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HomeMy WebLinkAboutE2018-0387 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 1979 PORT RAMSGATE PL Bldg: 1 Floor: Description of Work: ELEC -DISCONNECT FOR A/C UNIT Inspector Area: Legal Description: N TR 6624 LOT 100 Owner: BYE ROLAND E Contractor: Address: 1979 PORT RAMSGATE PL Address: NEWPORT BEACH, CA 92660 Phone: Phone: Con State Lie: Issued Date:06/04/201 Lie Expire: Bus Lie: Processed By: Lie Exp Date: New Construction Residential Multi -Family: 1-2 Family: Service 0-600V up to 20OA: 0 0-600V over20OA: 0 Over 600V or1000A: 0 O/H to U/G 0 Suite: II E 2���� 0���� 1���� 8��� 0���� 3���� 8���� 7 II DEPENDABLE GRAHAM AC 2952 CENTURY PLACE COSTA MESA CA 92626 714-546-1653 472690 04/30/2020 BT01013104 12/31/2018 Electrical Permit: E2018-0387 Project No : Inspection Requests Phone (949)644-3255 Code Edit: 2016 Worker's Compensation Insurance Carrier: FALLS LAKE FIRE AND CASUALTY Policy No: FLA000131 Expire : 07/01/2018 INISHCTOR123 FEES PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION o. , • Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) Receptacles/Outlets: 0 $0.00 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: 0 $0.00 $0.00 Fixtures: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: 1 $25.00 $0.00 Sep Circuits: 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 0 $0.00 Low Voltage 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 0 $0.00 Signs Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: $0.00 $0.00 Branch Circuit: 0 $0.00 Plan Check Fee: •••• $0.00 $0.00 Each Add Circuit: 0 $0.00 Piggy Back/Temp Power: 0 $0.00 Investigation Fee: ° ° ° ° ° ° $0.00 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: °°°° $33.06° $0.00 Additional Fee : $0.00 Supplemental Fee: ° ° $0°00 • • ° • PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION o. , • 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. e••oe• • ° °•eooc o° o pUp° e e • •• DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the resson(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 thwapplicanbfor ie 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 'rofessions 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 of more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or `) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 nprovements 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 nproved for the purpose of sale). 1 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 pply 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: ly 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 ell 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 'rofessions 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 .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70?0) of Division 3 of the Business and Profe si ode, and my license is in full force nd effect. icense Class License No Dat Contractor Signatur IIORKERS' COMPENSATION DECLARATION 'ARNING: 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 OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjur&ne 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 thr e mance 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 lame of Agent Phone s �I certify that, in the performance oft IC loy any person in any manner so as to become subject to the workers' co I pensation laws of California, and agrer Rd, if I should become subject to rs compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisionst. ignature of Applican D6 DECLARATION RE G CONSTRUCTION LENDING AGENCY hereby affirm.una�r�pAnalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). endeds Name "• • Lender's Address y "Jignatu1&helow, I certify to each of the following lam the ptopetl9 owner or authorized to act on the *.lAve read this application and the information I N I agree toronwiply with all applicable city and cgzt, Outhorize representatives of this city or Ag7ON I DATE PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED owner's behalf. led is correct. :es and state laws relating to building construction. MHUMEbropedy-for inspection purposes. Print Prooertv Owner's or Authorized BY U LLAT unix Ur Pw r IT wuc ur FEDERAL REGULATIONS PART 61 OFTITLE40AND AQMDRULE1403. ❑ I SUBMfTTEDASBESTOS NOTIFICATION TO: EPA ❑ AQMD -❑ ASBESTOS NOT717CA170NIS NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: FOR