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HomeMy WebLinkAboutE2020-0246 - Permits (2)t City of Newport Beach - Building Division *E2020-0246* 100 Civic Center Drive, Newport Beach, CA 92660 _ Permit Counter Phone (949)644-3288 � 4 (1 (-0613t "" Job Address: 4423 COAST HWY W Bldg: 1 Floor: Suite: Description of Work: ELEC -INSTALL DISCONNECT FOR NEW AIC UNIT (H2O20-0262) Inspector Area: Legal Description: TR 7530 LOT 1 UNIT 11 OF PROJECT LOCATED ON AP 423-031-01 TOGETHER Owner: HAYS GEORGE Contractor: Address: 6227 E SUNNYSIDE DR Address: SCOTTSDALE AZ 85254 Phone: Phone: Con State Lie: Issued Date:05/21/2020 Lie Expire: Bus Lie: Processed By: o/' Lie Exp Date: New Construction Residential Multi -Family: 1-2 Family: Service 0-600V up to 20OA: 0 0-600V over 20OA: 0 Over 600V or1000A: 0 O/H to U/G 0 STEWARD JAMES R 6752 LAURELTON AVE GARDEN GROVE CA 92845 714-943-3230 1004538 30" 06/30/2021 BT30056371 06/30/2020 A/C DISCONNECTS Electrical Permit: E2020-0246 Project No : 2402-2019 Inspection Requests Phone (949)644-3255 Code Edit: 2019 1NSPDCT0R Worker'NQQQNSTLRWT10N WOR Carrier: WIC EXEMPT Policy No: WIDE X36" DEFgKe REQUIRED FOR q ° ° S q q 6 0 C �L1isJEC1' TO FIELD ITYSp� OT0);. REVIE,WANDAPPQOVAL °q ° Plan Check Fee: 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. 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,o $0.00 Fixtures: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: ° 1 $2.7;0® ° $0.00 Sep Circuits: 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 "o `0 A.0d Low Voltage 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 a�0 $0;00.; Signs Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: q 0906 ° $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: $35.00 $0.00 Additional Fee: $0.00 Supplemental Fee: $0.00 Plan Check Fee: 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. OWNER -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.sequires nhe 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 Cot 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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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 im 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, I cannot legally 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.gov/calaw.htmi. 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 the Business and Professions Code, and my license is in full force and effect. /'//f'� License Class License No D `Lt/ 10 tractor Signature /G"" WORKERS' COMPENSATION DECLARATION NARNING: FAILURE yJ.:1Ff,URE 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 $706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. •••• Thereby®ffirm under penalty of perjury one of the following declarations: _I I have and ivlil rpyfhtain 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 rr?lVice of the.work.for which this permit is issued. Policy No. have and wil4m iiniain 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 maece carrie4 •nprl policy number are: Policy Number Expiration Date 'Apitify that, in tfle 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 agre N if I phould beconwsubject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those ovision� natepeof p Date Q6AAAT MARDIN CONSTRUCTION LENDING AGENCY 1 :reby affirm ur, t 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 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 pr county to eater the above -identified property for inspection purposes. P%000�_ of PrOUertv Owner or ACTION DATE I BY I PERMITEXPIR€D I I I PERMIT CANCELAED PERMIT EXTENDED PERMITFINAL CERTfFtCAT€OF OCCUPANCYISSUED AQMD RULE 1403. ❑ I SUBMITTED ASBESTOS NOTIFICATION T0: EPA ❑ AQMD ❑ ASBESTOS NODFICATIONIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: lj• L 1, i J � ,�I •) f1 �'1 To whom It may concern: i' •, n HERS Raters and its nts- Juan , Nathan Kelsey, and/orThis let er iswritten to Cordoa authorize IdentiBGree ng themselves with Californ aedriver licenises, to ob ain any necessary building permits or business licenses so that I may conduct business and comply with local codes.' Please call me directly with any questions or concerns., 1; James R. Steward CSLB #i: 1004538 6752 Laurelton Avenue Garden Grove, CA 92845 rctJ✓E FEOECAL (714) 943-3230 �-- =