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Home My WebLink AboutE2019-0636 - PermitsaeI"r�µr City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIII II 0 ti 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 1 9 0 6 3 6 Permit Counter Phone (949)644-3288 yam, m NO CONSTRI ►nrinm Job Address: 309 ORCHID AVE Bldg: 1 Floor: Suite: Description of Work: ELEC -DISCONNECTS FOR (2) A/C CONDENSORS Inspector Area: 5 ON THE WEEKEND Legal Description: CORONA DEL MAR LOT 9 BILK 241(AND NELY1/2 LOT 7 BLK241 Owner: HOLMAN DAVID C Contractor: Address: 309 ORCHID AVE Address: CORONA DEL MAR, CA 92625 Phone: Phone: Con State Lic: Issued Date:09/19/2019 Lic Expire: Bus Lic: Processed By: 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 over20OA: 0 $0.00 Over600V or100oA: 0 $0.00 O/H to U/G 0 $0.00 TOTAL Fee: A C COOL INC P O BOX6868 ORANGE CA 92863 714-720-3938 804056 01/31/2020 BT30042073 Electrical Permit: E2019-0636 Project No : Inspection Requests Phone (949)644-3255 Code Edit:2016 ' SPEC 1 ®�� f Worker's Compensation Insurance Carrier: EVEREST NATIONAL Policy No: 760007408191 Expire : 06/01/2020 01/31/2020 .. i J iuli•a 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 Ci i ALLOWED FOR EX;FqE§PjR APPLICA T IPP Motors/Transformers l` / A) 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 Back/Temp Power: 0 $0.00 Temp Power Pole: 0 $0.00 Plan Check Fee : Temp Underground: 0 Sub Panel: 2 0 0 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 Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 5:00 p.m. DWNER-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 :he 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 iot more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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 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.htmi. 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 Sec ion 70 0) of Division 3 of the Business and Professiond y lice is in e and effect. License Class License No D e Contractor Signatur NORKERS' COMPENSATION DECLARATION NARNING: 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 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 the 3gE[ormance of the work for which this permit is issued. Policy No. and will maintain 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' carrier and policy number are: Policy Number Date me of Agent Phone # certify that, in the performance of the r which this p it is issued I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree t, if I should become subject to th orke o sa o pr io of action 3700 of the Labor Code, I shall forthwith comply with those provisions. /J nature of Applicant Dal./// CLARATION REGI DI ONSTRU TION LENDING GENC `�� :reby affirm under penalty of perjury that there is a construction lendi agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). 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 pr Is correct. ` �v L L J I agree to comply with all applicable city and count dinanc and state laws relating to building construction. I authorize representatives of this city or countpo );nte above-jdBntified property for inspection purposes. nature of Property Owner or Authorized Age ACTION DATE BY PERMIT EXPI REO PERMIT CANCELLED PERMIT EXTENDED PERMITFINAL 4 CERTIFICATE OF OCCUPANCYISSUED FEDERAL REGULATIONS PART s1 OF TITLE49 a NC AQMD RULE 1403, ❑ 7 SUBMITTED ASBESTOS NOPFI^_ATIC'.V TC: ❑ EPA ❑ AQMD ❑ ASBESTOS M017HCA170MISNOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: