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HomeMy WebLinkAboutE2021-0722 - Permits�1rnn4r City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 9 RONSARD Bldg: 1 Floor: Suite: Description of Work: ELEC/(3) A/C UNITS 49dB, 44dB &39dB Inspector Area: 6 Legal Description: N TR 15935 LOT 86 Owner: VASHISTHA KAPIL Contractor: ECONO AIR Address: 9 RONSARD Address: 555 VANGUARD NEWPORT COAST, CA 92657 BREA, CA 92821 Phone: 310/412-5294 Phone: 714-695-6661 Con State Lic: 445220 Issued Date:10/21/2021 Lic Expire: 02/28/2022 Bus Lic: ST30064026 Processed By: Lic Exp Date: 08/31/2022 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 Over 600V or 1000A: 0 $0.00 O/H to U/G 0 $0.00 TOTAL Fee: Receptacle/Switch/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 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II Electrical Permit: E2021-0722 Project No : 1449-2021 Inspection Requests Phone (949)644-3255 Code Edit: 2019 U) Worker's Compensation Insurance OU Carrier: STATE COMP. INS rn Policy No: 9295874 p�l Expire : 0410712022 0 DO FEES Motors/Transformers (HP/KVA) 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 0 $0.00 Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: $0.00 Plan Check Fee: $0.00 Piggy Back/Temp Power: 0 $0.00 Investigation Fee: $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $38.00 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 p.m- and Saturday from 8:00 a.m. to 6:00 p.m Jm m a e O 0 6 m m t g p O O ^ •m L l ©J C m 4 L(O 0 O G66 J• B N 0 o e •00 •• •• . . NNY N4 >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 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). 1, as owner of the property, or my employees with wages as their sole compensation, will do L) 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 ppiy 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 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 CONTRACTOR'S DECLARATION 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 P ssions od an my license is in full force nd effect. icense Class License No Dat Zl ZroZ I Contractor Signatur VORKERS' COMPENSATION DECLARATION 'ARNING: 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 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 I 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 tN arfoorrmance of the work for which this permit is issued. Policy No. al -have andcWNlTn14tain workers' compensation insurance,aes required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatior Expiration Date of Agent I certify that, in the performance the wor r whi 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 agref t, if should become su ct to a worker ' mp sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those prov' I ramns. �n nature of Applicant D 2 /9'D?i� CLARATION REGA R ON DING AGENCY :reby affirm under p nalty 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. 1 have read this application and the information I have pr ided is rrect. agree to comply with all applicable city and county rdin nces ,ate law g to building construction. I authorize representatives of this city, or count yo ter a iftproperty for inspection purposes. ^ -ram / c nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam A(h IK V l.vi /T�Z a AEON DATE BY DECLARATION OF COMPLIANCE IMTN CODE OF FOR OFFICE USE ONLY FED5111 IdF*1 AjtQ�tSe TT64 OF TITLE40AIIVD AOMD22ULE� '03. PERMIT EXPIRED ❑ I,-9fftBMI,T)F ES ASFkS16 N(1TVICATICW TO:. PERMIT CANCELLED ❑ AQMD PERMITEXTENDED ❑ ASBESTOS N07IRCA77ON IS NOT APPLICABLE TO PROPO6C-D4GFWO1JT1Ok • • : : : : ' . ' � PERMIT FINAL �- $^ �' i ti-1— CERTIFICATE OF OCCUPANCYISSUED SIGNAI'Uly:. • • • • s