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Home My WebLink AboutE2019-0063 - PermitsCity of Newport Beach - Building DivisionIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�lllllllllll Electrical Permit E2019-0063 ' 100 Civic Center Drive, Newport Geach, CA 92660 Project No `' Permit Counter Phone (949)644-3288 0) �NsrrxSu� Inspection Requests Phone (949)644-3255 Job Address: 708 ORCHID AVE Bldg: 1 Floor: Suite: Description of Work: ELEC INSTIL DISCONNECTS FOR (2) A/C UNITS @ THE SIDE YARDS (H2O19-0068) 9 Inspector Area: 5 Code Edit: 2016 I W! LCTUR Legal Description: CORONA DEL MAR BLK 742 LOT 10 Owner: OSTRANDER JEFFREY Contractor: MO AIR MECHANICAL INC Worker's Compensation Insurance Address: 708 ORCHID AVE Address: 32921 PAEO DEL AMOR Carrier: EXEMPT CORONA DEL MAR, CA 92625 SAN JUAN CAP CA 92675 Policy No: Phone: Phone: 714-323-0681 Expire Con State Lic: 1042124 m Issued Date:0210 /2019 Lic Expire: 07/31/2020 °°°° Bus Lic: BT30064918 Processed By. Lic Exp Date: 10/31/2019 ° ° mm m oomm 0 o m momm o . o 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. FEES m •mm New Construction Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) mmoo m mmm Residential Receptacles/Outlets: 0 $0.00 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground:o 00 $Oo0- Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel m ° m $52100 1-2 Family: 0 $0.00 Sep Circuits: 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 ° 0 $0100° m Low Voltage 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 ° ma m m WOO.., Service Signs Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: ®� ° ° $0.00 0-600V up to 20OA: 0 $0.00 Branch Circuit: 0 $0.00 Plan Check Fee: $0.00 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Piggy Backrremp Power: 0 $0.00 Investigation Fee: $0.00 Over 600V or 10o0A: 0 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $35.00 O/H to U/G 0 $0.00 Additional Fee: $0.00 Supplemental Fee: $0.00 TOTAL Fee: $87.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $87.00 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. 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 Sheckmark(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 L) 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 Im roved 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 legalll 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 Se tion 000) of Division 3 of th Business and P s i nsH,:and:my license is in full force and effect. 11 License Class .. _. License No Date ' 4 Contract 1 ature WORKERS't OMANSATION DECLARATION 4NINA: FAILURB TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CI iT OF COMPENSATIONFDAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. baby affirm under penalty of perjury one of the following declarations: TO ONE HUNDRED THOUSAND DOLLARS 1$100,0001, IN ADDITION TO THE I stave and iWIL alaintain 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 fG?%ance dF jV vjdrk for which this permit is issued. Policy No. and oMli 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,44 policy number are: Policy Number Expii Tt.• . ,.� __ Phor 00.000 1 I, in theperformanc of fne w r which this permit is issued, I shall not employ any person in any manner so as to become De dome subj�o ork mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with CLA TIOWKEGARDING CONSTAUCTION LENDING AGENCY - areby ffirm under penalty of perjury the hereis�nstruction lending agency for the performance of the work for which this permit is Ider's me 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 pro id d i c r act' I agree to comply with all applicable city and county ordi n s ate laws relating to building construction. I authorize representatives of fs city or county toe -i notified rty for inspection purposes. nature of Property Owa ocF rAuths'!zed AGent _ Print Property Owner's or Authorized gent Date (Section 3097, Civil Code). laws of California, and Date ACTIO DATE BY uct.wrt/atrvn ur a.umruxlra.c rrrrn wtJc y, rvnvrrn.c v, icy ., 1\// FEDERAL REGULATIONSPART 6f OF TfILE40AND AQMO RULE 1403. PERMITEXP/RED ❑ I SUBMfTfEDASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD[3 - P€RMITCANCELLED PERMITEXTENDED ASBESTOS PROPOSED DEMOU IIONf5 NOT APPLICABLE TO PERMIT FINAL �• + - CERTIFICAT€OF- OCCUPANCYISSUEDSfGMATURE: