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Home My WebLink AboutE2019-0390 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 1 SORRENTO CT Bldg: 1 Floor: Suite: Description of Work: JAEB- DISCONNECT FOR A/C INSTALLATION SLAG Inspector Area: 6 Legal i)essriptiori o. ° m ° OWFler: ' SALYE A MONY & RENEE Contractor: Address ° ` 1 SORRENTO CT Address: •°°°°o NEWPORT COAST CA 92657 0 to 1 HP/KW/KVA: Phone: Phone: o c c Issued D`ate:06/ft'26% Con State Lie: Lie Expire: Multi -Family: 0 $0.00 Bus Lie: Processed By: o o Lie Exp Date: 600000 OJdf O O 0 CCCG O II llEIll/I �IIallIII II I II�I�II0�IIIIIIDIIIII0 II ALISO AIR INC 29736 AVE DE LAS BANDERAS RSM CA 92688 949-589-2021 526420 03/31/2020 BT30019236 02/28/2020 New Construction 0 $0.00 Receptacle/Switch/Outlets Residential 0 to 1 HP/KW/KVA: 0 Receptacles/Outlets: 0 $0.00 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1-2 Family: 0 $0.00 Sep Circuits: 0 $0.00 $0.00 Investigation Fee: Low Voltage 0 $0.00 Service $35.00 Signs Supplemental Fee: 0-600V up to 20OA: 0 $0.00 Branch Circuit: 0 $0.00 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Over 600V or 1000A: 0 $0.00 Time Clocks: 0 $0.00 O/H to U/G 0 $0.00 Additional Fee : $0.00 TOTAL Fee: Electrical Permit: E2019-0390 Project No : Inspection Requests Phone (949)644-3255 Code Edit: 2016 Worker's Compensation Insurance Carrier: LIBERTY MUTUAL Policy No: WC2Z61036218098 Expire 07101/2019 gg [[saga %4. FEES 0 $0.00 Motors/Transformers (HP/KVA) Sub Panel: 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 Check Fee: Temp Underground: 0 $0.00 Sub Panel: 1 $26.00 0 $0.00 0 $0.00 Record Mgmt Fee: $0.00 Plan Check Fee: $0.00 Investigation Fee: $0.00 Issuance Fee: $35.00 Supplemental Fee: $0.00 Fee Due at Permit Issuance: $61.00 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. IWNER-BUILDER DECLARATION I hereby affirm under penally 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) lection. 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 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 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 U 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 n roved 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 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). 7 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.peimit, I cannotaegalq 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 Df ft j3LsinesS4nd o Irofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. • ... ° °< signature of Property Owner or Authorized Agent Date �••..• .ICENSED CONTRACTOR'S DECLARATION • • • o 0 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sg/�,cti 700?) of Division 3 of the Business and Professions Code, and my license is in fug ioree, nd effect. V Cts _ icense Class License No Date Contractor Signal • • • • .a—�_ IIORKERS'COMPENSATIONDECLARATION v .....• on 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 (VI00,000(, IN ADDITICKTO Ta1E OST OF COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. . • c c I c hereby affirm under penalty of perjury one of the following declarations: 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 tabor QVIf f fdr�h I ce of the work for which this permit is issued. Policy No. • I h ve 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. M? NIRers' compensatiol Isur nce carrier and policy number are: Policy Number Date ne of Agent vnone a certify that, in the performa wor hich 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 t, if I should becomej�sJ ct to thew s Dompensa ion-provisiofis of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicanck CLARATION REG DI TION LENDING AGENCY 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 the property owner's behalf. I have read this application and the information I have provi I agree to comply with all applicable city and co t state laws relating to building construction. n I authorize representatives of this city orrr the above -identified property for inspection purposes. ' ` - - nature of PrODertv Owner or Authorized cenA t Y / Print Property Owner's or Authorized Agent's Name �1��°j(�( Date ACTION DATE BY — FEDERAL REGULATIONS PART fit OF TTILE40AND AQMORULE'1403. PERMITEXPIR€D 0 I SUBMITTEDAS13ESTOS NOTIFICATION T0:- 0 EPA ❑ AQMD PERMITCANCELLED PERMITEXTEND€D 0 ASBESTOS NOURCATIOMIS NOT APPLICABLE TO PROPOSED DEMOLITIOM PERMITFINAL ( CERTIRCAT€Of SIGNATURE: OCCOPANCYISSOED