Bus Lic:
BT30071166
Processed By:
Lic Exp Date:
02/28/2021
New Construction
0
$0.00
Receptacle/Switch/Outlets
Residential
0 to 1 HP/KW/KVA:
0
Receptacles/Outlets:
0
$0.00
Multi -Family:
0
$0.00
Fixtures:
0
$0.00
1-2 Family:
0
$0.00
Sep Circuits:
0
$0.00
$35.00
Supplemental Fee:
Low Voltage
0
$0.00
Service
Signs
0-600V up to 20OA:
0
$0.00
Branch Circuit:
0
$0.00
0-600V over 20OA:
0
$0.00
Each Add Circuit:
0
$0.00
Over 600V or 1000A:
0
$0.00
Time Clocks:
0
$0.00
O/H to U/G
0
$0.00
Additional Fee :
$0.00
Electrical Permit: E2020-0116
Project No: 2680-2019
Inspection Requests Phone (949)644-3255
Code Edit: 2019 e
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Worker's Compensation Insurance y�
Carrier: NORGUARD INS CO ��J1
Policy No: CAWC041268 � e �
Expire : 09/18/2020 (�
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FEES
0
$0.00
Motors/Transformers (HP/KVA)
2
0 to 1 HP/KW/KVA:
0
$0.00
1 to 10 HP/KW/KVA:
0
$0.00
10 to 50 HP/KW/KVA:
0
$0.00
50 to 100 HP/KW/KVA:
0
$0.00
Over 100 HP/KW/KVA:
0
$0.00
Piggy Backrremp Power: 0 $0.00
Temp Power Pole: 0 $0.00
Fee :
Temp Underground:
0
$0.00
Sub Panel:
2
$54.00
0
$0.00
0
$0.00
Record Mgmt Fee:
$0.00
Plan Check Fee:
$0.00
Investigation Fee:
$0.00
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 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m.
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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, 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' 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 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 (_) 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).
❑ 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
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 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, 1 cannot legall,
sell 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
Professions Code, is available upon request when this application is submitted or at the following Web site:http:/Awww.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secti000) ;!vision 3 of the Business and Prof s s Co a nd my license is in full force
and effect.License Class License No Date Contractor Signature
INORKERS' COMPENSATION DECLARATION ` Z O
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
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby 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 Cade, for
9rmance of the work for which this permit is issued. Policy No.
have and will rgatptain workers'
rance carrier anm 0 icv number
of Agent
insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
Expiration Date
certify that, in the performance of AV 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
I, if I should become su ' ct to'4hers' compe ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provision ,
nature of Applicant Date rC-/%r�Z G 7 y
CLARATION REGA DING CO
9PST51UCTION LENDING AGENCY
:reby 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).
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 pro RRNhe�b3_
wner's behalf.
I have read this application and the information I have p'd is correct.
I agree to comply with all applicable city and county ordis and state laws relating to building construction. _
I authorize representatives of this city or count to e-ide ed property for inspection purposes. 5/eel
nature of PrODertv Owner or Authorized Aoent 1[ r Print Property Owner's or Authorized Agent's Name A . �) r G� of f• \ f D
ACTION DATE ✓ BY LI EAK Aviv ur vumrunlvuc vrrrn a Vvc yr run urrl LC u�c UIVLr
FEDF_,RAI!'" AUCAISFQRT 09OF T•1f1•E40AND
PERMITEXPfRED AQAFbb-RU 1403.E • ••
❑ •t$USN7".A58E�TQSNOVFJC4f1QNT0.
PERMITCANCELLED •Q VA ••:
PERMITEXTENDED ❑ AQMD
STOS IV017FICA
PERMITFINAL 3 �,A \ - oP P OPW&IOWMOLITION-R0N/S NOT APPLICABLE TO
CERTIFICATE OF • • � i i i • i •
OCCUPANCYISSUED - SIGNAtU4Er • • • •