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Home My WebLink AboutE2019-0197 - Permitsyr City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 53 SEA ISLAND DR Bldg: 1 Floor: Suite: Description of Work: ELEC- DISCONNECT FOR A/C INSTALLATION Inspector Area: 4 IIIIIIIIIII'llllllllllllll�lllllllllll�llll II Electrical Permit: E2019-0197 E 2 0 1 9 0 1 9 7 Project No : Legal Description: TR 8444 LOT 1 UNIT 53 OF PROJECT LOCATED ON AP 442-251-01 TOGETHER Owner: EL-HINN MARK Contractor: Address: 53 SEA ISLAND DR Address: NEWPORT BEACH, CA 92660 $0.00 Phone: Phone: 0 Con State Lic: Issued Date:04/03/2019 A Lic Expire: 0 Bus Lic: Processed By: Lic Exp Date: New Construction Residential Multi -Family: 1-2 Family: Service • @_309S1 up to 260A: • 0-600V over,2O0,�:° dval-F OOV or`I OOOA: °,C/H=to U/G ° ® .. o • TCTAL ALISO AIR INC 29736 AVE DE LAS BANDERAS RSM CA 92688 949-589-2021 526420 03/3112020 BT30019236 02/28/2020 Inspection Requests Phone (949)644-3255 Code Edit: 2016 Worker's Compensation Insurance Carrier: LIBERTY MUTUAL Policy No: WC2Z61036218098 Expire : 07/01/2019 FEES Receptacle/Switch/Outlets Receptacles/Outlets: 0 $0.00 0 $0.00 Fixtures: 0 $0.00 0 - $0.00 Sep Circuits: 0 $0.00 50 to 100 HP/KW/KVA: Low Voltage 0 $0.00 0 Signs 0 $0.00 Branch Circuit: 0 $0.00 0 $0.00 Each Add Circuit: 0 $0.00 0 $0.00 Time Clocks: 0 $0.00 0 $0.00 Additional Fee: $0.00 Inspection Requests Phone (949)644-3255 Code Edit: 2016 Worker's Compensation Insurance Carrier: LIBERTY MUTUAL Policy No: WC2Z61036218098 Expire : 07/01/2019 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: Sub Panel: Record MgmtFee: Plan Check Fee: Investigation Fee: Issuance Fee: Supplemental Fee: Fee Due at • s ® o ® ° PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION • E' ° 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. c ° ssao° 0 $0.00 1 $26.00 0 $0.00 0 $0.00 $0.00 $0.00 $0.00 $35.00 $0.00 )WNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items) 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 )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 lot more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiness 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 Tlprovemenls 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 n 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 Only 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). J I am exempt from licensure under the Contractors' State License Law for the following reason: 3y 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) yell 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://w .leginfo.ca.gov/calaw.htmi. signature of Property Owner or Authorized Agent Date -ICENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Seco 70 ) of Division 3 of the Business and Profe s�ind my license is in full force Ind effect. C" .icense Class License No Date Contractor Signatur�4- VORKERS' COMPENSATION DECLARATION IARNING: 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 (5100,0001, IN ADDITION TO THE ;OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS 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 th ormance of the work for which this permit is issued. Policy No. (have 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' compensatiol `ante carrier and policy number are: "ier Policy Number Expiration Date is of Agent - Phone# certify that, in the perfor a of the work for which this permit 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 , if I should become nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. lature of Applicant ,.. ..^-. Date Ireby 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). 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 t rop 'yo owner's behalf. I have read this application and the informalio have rovided is correct. I agree to comply withal applicable city and unty rdinance Rd-sts a aw 'ng to building construction. I authorize representatives of this city or count 77=- ntified property for inspection purposes. nature of Prooertv Owner or Authorized ADent Print Prooertv Owner's or Authorized Aoent's Nani ACTION I DATE I BY fYtl.Li71#f�717:i�' PERMIfiCANCEtLED PERMfTEXTETIDED —II FEDERAL REGULATIONSPART 01 OFTI7LE40AND AQMDRULE7403. I SUBMITTEDASBESTOS NO77FICATION TO: EPA ❑ AQMD ❑ ASBESTOS NOTIRCAAONIS NOT APPLICABLE TO PROPOSED DEMOLITION. OCCUPANCYISSUED I I I I SIGNATURE. ••••.. o • • • •000co • 0000u 00000 � • •