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HomeMy WebLinkAboutE2022-0240 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 - Permit Counter Phone (949)644-3288 V Job Address: 405 JASMINE AVE Bldg: 1 Floor: 112 Suite: Description of Work: ELEC -DISCONNECT FOR A/C CONDENSER INSTALLATION Inspector Area: 5 Il iii iiiii ii�i iiiii iiii iiiii iiiii iiiii 0 II Legal Description: DEL MAR BLK. 336 LOT 5 OF PROJECT 938-01 LOCATED ON A+P g t y �'6 Owner: MELLO DAVID Contractor:€. E'4 '" Address: 405.5 JASMINE CDM CA 92625 AV Address COSTA MESA CA 92626 Phone: Phone: 714-979-2070 Con State Lie: 754456 �Qv� Issued Date:04/20/2022 Lic Expire: Bus Lic: 60482 Processed By:_ Lic Exp Date: 09/30/2022 FEE New Construction Receptacle/Switch/Outlets Moto rmers (HP/KVA) Residential Multi -Family: 0 1-2 Family: 0 $0.00 Sep Circuits: 1 $7.00 Service 0-600V up to 20OA: 0 0-600V over20OA: 0 Over600V or1000A: 0 O/H to U/G 0 Receptacles/Outlets: 0 $O.dd 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 Back/Temp Power: 0 $0.00 Temp Power Pole: 0 $0.00 Check Fee : Electrical Permit: E2022-0240 Project No : Inspection Requests Phone (949)644-3255 Code Edit: 2019 Worker's Compensation Insurance Carrier: FALLS LAKE FIRE & CASUAL Policy No: FLA00809504 Expire : 01/0112023 Temp Underground: 0 $0.00 Sub Panel: 0 $0.00 0 $0.00 0 $0.00 Record Mgmt Fee: $0.00 Plan Check Fee: $0.00 Investigation Fee: $0.00 Issuance Fee: $38.00 Supplemental Fee: $0.00 Due at Permit Issuance : $45.00 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. °© •moo ° ° ° ° • ° INER-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) ction 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 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 fessions 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 more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, :iness 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 rovements 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 roved for the purpose of sale). L.I I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Cor ❑ 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 leas sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contracto Professions Code, is available upon request when this application is submitted or at the following Web site:http://ww, Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section.? and effect. License Class License No D,a COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL :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: I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Dire onnance of the work for which this permit is issued. Policy No. have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for isu ance carrier and policy number are: :arr er Policy Number is, of Agent certify that, in the performance of the work for which this permit is issued, 1 sh II not employ any person in any if I should become subject to the workers' compensation provisions of Sectio 370_0 of the Labor Code, I shall lature of AODlicant iV �' hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work I Ender's Name Lender's Address y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinan es and state laws relating to building construction. I authorize representatives of this city or county to enter the boye-identified property for inspection purposes. Business and Professions Code: The Contractors' State License Law does not pursuant to the Contractors' State License Law). to year prior to completion of the improvements covered by this permit, I cannot I understand that a copy of the applicable law, Section 7044 of the Business and Date of Division 3 of the Business and Professio s Code, and my license is in full force Contractor Signatum / AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE of Industrial Relations as provided for by Section 3700 of the Labor Code, for performance of the work for which this permit is issued. My workers' Date so as to become subject to the workers' compensation laws of California, and agree i comply with those provisions. Date / I this permit is issued (Scti 3097, Civil Code). Name ACTION DATE BY DECLARATION OF COMPLIANCE MTH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONSPART 61 OF TITLE40 AND AQMORULE 1403. PERMITEXPIRED ❑ I SUBMfTFEDASBESTOS NOTIFICATION TO: ... ❑ EPA • • ... PERMIT CANCELLED , ❑ AQMD • PERMIT EXTENDED ❑ ASBESTOS NORFICR77QNV110FAffVd4BLETU, PROPOSED. DEMOLITION: • •, PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED SIGNATURE:.