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Home My WebLink AboutE2019-0145 - Permits1r City of Newport Beach - Building Division o' 100 Civic Center Drive, Newport Beach, CA 92660 .Permit Counter Phone (949)644-3288 ��I� �� II Project is I Permit: E2019-0145 Inspection Requests Phone (949)644-3255I, Job Address: 1717 MIRAMAR DR Bldg: 1 Floor: Suite: $0.00 1-2 Family: 0 $0.00 Low Voltage Description of Work: ELEC INSTIL DISCONNECTS FOR (3) A/C UNITS (H2O19-0146) $0.00 0-600V up to 20OA: 0 ' O 0-600V over20OA: 0 $0.00 Over 600V or1000A: 0 b O/H to U/G 0 $0.00 TOTAL Fee: (, $0.00, Inspector Area: 1 Code Edit: 2016 ®• • M •fA• C m R1 Legal Description: N TR 518 BILK H LOT 28 ttC�� ®.••M W Owner: SANJEETNIJJAR Contractor: URBAN -CA INC Worker's Compensation Insurance a•m Address: 4900 SANTA ANITA AVE Address: PO BOX 10818 Carrier: STATE FUND Z r• m EL MONTE CA 91731 ' NEWPORT BEACH CA 92658 Policy No: 9203854 m m r dT1 ®• Phone: Phone: 65T-900-2150 ` Expire 01128/2020 om` mo a Con State Lic: 1017845 � • •� • -U • • m Issued Dat .03/1 2019 Lic Expire: 09/30/2020 • • m Bus Lic. BT30066196 • mmmo•o Processed By: Lic Exp Date: 02/29/2020 m m ...... m m m me omco®m o m o Doom oommm New Construction Residential Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Low Voltage 0 Service Signs $0.00 0-600V up to 20OA: 0 ' $0.00 0-600V over20OA: 0 $0.00 Over 600V or1000A: 0 $0.00 O/H to U/G 0 $0.00 TOTAL Fee: $113.00 Receptacle/Switch/Outlets Receptacles/Outlets: 0 $0.00 Fixtures: 0 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Signs $0.00 10 to 50 HP/KW/KVA: Branch Circuit: 0 $0.00 Each Add Circuit: 0 $0.00 Time Clocks: 0 $0.00 Additional Fee : $0.00 FEES 0 $0.00; Motors/Transformers (HP/KVA) 3 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 Backrremp Power: 0 $0.00 Temp Power Pole: 0 $0.00 Plan Check Fee: Temp Underground: 0 $0.00; Sub Panel: 3 $78.00 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 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. (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 mon; than five hundred dollars ($500). ❑ I, 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, 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 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 improved 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 nn' a ly 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 exemptframlicensure under the Contractors' State License Law for the following reason: By my signatur8pylpyll 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 cannoi ieyaiiy sell a structurethat I rave built as an owner -builder if it has notbeen constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and i7rofesNons Coderis available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Sjgna(pre of PrtperVowner or Authorized Agent Date j.ICEpISED CONTRACTOR'S DECLARATION I rere¢y affirm VIQllefpjjnalty of perjury that I am licensed under provisions of Chapter 9 (commencing/ERTO action 7000) of Division 3 of the Business d P, fessio mode, and my license is in full force and effect. • j((/ L OE& Class. License No DatContractor Signal W13ARERS' li NSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLORIMINAL PENALTIES AND CNIL FINES UP ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE ROTICIP� OMPEN%TION, QAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNS. (+hereby -affirm arfdeT p fnalty of perjury one of the following declarations: t] I•hare 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 tht p&Vr?Tance ofll"tgrk 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' rance carrier and policy number are: Policy Number of Agent Date certify that, in the perfo ante 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 su j t e w ars' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisio0s.2/t lature of Applicant Date 7 :LARATION REGA IN CON CTION LENDING AGENCY reby affirm under p nalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued ( action 3097, Civil Code). ier's Name Lender's Address ny 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 hg&e provided is correct. I agree to comply with all applicable city and cou y dinan and state laws relating to building construction. I authorize representatives of this city or county ®rr hq ove-identified property for inspection purposes. LT111HU101 I 13Xat91!■�Yt!li�t3 Owner or Authorized DATE ByIUcs."KAItvryLN" wmru JVLL"II"LUVEUr FEDERAL REGULATIONS PART fit OFTITLE40AMD I PERMITCANCELIED I I I Name ❑ ISUBMITTED ASBESTOS NOTIFICATIONTO. ❑ EPA ❑ AQMD ❑ ASBESTOS IV017RCA170NIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: