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HomeMy WebLinkAboutE2020-0646 - Permitsw City of Newport Beach - Building Division *E2020-0646* e 100 Civic Center Drive, Newport Beach, CA 92660 µ Permit Counter Phone (949)644-3288 �'rGJPOY�3 Job Address: 12 NAPOLI Bldg: 1 Floor: Suite: Description of Work: ELEC - (3) DISCONNECTS FOR A/C (X2020-0866) Inspector Area: Legal Description: N TR 9861 LOT 14 Owner: LAVAEE MOUSSA Contractor: NICO DESIGNS Address: 12 NAPOLI Address: PO BOX 51714 NEWPORT BEACH CA 92657 IRVINE CA 92619 Phone: Phone: 949378-2569 Con State Lie: 808380 Issued Date:11/09/2020 Lie Expire: 05/31/2022 Bus Lie: BT30068318 Processed By: —Lit; Exp Date: 07/31/2021 New Construction Residential Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Service 0-600V up to 20OA: 0 $0.00 0-600V over20OA: 0 $0.00 Over600V or1000A: 0 $0.00 O/H to U/G 0 $0.00 TOTAL Fee: Receptac IelSwitc h/Outlets Receptacles/Outlets: 0 $0.00 Fixtures: 0 $0.00 Sep Circuits: 3 $21.00 Low Voltage 0 $0.00 Signs Branch Circuit: 0 $0.00 Each Add Circuit: 0 $0.00 Time Clocks: 0 $0.00 Additional Fee: $0.00 Electrical Permit: E2020-0646 Project No: 0599-2020 Inspection RequestsPhone(949)644-3255 ts/ •Aln— Code Edit: 2019 Worker's Compensation Insurance Carrier: STATE COMP. INS Policy No: 1965493 Expire: 08/2412021 FEES Motors/Transformers (HP/KVA) 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 Plan Check Fee: a • a LaGGaa 0 sGoa�a a•Gaa a o • a a ® a a •• o ea•a oa • • ea • • • •c yea aGa• OBf•a •• a 9y • a c 1 a 1 Temp Underground: O ©...0 $�.1:00 • Sub Panel: a a o 9.0 $0`dt * 0 $0.00 0 $0.00 Record Mgmt Fee: $0.00 Plan Check Fee: $0.00 Investigation Fee: $0.00 Issuance Fee: $37.00 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. iWNER-BUILDER DECLARATION 1 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 IS 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 'rofessions 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 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 of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, usiness 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). 7 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). 1 am exempt from licensure under the Contractors' State License Law for the following reason: y 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 Iegalll ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. 1 understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent Date .ICENSED COUTRA,CTOR'S DECLARATION hereby affirm uhtlePptfialty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business andnd Prof�an nsais in full force nd effest ff VeMse F lass .:...: License No Dat I I —q — % C5 Contractor Signature / VORKERS' COMPENSATION DECLARATION 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 IGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. untler-Mnalty of perjury one of the following declarations: ►aave and wlll*rial,atain 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 q"dhce of th4'Vdfk for which this permit is issued. Policy No. �ase 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' compense vanoe carries and prlicy number are: Policy Number certify that, in the performance of the work if 1 should become subj lature of Applicant G Date 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 atioryprovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.. / Datep,/ / /� 1 —Z-6 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 enders Name Lender's Address ly 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 couilly ordinances a state laws relating to building construction. 1 authorize representatives of this city or cou to EM = entified erty for inspection purposes. / r signature of Property Owner or Authorized Agent li " Print Property Owner's or Authorized Agent's Name Civil Code). ))^TI f,� Date ACTION DATE BY DECLARATION OF COMPLIANCE KgTH CODE OF FOROFFICEUSEOWY FEDERAL REGULA TIONS PART 61 OF TIILE40AND At1MD RULE 1403. ❑ I SUBMITTEDASBESTOS NOITHCATION TO: ❑ EPA - ❑ AQMO PERMIT EXPIRED PERMITCANCELLED PERMITEXTEIVDED E3 ASBESTOS PROPOSEDDEMOLITION. iION IS HOT APPLICABLE TO PERMIT RNAL //_ 9 —Z t T)rv� CERTIFICATEOF SIGNATURE: OCCUPANCYISSUED