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Home My WebLink AboutE2020-0224 - Permits0City of Newport Beach - Building Division 11111111111111p11111111Jill 11111p111111111111111111Electrical Permit: E2020-0224 o' +� 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 2 0 0 2 2 4 Project No E:. Permit Counter Phone (949)644-3288 '`+:z;,F Inspection Requests Phone (949)644-3255 Job Address: 210 PEARL AVE Bldg: 1 Floor: Suite: FEES Description of Work: ELEC/INSTALL (1) A/C UNIT 55db, F.A.0 & SWITCH *STOP WORK 120-1122 Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) Inspector Area: 2 Code Edit: 2019 `n 1 $1.00 0 to 1 HP/KW/KVA: 0 $0.00 Legal Description: BALBOA ISLAND RESUB SEC 1 BLK 8 LOT 29 0 $0.00 T Owner: OHLS TAMARA Contractor: ABC HEATING AND A/C Worker's Compensation Insurance 1 n Address: 4790 IRVINE BLVD #105-432 Address: 306 COLLEN PL Carrier: STATE FARM $0.00 IRVINE CA 92620 1 COSTA MESA CA 92627 Policy No: 92GRQ1006 0 Phone: Phone: 949-756-0064 Expire : 09/24/2020 Low Voltage Con State Lic: 940181 50 to 100 HP/KW/KVA: 0 Issued Date:04/28/2020 Lic Expire: Bus Lic: 11/30/2021 BT30043258 NO CONSTRUCTION NOISE Processed By: Lic Exp Date: 03/31/2021 Over 100 HP/KW/KVA: 0 New Construction Residential Multi -Family: 1-2 Family: Service 0-600V up to 20OA: 0 0-600V over20OA: 0 Over 600V or1000A: 0 O/H to U/G 0 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Friday 7:00 a.m. to 6:30 pm. ano„S•atu;day from 8:00 a.m. to 6:00 p.m. 9 9 • G O • = OGS ® A • • O C• • ®•' G Y ti 6 a 0 4 E B Y �C� G L i• t. • G•l U L u G • 4 uJ ppe •Y YB 9 O 4G0 WO FEES Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) Receptacles/Outlets: 1 $1.00 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: 1 $27.00 $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 Backrremp Power: 0 $0.00 Investigation Fee: $35.00 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $35.00 $0.00 Additional Fee: $0.00 Supplemental Fee: $0.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Friday 7:00 a.m. to 6:30 pm. ano„S•atu;day from 8:00 a.m. to 6:00 p.m. 9 9 • G O • = OGS ® A • • O C• • ®•' G Y ti 6 a 0 4 E B Y �C� G L i• t. • G•l U L u G • 4 uJ ppe •Y YB 9 O 4G0 WO 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 (_) 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 Eim 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 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 legalll 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://www.leginfo.ca.govlcalaw.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 Section 7000) of Division 3 of the Business and Pro ions Code, and m license is in full force and effect. ��--L f -'Lv- 2b •LCJ License Class License No Date C' Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: 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. I hereby affirm under penalty of perjury one of the following declarations: ❑ 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 th p rformance of the work for which this permit is issued. Policy No. l 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' compensatiol Insurance carrier and DII umber arm _ n Date Name of Agent r rlivn. n I certify that, in the performanc he 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 that, if I should become subj b&n prowslons o 3700 of the Labor Code, I shall forthwith comply with those provisions. c, Signature of Applicant Date, �2i Zd DECLARATION REG^ D G CONSTRUCTION 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 By my signature below, I certify to each of the following: I am the property owner or authorized to act on the properly 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 ordin es and state laws relating to building construction. - / 1 I authorize representatives of this city or county to ant h j o -I a Ifie�ffreperty-for inspection purposes. - N i G.t c9 <<,r '� °" u� ZY Sionature of Prooertv Owner or Authorized Aqent i Print Property Owner's or Authorized Agent's Name Dat ACTION I DATE I ' BY PERMITEXPIRED J - p • 13UQX(TTr f196C5TIDS- 7 IF1CATl0N TO PERMIT CANCELLED • [3 EFA PERMITEXTENDED ❑ AQMD ❑ ASBESTOS NOIIFTC47IONIS NOT APPL./CABLE TO PERMIT FINAL PRTO.9EP f:EMOLITIOU CERTIRCATEO€ ` • •• ` SIGIQAT. . OCCDPANCY7SSOED • ••• • • ••• ••� •:.