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HomeMy WebLinkAboutE2020-0362 - Permitso . City of Newport Beach - BuildingDivision *E2020-0362* a. 100 Civic Center Drive, Newport Beach, CA 92660 } Permit Counter Phone (949)644-3288 JoD waaress: 4bu7 k3KILiH l UN RD Bldg: 1 Floor. Suite: Description of Work: ELEC REPLACE (4) DISCONNECTS (H2O20-0407) Inspector Area: 5 Legal Description: N TR 3357 LOT 149 Owner: ZEYBU LLC Contractor: ALPS A/C & HEATING INC Address: 30262 CROWN VALLEY PKWY #B-47 Address: 1895 S SANTA CRUZ ST LAGUNA NIGUEL, CA 92677 ANAHEIM, CA 92805 Phone: Phone: 714-633-8892 Con State Lic: 667953 Issued Date:07/ 1 020 Lic Expire: 04130/2021 Bus Lic: BT30047511 Processed By: Lic Exp Date: 06/30/2021 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: Receptacle/Switch/Outlets Receptacles/Outlets: 4 $4.00 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: E2020-0362 Project No: inspection Requests Phone (949)644-3255 Code Edit: 201I NSP O.P1 Worker's Compensation Insurance Carrier: PREFERRED PROFESSIONAL Policy No: ON0915601 Expire: 10/19/2020 a0aa > off® a aaa3aB a a a a as FEES Motors/Transformers (HP/KVA) 0 to 1'HP/KWIKVA: 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/KW1KVA:. 0 $0.00 Piggy Back/Temp Power: 0 $0.00 Temp Power Pole: 0 $0.00 Plan Check Fee: a a a a a a as a a a as a aaaa Temp Underground: a ' 40 0.00 Sub Panel: " 0 %go.. auaaa31 ��tl)�a e e e e 0 $0.00 Record Mgmt Fee: $0.00 Plan Check Fee: $0.00 Investigation Fee: $0.00 Issuance Fee: $35.00 Supplemental Fee: $0.00 Fee Due at Permit Issuance: PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECT70N Construction flours: Monday - Friday 7.00 a.m. to 6.3€I p.m. and Saturday from 8:00 a.m. to 6.00 p.m 0 0 o v o a O O . 0 ® 0 0 0 0 0 0 0 O O O O O O 0 0© a 0 0 0 0 0 0 ® 0 000 0 000 0 00 000 0 0 0 000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0o a o 0 0 0 ^ 0 0 � n I hereby affirm un (Section 7031.5. Bush the permit to file a SIT Professions Code) or'! not more than five hur ❑ I, as owner of t*i Business and Professi improvements are not improved for the purp ❑ 1, as owner ofthe., apply to an owner of p ❑ 1 am exempt from By my signature beloic sell a structure that 111 Professions Code, is. Signature of Property!: LICENSED CONTR7 i hereby affirm under,l and effect. License Class EARNING: FAILURE TO SF OST OF COMPENSATION hereby affirm under I have and will rr ante of the w+ Wp'and vnll ma isu ance carrier and ie of Agent certify that, in the l pi , if I should become Ider's Name my signature beloi� I am the property 1 have read this a, 1 agree to comply I authorize repres nature of Property alty of perjury that f 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) 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 applicantfor ament 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 Ir 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 liars ($500). 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, le: 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 3 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 am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not rho builds or improves thereon, and who contracts forthe projects with a licensed Contractor pursuant to the Contractors' State License Law). e under the Contractors' State License Law for the following reason: wledge 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 lei as an owner -builder if A 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 upon request when this application is submitted or at the following Web site:http:llwww_leginfo_ca.gov/calawhtml. +_ A---. _ Date :fdWS DECLARATION ial#y!of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and4Pf ors C rt-�,-nse �lsin �for- License No D 7C� Cantracto natur iSAT1ON DECLARATION C—e � REW8RKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP b ONE HUNDRED THOUSAND DOLLARS (5100,0001, IN ADDITION TO THE ,MAGE5AS PROVIDED FOR IN SECTION 3700 OF THE LABOP CODE, INTEREST, AND ATTORNEY'S FEES. talty'of perjury one of the following declarations: Itain!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 for -which this permit is issued. Policy No. ain;workers' 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 icy number are: Policy Number Expiration Date Phone # L11,heorkfor whichthis permitis issued, i shall not employ any person in anymannerso as to become subject totheworkers' compensation laws ofCalifornia, and agree ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith Comply with those pr visions. f D 120 ,ONSTRUCTiON LENDING AGENCY perjury that there is a construction tending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Address fy to each of the following: or autherized to act on the property ownee's behalf. on and the information 1 have provided is correct. I applicable city and coup and state laws relating to building Construction - as; of this ILor coup ter property for inspection purposes. orAutho a Agent Print Property Owner's or Authorized ACOOhi DATE BY DECLARATION OF COUPLIANCE VMA TH CODE OF FOR DFFI£E USE ONLY FEDERAL REGULATIONSPART 61 OFTf3LE40ANDD AWD RULE 1403. Cj f SUBmfi—EDRSBESTOS NO-nFiC3TIOM TO: PE,4ls/ tTEXPIRED L PE4r4lT£AI>rc—trFF? PI Rr�r��rrEra� nn r�"1SBi5r�S NGiIFtCAI7flNJS NOTAPf3LICABLE TO PP,OPOSED DEMOLITiOM PEW,rrFIMAL / £ERTfFtC4TEOF OCCtPAIXYISSUED