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Home My WebLink AboutE2021-0250 - PermitsCity of Newport Beach Building Division IIIIIIIIIIIIIIIIIIIIIIIIIII��III�IIIIIIII�III II 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 2 1 0 2 5 0 Permit Counter Phone (949)644-3288 Job Address: 25 CALAIS Bldg: 1 Floor: Suite: Description of Work: ELEC/A/C DISCONNECT (H2O21-0249) Inspector Area: Legal Description: Owner: CHANG/HUANG Contractor: Address: 25 CALAIS Address: NEWPORT COAST CA 92657 Phone: Phone: Carrier: OHIO SECURITY INS CO. Con State Lic: Issued Date:04/09/2021 Lic Expire: Motors/Transformers (HP/KVA) Bus Lic: Processed By: Lic Exp Date: New Construction Residential Multi -Family: 1-2 Family: Service 0-600V up to 20OA: 0 0-600V over20OA: 0 Over 600V or 1000A: 0 O/H to U/G 0 Fee : 1ST CHOICE HEATING B A/C 20371 LAKEFORESTDR STE A-5 LAKE FOREST, CA 92630 949-305-5754 1006824 08/31/2021 BT30064046 08/31/2021 Electrical Permit: E2021-0250 Project No: Inspection Requests Phone (949)644-3255 Code Edit: 20192 4A FEES Worker's Compensation Insurance M Carrier: OHIO SECURITY INS CO. Policy No: XWS2262377720 Expire: 02/15/2022 0 Motors/Transformers (HP/KVA) Plan Check Fee: 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. FEES Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) Receptacles/Outlets: 0 $0.00 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: 0 $0.00 $0.00 Fixtures: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: 0 $0.00 $0.00 Sep Circuits: 1 $7.00 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 Signs Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: $0.00 $0.00 Branch Circuit: 0 $0.00 Plan Check Fee: $0.00 $0.00 Each Add Circuit: 0 $0.00 Piggy Back/Temp Power: 0 $0.00 Investigation Fee: $0.00 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $37.00 $0.00 Additional Fee: $0.00 Supplemental Fee: $0.00 Plan Check Fee: 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. )WNER-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 ie 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 Irofessions 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 of more than five hundred dollars ($500). 1 I, 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, lusiness 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 nprovements 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 nproved 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 pply 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). 7 I am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 ell 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 Irofessions Code, is available upon request when this application is submitted or at the following Web site:hltp://www.leginfo.ce.gov/calaw.html. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force nd effect. / icense Class License No Date Contractor Signat G VORKERS' COMPENSATION DECLARATION ARMING: 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 ($/00,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 7 1 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 IN e jormance of the work for which this permit is issued. Policy No. I 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 card policy nurp are: Tier "ZIN, n r e 1oil bar Expiration Date TIe of Agent _ V Phone # 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 agree I, if I should become a bject to the VAawfol-corrTenaktion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. G nature of Applicant CLARATION REG*DINTUONJTnPTfiDN LENDING AGENCY Ireby affirm under plenalty of perjury t at 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 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 county ordinances and state laws relating to building construction. I authorize representatives of this city or county toe er a deRN' erty for inspection purposes. nature of PrODertv Owner or Authorized Aaent Print Property Owner's or Authorized Agent's Na f� _2f 2/ AC77ON DATE BY LNZ. r Ilun ur UVWU-UMVI-C mrn uuvrvr FEDERAL REGULATIOJVSPA17T 0106 TIILE40 AND PERMITEXPIRED AQ111401RIQLEI40! d 1SNBMMV.4s 5TQSW7IRCATroNTO: PERMIT CANCELLED :.13 •EPA • . • • ,' PERMfTEXTENDED ' ❑ * AQMD ❑ ASBESTOS M07IRCATIONIS NOT APPLICABLE TO PERMIT FINAL - _ZZ •Z. J OAV A, PROPOSEDDEMOL1TfON., „• CERTIFICATEOF �� ••� •�• OCCUPANCYISSUED SIGbA!URF• i •• •• -