HomeMy WebLinkAboutE2019-0212 - PermitsCity of New„port'9each -Building Division
o 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
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IlPiiiuiiiiii II
Job Address: 534 SAN BERNARDINO AVE
Bldg: 1 Floor:
Suite:
Description of Work: ELEC A/C DISCONNECT
Code Edit: 2016 A/C DISCONNECTS
Inspector Area: 2
.666
floc
Legal Description: FIRST ADD TO NEWPORT HEIGHTS BILK 33 LOT 9
Owner: GELS ALVIN
Contractor:
SCHAEF AIR INC
Address: 534 SAN BERNARDINO AVE
Address:
7896 SPINEL AVENUE
NEWPORT BEACH, CA 92663
Temp Underground:
RANCHO CUCAMONGA CA 91730
Phone:
Phone:
909-944-5111
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Con State Lic:
833227
Issued Date:04/10/2019 `
Lic Expire:
03/31/2020
$0.00
Bus Lic:
BT30062392
Processed By:
Lic Exp Date`.
03/31/2020
Electrical Permit: E2019-0212
Project No:
Inspection Requests Phone (949)644-3255 -
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30 WIDE X 36” utv t rl
REQUIRED FOR
Receptacle/Switch/Outlets
Code Edit: 2016 A/C DISCONNECTS
6016
.666
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Worker's Compensation Insurance e •
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Carrier: OAK RIVER INSURANCE °'°o �%
$0.00
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Policy No: SCWC031759 • •
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Expire 03/01/2020 Iocc°m
Temp Underground:
0
$0.00'
�.o•oom meipoo
0-
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Fixtures:
� °
$0.00
momooc
0
$0.00
Sub Panel
, i
$26.00
1-2 Family:
0
Now Construction
Receptacle/Switch/Outlets
Motors/Transformers (HP/KVA)
Residential
Receptacles/Outlets:
0
$0.00
0 to 1 HP/KW/KVA:
0
$0.00
Temp Underground:
0
$0.00'
Multi -Family:
0-
$0.00
Fixtures:
0
$0.00
1 to 10 HP/KW/KVA:
0
$0.00
Sub Panel
1
$26.00
1-2 Family:
0
$0.00
Sep Circuits:
0
$0.00
10 to 50 HP/KW/KVA:
0
$0.00
0
$0.001
Low Voltage
0
$0.00
50 to 100 HP/KW/KVA:
0
$0.00
0
$0.001
Service
Signs
Over 100 HP/KW/KVA:
0
$0.00
Record MgmtFee:
$0.00
0-600V up to 200A:
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 1000A:
0
$0.00
Time Clocks:
0
$0.00
Temp Power Pole:
0
$0.00
Issuance Fee:
$35.001
O/H to U/G
0
$0.00
Additional Fee:
$0.00
Supplemental Fee:
$0.00,
TOTAL Fee:
Plan Check Fee:
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.
Issuance:
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 (_) 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 see 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).
❑ 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
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 licensors under the Contractors' State License Law for the following reason:
By: my signature j lg w 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 legal
tha
sell a structure t f 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
r;ofessions Codefil2vailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
Signafuie of Pr9112rV Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hggpbq affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with e(;tiop 7000) of Division 3 of the Business a d rof Bions Code, and my license is in full force
License Class , License No Date Contractor Signature
WAR
KERS' COMPENSATION DECLARATION
VVjj((AJJiijjJJINS: FAILUR6SOSEEURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOY R TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ON HUNORED THOUSAND DOLLARS ($100,00D(, IN ADDITION TO THE
dO57 LF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I'fiieT2tb affirm under penalty of perjury one of the following declarations:
Iwave A Will'fijhintain 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
pe{forrnance of�(he work for which this permit is issued. Policy No.
ve and vifliRalntain 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
sur ce carrier and policy number are:
Carrier Policy Number Expiration Date
Name of Agent - Phone #
�I certify that, in the p orme ce of h rk 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
that, if I should become ubjectto t wo s' m _ensation rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those prov Bions.
Signature of Applicant Da
DECLARATION REG TRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issue (Section 3097, Civil Code).
Lender's Name Lender's Address
By1my signature below, I certify to each of the following:
I am the property owner or authorizedto act on the grope owner's behalf.
I have read this application and the information I h ve r owners
is correct.
1 agree to comply with all applicable city and coo y orrmances and state laws relating to building construction.
I authorize representatives of this city or countyn! soba = ' 'est row pe�nspection purposes.
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name oL ate '[
AC77ON
DATE BY
DECLARATION OF COMPLIANCE IMTN CODEOF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART fit OF T17LE40AND
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PERMITCANCELLED
PERMITEXTENDED
❑ ASBESTOS NOTIACARONIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
iPERMITFINAL
CERTIFICATEOF
SIGNATURE.
OCCUPANCYISSUED