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Home My WebLink AboutE2019-0493 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 2222 VISTA HUERTA Bldg: 1 Floor: Suite: Description of Work: ELEC A/C DISCONNECT $0.00 Inspector Area: 8 0 Legal Description: TR 5798 (L.L.84-245722) PAR 45 Owner: MUELLER MARK D Contractor: Address: 2222 VISTA HUERTA Address: NEWPORT BEACH, CA 92660 $0.00 Phone: Phone: $0.00 Con State Lic: Issued Date:07/18/2019 Lic Expire: O/H to U/G Bus Lic: Processed By: T -II 7 y \, Lic Exp Date: New Construction Residential Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Service 0 $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 : $61.00 iiiiiiiiiiii II CLIMATE AIR MASTERS INC 1139 N ANAHEIM BLVD ANAHEIM CA 92801 951-288-6822 695654 08/31/2019 BT30059886 12/31/2019 Receptacle/Switch/Outlets Receptacles/Outlets: 0 $0.00 Fixtures: 0 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Signs 0 $0.00 Branch Circuit: 0 $0.00 Each Add Circuit: 0 $0.00 Time Clocks: 0 $0.00 Additional Fee : $0.00 $0.00 Electrical Permit: E2019-0493 Project No : Inspection Requests Phone (949)644-3255 Code Edit: 2016 Worker's Compensation Insurance °°° °•"'°" Carrier: SECURITY NATIONAL • ° Policy No: SWC1246292 Expire : 06/25/2020 ° FEES 0 $0.00 Motors/Transformers (HP/KVA) Sub Panel 1 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 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 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. VNER-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) 1 have placed next to the applicable item(s) Iction 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 itsissuance, also requires the applicant for 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 Ifessions 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 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, siness 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 )rovements 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 )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 )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 exempt from licensure under the Contractors' State License Law for the following reason: 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 legatl a structure th'af PBave 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 fess4Pns Cod0,13 Available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. natane of Property -Owner or Authorized Agent Date )EN§ED C&ftRACTOR'S DECLARATION vetiy affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with S ctio Division 3 of the Business and Pr sions de, and my license is in full force 1 Affect. seg lass ...... License No Date Contractor Signature ))@KERS' CQMP.ENSATION DECLARATION Ni TNG FAILURE jQ, FCbRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE H NDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE writ/ COMPENSACTIO�J, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. w%qy affirm undrer penalty of perjury one of the following declarations: I have and 41P m Gain 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 the Wmance of the work for which this permit is issued. Policy No. .1falve and 4:OUM*ain 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' compensation trance carrier and policy number are: Policy Number Expiration Date of Agent I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to I? workers' compensation laws of California, and agre, I, if I should become a bject rs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisio s. a� nature of Applicant / /' Date � IV CLARATION REG DI UCTION LENDING AGENCY lreby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issuedaction 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 provided is correct. I agree to comply with all applicable city and count ordinances and state laws relating to building construction. I authorize representatives of this city or county t e t ove-identified property for inspection purposes. nature of Property Owner or Authorized Agent Print Property Owners or Authorized Agent's Name ACTION DATE BY DECLARATION OF COMPLIANCE MTH CODEOF FEDERAL REGUL ATIONSPART 61 OF TITLE40AND AQMD ROLE 1403. ❑ I SUBMITTEDASBESTOS NOTfFICATION TO: ❑ EPA ❑ AQMD ❑ ASBESTOS NOTIFFCATIONIS NOT APPLICABL.E TO PROPOSED DEMOLITION. PERMITEXPIRED PERMITCANCELL€D P£RMITEXTENDED PERMITFINAL CERTIFICAT€O€ OCCOPANCY/SSDED SIGNATURE.