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Home My WebLink AboutE2019-0196 - PermitsCity of Newport Beach, Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIII II 100 Civic. Center Drive, Newport Beach, CA 92660 E 2 0 1 9 0 1 9 6 Permit Counter Phone (949)644-3288 Electrical Permit: E2019-0196 Project No Inspection Requests Phone (949)644-3255 Job Address: 1302 BAY FRONT S Bldg: 1 Floor: Suite: Description of Work: ELEC/INSTALL (2) A/C UNITS 445.5dB & 40clB (MITSUBISTI; SUZ-KA18NA(H) & MUZ-GI24NA) Inspector Area: 2 Code Edit: 2016 Legal Description: BALBOA ISLAND SEC 4 BLK 1 LOT 2 Owner: PICKETT PROPERTIES ` Contractor: OASIS AIR CONDITIONING Address: 477 COSTA MESA ST Address: P O BOX 937 COSTA MESA CA 92627 $0.00 SAN JUAN CAP CA 92693 Phone: Phone: 949-420-1321 0-600V over20OA: Con State Lic: 767272 Issued Date:04/03/2019 Lic Expire: 08/31/2019 0/H to U/G Bus Lic: BT97027460 Processed By: l 1 Lic Exp Date: 11/30/2019 New Construction Residential Multi -Family; 0 $0.00 -1-2Family: 0 $0.00 Service $0.00 0 to 1 HP/KW/KVA: 0-600V up to 20OA: 0 $0.00 0-600V over20OA: 0 $0.00 Over 600V or1000A: 0 $0.00 0/H to U/G 0 $0.00 Worker's Compensation Insurance Carrier: NATIONAL LIBILITY INS Policy No: V9WC854146 Expire : 12/31/2019 w R7 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 Fixtures: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: 0 $0.00 Sep Circuits: 2 $14.00 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 Branch Circuit: 0 $0.00 Plan Check Fee: $0.00 Each Add Circuit: 0 $0.00 Piggy Back/remp Power: 0 $0.00 Investigation Fee: $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $35.00 Additional Fee: $0.00 Supplemental Fee: $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $49.00 PERM/TS 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. O 4 ••tf 0 pa.. •• p p Y p p 4 a 9 C p Yo• o p c4c po _.. c 4•m o 0 c ¢. p 0 o p o c •Y• ••. •4 • 4 YOY •Y4 I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason (a) 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 is 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). 7 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, Iusiness 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, 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 Poly 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). 7 1 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 legally 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.html. ignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business ,an'd- sl de, and my license is in full force nd effect. C�..3.. HCl icense Class License No Date 7 Contractor Signature WORKERS' 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 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. herebyaffirmunder 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 th a�al�i a of the work for which this permit is issued. Policy No. and will m�klfain 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 olI y number are: e) ,Irk Date lame of Agent%Nb dZ r t! u u ` vnone s :1I certify that, in the pert of the work for which this permit iced—, hlll not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree iat, if I should becom ub'ec wor ars' compensatio Isions of Sect' n 3700 of the Labor Code, I shall forthwith comply with those prows)9ps. �J signature of Applicant Dati1C J IECLARATION REG CTION LENDING AGENCY hereby affirm under penalty 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). ender's Name Lender's Address ly 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 count rd' ace.� and state laws relating to building construction. I authorize representatives of this city or county P bbve-identifiedp[q any for inspection purposes. Iinnative of Prnnerty nwner nr Aulhnri7ed Anent / 7 Print Prooertv Owner's or Authorized AGent's Nart yJ/i.fC�D ems' ACAONI DATE _- BY _ IJ FEDERALREGULATIONSPARTOIOFTfTLE40AND I FOR NOTIFICATION TO. PERA41TCANCELLED • • • Q WA PERMITEXTENDED ❑ AQMD PFRMITFINAL ❑ ASBESTOS M017HCA170NIS NOT APPLICABLE TO „ .... • RRORGSEDDEMOUTION. CERTIFWATEOF• o OCCUPANCYISSUED e o •i e i •. SIGNATNRE: