HomeMy WebLinkAboutE2021-0668 - Permits0g: vIv,
City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
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Job Address: 476 MORNING CANYON RD Bldg: 1 Floor: Suite:
Description of Work: ELEC/INSTALL (3) A/C UNITS 35.1clB, 31.2dB, 28dB(H2O21-0575)
Inspector Area: 5
Legal Description:
Owner: CORY CHARLES
Contractor:
PMR CONSTRUCTION
Address: 16632 HALE AV STE 125
Address:
2061 FAIRWEATHER RD
IRVINE CA 92606
SANTA ANA, CA 92705
Phone:
Phone: -
714-231-7272
Con State Lic:
716745
Issued Date:10/04/2021
Lic Expire:
12131/2021
Bus Lic:
BT30053615
Processed By:
Lic Exp Date:
01131/2022
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: $59.00
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
Electrical Permit: E2021-0668
Project No : 1448-2021
Inspection Requests Phone (949)644-3255
Code Edit: 2019"
Worker's Compensation Insurance
Carrier: STATE COMP
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Policy No: 9266341
Expire : 12/2112021
FEES
MotorslTransformers (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
Plan Check
Piggy Backffemp Power: 0 $0.00
Temp Power Pole: 0 $0.00
N
",
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 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.
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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 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
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, Business 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).
❑ 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 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 Section 7000) of Division 3 of the Business and rofessi ns Code, and my lic rise is in full force
and effect.
License Class License No Dat O Contractor Sig tur
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 ($100 0). 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.
have and will ma workers'
rance ca01,
number
m of Agent _
insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
Date
71 certify that, in the pe gan awork for which mit 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
iat, if I should beco bto the w rkers' co ensab pro s of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Iignature of Applican Das�l /0�2J3-�
IECLARATION RE ARDING CONSTRUCTION LENDING AGENCY
hereby affirm under penalty of perjury that there is a construction lending gen
ender's Name
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 c�un I sncP`anddst�.e Is
I authorize representatives of this cit cou to er}ter t e abo - Ifjes
of Property Owner or
for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Lender's Address
relating to building construction.
purposes.
/erty Owner's or Authorized
ACTION
DATE
BY
IDECLARATION OF COMPLIANCE IMTH CODEOF
FOR OFFICE USE ONLY
FEDERAL REGUI ATIONS PART 61 OF T I: LE 40 AND
AUPID RULE 140C.
PERMIT EXPIRED
❑ I SUBMITTED ASBESTOS NJTiFICi TION TO:
❑ EPA
AQMD
PERMITCANCELLED
A4❑
PERM(; EXTENDED
11
❑ ASBESTOS N077FICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMIT FINAL
CE,RTIFICATEOF
SlGNh TNRE:
OCCUPANCYISSUED