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HomeMy WebLinkAboutE2020-0642 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 t' Permit Counter Phone (949)644-3288 Job Address: 277 MORNING CANYON RD Bldg: 1 Floor. Description of Work: ELEC A/C DISCONNECT Inspector Area: 5 Legal Description: N TR 1116 LOT 2 Owner: SNYDER STEVEN V Contractor: Address: 277 MORNING CANYON RD Address: CORONA DEL MAR, CA 92625, Phone: Phone: Con State Lic: Issued Date:11/05/2020 Lic Expire: /� \ Bus Lic: Processed By: 5P`v Lic Exp Date: 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 over 20OA: 0 $0.00 Over 600V or 1000A: 0 $0.00 O/H to U/G 0 $0.00 TOTAL Fee: $65.00 Suite: 1111111111111111111011101E �m�iiui2�� WHITE MECHANICAL INC 27221 BURBANK FOOTHILL RANCH CA 92610 949-716-8379 822474 08/31/2021 BT30055645 06/30/2021 Receptacle/Switch/Outlets Receptacles/Outlets: 0 $0.00 Fixtures: 0 $0.00 Sep Circuits: 0 $0.00 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: E2020-0642 Project No: Inspection Requests Phone (949)644-3255 Code Edit: 2019 Worker's Compensation Insurance Carrier: TRAVELERS CASUALTY Policy No: ZUP-51M07775-20-NF Expire: 10/01/2021 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 HPfKW/KVA: 0 $0.00 Piggy Back/Temp Power: 0 $0.00 Temp Power Pole: 0 $0.00 Plan Check Fee: $0.00 Temp Underground: Sub Panel: Record Mgmt Fee: Plan Check Fee: Investigation Fee: Issuance Fee: Supplemental Fee: Fee Due at Permit Issuance PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Flours: Monday- Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00-a.m. to 6:00 p.m. O e �o�ffaQ 0 O o uooaoQ ff $65.00 ffa�o� 0 V 0000 OOOOOC O ® O 030± ff aa� $0.00 $28.00 $0.00 $0.00 $0.00 $0.00 $0.00 $37.00 $0.00 FNER-BUILDER DECLARATION 1 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 Rem(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). L_I I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions CodeI 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). ❑ 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 legall, 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,c-is available "upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html_ Signature o#4F�ape�rty Owner or Authorized Agent Date LICENSED CONcTRACTOIRS DECLARATION 1 r2 eby afFF-mcEr perialiy of perjury that I am licensed under provisions of Chapter 9 (commencing wit Se ti 1 000) of Division 3 of the Business an fessions Cod nd my license is in full force and effect. Liceese Class License No Date \ \ Contractor Signature �. . IN6RKERs!r66k?ENS'ATION DECLARATION VARN')IG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUS AN� RSJU$ ), IN ADDITION TO THE cC3 'OF COMPrr•`.--ATrJN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. : cFaby aiirm under penalty of perjury one of the following declarations: `Chave 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 €4—dir,,gance of iherwprk for which 'this permit is issued. PolicyNo. have artd will maintain wokers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation ns ri a rri?r and`polrcy number are: F V, C'a -) s L arrier ,"! Policy Number �1 `� Expiration Date ie of Agent certify that, in the pi , if I should become ignature of Applicant iECLARATION REGAIC hereby affirm under p v- ender's Name y my signature below, I c I am the property own I have read this applic I agree to comply with I authorize representa ianature of ProDertv Owr Trance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject t the workers' compensation laws of California, and agre tom rs',�ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pKSe, isns. r� D�� F G CONS RUCT60N LE�i (DING AGENCY y perjury that there is a construction lending agency for the performance of the work for which this permit is issuedon 3097, Civil Code). �1 i Lender's Address to'each of the following: - authorized to act on the property owner's behalf. and the information I haveJprovided is correct. ip►icable city and c unty ordinances and state laws relating to building construction. ti )f this city or county�o e he bEE -4 rJtifi roperty for inspection purposes. %`� s Authorized Agent ,�i Print Property Owner's or Authorized Agent's Name X �3 .i3��` , , C` Date AMON DATE BY DECLARATION OF COS PUANCE lM CODE OF FEDERAL RE ULATIONSPART 61 OF TULE40AMU AQMD RULE 1403. f SLtBI+TITfEDASBESTOS M077FICA770N TO ❑ EPA ❑ AQMO ®ASBESTOS M077HCATIOM IS MOT APPLICABLE TO P POSEDDEMO O SIGNATURE. r O £E USE ONLY `= PER tTE1tiPIRED PEt% IT NC-R-LED PER1rrf€TE3aTEAII E13- PE€i'FAIT FINAL t 'Vl CER711FIC4TEOF OCCNPANCYISSUED