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Home My WebLink AboutE2020-0615 - Permitswr<r�r City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 C r'atlysl?�?,b Job Address: 304 NARCISSUS AVE Bldg: 1 Floor: Suite: Description of Work: ELEC/DISCONNECT TO A/C Inspector Area: 5 Legal Description: CORONA DEL MAR BLK 241 LOT 6 Owner: LIS LEON Address: 699 LOMBARDY PL SAN MARINO CA 91 Phone: Issued Date:10/27/2020 Processed By: 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 IIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIII II Electrical Permit : E2020-0615 E 2 0 2 0 0 6 1 s Project No : 0371-2019 Contractor: RC A/C & HEATING Address: 169 N MAPLE ST STE D CORONA CA 92880 Phone: 951-735-8046 Con State Lic: 657924 Lic Expire: 06130/2021 Bus Lic: ST30066849 Lic Exp Date: 04130/2021 Receptacle/Switch/Outlets Receptacles/Outlets: 0 $0.00 Fixtures: 0 $0.00 Sep Circuits: 1 $7.00 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 Inspection Requests Phone (949)644-3255 Code Edit: 2019 Worker's Compensation Insurance Carrier: STATE COMP Policy No: 1354374 - Expire : 07/01/2021 30" WIDE )QV OEPT�. REQUIRED POR ' 11 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 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 $0 Sub Panel: 0 $0 0 $0 0 $0 Record Mgmt Fee: $0 Plan Check Fee: $0 Investigation Fee: $0 Issuance Fee: $37 Supplemental Fee: $0 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. ON SATURDAYS 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 L) 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 Iicensure 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 Iegall 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 Prop?rty Owner or Authorized Agent Date LICENSED CCAT7RACTOR'S DECLARATION Sod ebv affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sec' n 7000) of Division 3 of the Business a�ProfessoE and ��II nsa Is in full force and effet.Lieensr Class License No Date p96ntractorSignatu�e/////f HJORKERS' COMPENSATION DECLARATION ARNIN.3: FAILURE TO £EC!IRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE FOS r Or GOMPENSA LJN, CAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LA90R CODE, INTEREST, AND ATTORNEY'S FEES. I, hereby affirm under penalty of perjury one of the following declarations: ❑ ! yJve ,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 fe�fa-hance of the work for which this permit is issued. Policy No. haand will mair,'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' compensatio I.Lr:i c carrier and policy number are: Policy Number Expiration Date Name of Agent Phone # I certify that, in the performance of the work for which this per 't is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre that, if I should becom subject to th wor rs' c,mpen, on p visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ? % Signature of Applicant iOleo zrJ DECLARATION REG DING CONSTR TION LENDING AGENCY I hereby affirm under p nalty of perjury that there is a construction lending agency forthe performance of the work forwhich this permit is issued (Section 3097, Civil ode). Lender's Name Lender's Address By 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 ordinanc and state laws re l ing to building construction. I authorize representatives of this city or county to enter th ve-Akqentifled pr for inspection purposes. //// Signature of Property Owner or Authorized Age Print Property Owner's or Authorized Agent's Nam 17 /-/ _1 +� ^'✓ D � ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL REGUtATlONSPART 61 OF TITLE 40 AND AL7MD RULE 1403. PERMfT:EXPfRED ❑ ! SUBMITTED ASBESTOS N07IFlCA7lON TO: ❑ EPA ❑ AC1MD PERMITCANCEttED PERMIT EXTENDED ASBESTOS PROPOSED PERMIT FINAL