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Home My WebLink AboutE2022-0094 - Permitsawn City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIII�II�IIIII�IIIII�IIII °`e§ 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 2 2 w % '+' Permit Counter Phone (949)644-3288 �a V; lac ��".: � u ou II Electrical Permit: E2022-0094 0 0 9 4 Project No : 2094-2020 Inspection Requests Phone (949)644-3255 Job Address: 411 IRVINE AVE Bldg: 1 Floor: Suite: Description of Work: ELEC/INSTALL NEW A/C UNIT (112O22-0077) Inspector Area: 3 Code Edit: 2019 dd Legal Description: FIRST ADD TO NEWPORT HEIGHTS BILK 29 LOT 22q� Owner: MANAVI BEHNAM & JENNIFER Contractor: A A P W CORP Workers Compensation Insurance Address: 411 IRVINE AVE Address: 14741 FRANKLIN AVE # A Carrier: ACE AMERICAN INS p NEWPORT BEACH, CA 92663 TUSTIN CA 92780 Policy No: C68651281 i Phone: 949-413-0779 Phone: 714-505-3013 Expire : 04/01/2022 Con State Lic: 803206 Issued Date:02/15/2022 Lic Expire: 02/28/2024 yG Bus Lic: BT30046582 Processed By: es Lic Exp Date: 03/31/2022 FEES New Construction Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) Residential Receptacles/Outlets: 0 $0.00 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: 0 $0.00 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: 0 $0.00 1-2 Family: 0 $0.00 Sep Circuits: 1 $7.00 10 to 50 HP/KW/KVA: 0 $0.00 0 $0.00 Low Voltage 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 0 $0.00 Service Signs Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: $0.00 0-600V up to 20OA: 0 $0.00 Branch Circuit: 0 $0.00 Plan Check Fee: $0.00 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Piggy Back/Temp Power: 0 $0.00 Investigation Fee: $0.00 Over 600V or 100oA: 0 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $38.00 O/H to U/G 0 $0.00 Additional Fee : $0.00 Supplemental Fee: $0.00 TOTAL Fee: $45.00 Plan Check Fee: $0.00 Fee 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. . ° •• 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 requires the 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 of the Business and Professions Code) or that he or she is exempt from icensure 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). ❑ 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, 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 improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, B�siness 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). ❑ I 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 legal 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 Sect 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. /' r License Class __. License No Dr:nnfrantnrs -- " VORKERS' COMPENSATION DECLARATION / III IARNING: 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 DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3T06 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 th erfo�nance of the work for which this permit is issued. Policy No. I have and wil intain workers' pensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatiol Isurance carrie and olicy number arrier ' r is N r Expiration Date '.ame of Agent _ Phone # 3I certify that, in the performance of the w rk for which this permit is issued, I shall not employ any person in any manner spas to become subject to the workers' compensation laws of California, and agree rat, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith c mply with those prov�iLsionls. ignature of Ap lic Dat> �.t,(I 2Z. ON REGAR I - CONSTRUCTION LENDING A Y hereby affirm under p alty 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). 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 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 or county to Vter the above-identifi 'ns action purposes. ignature of Property Owner or Authorized Age �®-= Drint Prop—effv—Owners or Authorized AOent's ICE ACTION ATE DECLARATION OF COMPLIANCE MTUAROVE OF FOR OFRCE USE ONLY FEDERA_S6EGU[4T)ON$PART 6t OFT17LE40AND AQAID A4033. ,❑',!•S'U*4lgEQ7[SBLSIOSN071FICATIONTO: • E VIDA AQMD PERMITEXPfRED • • • PERMIT CANCELLED • • • PERMITEXTENDED ASBESTOS No nnu • PI,QPO_ED DFM04VjON. TtON fS NOT APPLICABLE TO • • • • • • • PERMIT FINAL ' �-Z?j. CERTIFICATEOF • • OCCUPANCYISSUEO s s SIgN1j7tTf�E. e o o e o 0 o a