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HomeMy WebLinkAboutE2021-0671 - Permitsurhry City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 µ,.. Permit Counter Phone (949)644-3288 a r'�t�'d'sriltre Job Address: 605 VIA LIDO SOLID Bldg: 1 Floor: Suite: Description of Work: ELEC/INSTALL (2) A/C UNITS 40.5dB & 44.5dB (H2O21-0576) Inspector Area: 2 Legal Description: N TR 907 LOT 2 Owner: CAMPBELLARGYLE/BRIDGET Contractor: Address: 601 VIA LIDO SOUD Address: NEWPORT BEACH CA 92663 Phone: Phone: Con State Lic: Issued Date:10/05/2021 Lic Expire: Bus Lic: Processed By: Lic Exp Date: II � E IIII II� I 0�II� I�I II� II� 0�II� 6 �I I1 II BASIC AIR INC 1157 SALINAS AVENUE COSTA MESA CA92626 714.469-4542 909834 01/31/2022 BT30045172 10/31/2021 New Construction Receptacle/Switch/Outlets Residential Receptacles/Outlets: 0 $0.00 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1-2 Family: 0 $0.00 Sep Circuits: 2 $14.00 Low Voltage 0 $0.00 Service Signs 0-600V up to 20OA: 0 $0.00 Branch Circuit: 0 $0.00 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Over 600V or 1000A: 0 $0.00 Time Clocks: 0 $0.00 O/H to U/G 0 $0.00 Additional Fee : $0.00 AL Fee: Plan Electrical Permit: E2021-0671 Project No : 2541-2019 Inspection Requests Phone (949)644-3255 Code Edit: 2019 W Worker's Compensation Insurance Carrier: BERKSHIRE HATHAWAY Policy No: BAWC125355 1 1 Expire : 10/22/2021 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 BackfTemp Power: 0 $0.00 Temp Power Pole: 0 $0.00 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 Fee Due at 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. INER-BUILDER DECLARATION I 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, liness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, throuc h 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 cc Tipletion, the Owner -Builder will have the burden of proving that it was not built or roved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 70, 4, Business and Professions Code: The Contractors' State License Law does not ly 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). LJ I am exempt from licensure under the Contractors' State License Law for the following reason: i By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least once 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.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).pf Division 3 of the Business and Profess' car od,dd license is in full force and effect. �1 �,��e' License Class License No Date i Contractor Signature �Sc 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 (E100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 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 :e of the work for which this permit is issued. Policy No. I have and will maintain workers' compensation insL rance carrier aPdplicy nu re: ier !! ie of Agent certify that, in the performance o the work for which . if I should become subject to the-,Awkgl%' compem of Applicant as required by Section 3700 of the Labor Code, for th performance of the work for which this permit is issued. My workers' permit is issued, I shall not employ any person in any t provisions of Section 3700 of the Labor Code, I shall ;reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for w 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 count ordinances and state laws relating to building construction. I authorize representatives of this city or co enter th o identified property for inspection purposes. mature of Prooertv Owner or Authorized Agent �J� Print Property Owner's or Date so as to become subject to the workers' compensation laws of California, and agre i comply with those prov' ions ` ed )� i this permit is issued (Section 3097, Civil Code). AL77ON DATE BY DC LAt lIVIY VI' lVWJVLIAIVLC YYt I" l.VVC Vv FEDERAL. REGULATIONSPAIJT 61,Q , TITLE40 AND AQM"PULE1403. .•. • I PERMITEXPIRED F� l of3Mf7t�D�A58tSIOS A077F:CATION TO: • M-A • • . •�• :� :• AQMge PERMITCANCELLED PERMFTEXTENDED ❑ ASBESTOS NOTIACATION IS NOT APPLICABLE TO PROPOSEDDEMOUTION ees s e {/ReFFl-0• o• o g e e• o PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED, SF ONLY n/SJti