Loading...
HomeMy WebLinkAboutE2019-0292 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 E, Permit Counter Phone (949)644-3288 Job Address: 46 WHITE CAP LN Bldg: 1 Floor: Suite: Description of Work: ELEC/DISCONNECT TO A/C (UNIT 46 - 90) Inspector Area: Legal Description: Owner: 113VfNE COMPAP Address: 131 THEORY IRVINE CA 9261 Date:05/10/2019 *E2019-0292* Contractor: KNIGHT MECHANICAL SERVICES INC Address: 6 MC LAREN SUITE D \ IRVINE CA 92616 Phone: 949-716-2868 Con State Lic: 714423 Lic Expire: 09/30/2019 Bus Lic: BT30048241 Lic Exp Date: 08/31/2019 New Construction C9° .00°O $m ° \ 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: 23 $161.00 Low Voltage 0 $0.00 Service Signs 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 10o0A: 0 $0.00 Time Clocks: 0 $0.00 O/H to U/G 0 $0.00 Additional Fee: $0.00 TOTAL Fee: $196.00 Electrical Permit: E2019-0292 Project No : Inspection Requests Phone (949)644-3255 Code Edit: 2016 ) Worker's Compensation Insurance Carrier: SECURITY NATL INS Policy No: SWC1162372 Expire : 09/09/2019 30® WIDE X'SW oEF' FEES C9° .00°O $m ° 0 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 /-SIC VIJkJ®,m Nr_4-tmV,. Temp Underground: Sub Panel: Record Mgmt Fee: Plan Check Fee: Investigation Fee: Issuance Fee: Supplemental 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. C9° .00°O $m ° 0 $P.00 e $0.00 $0.00 $0.00 $35.00 $0.00 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). ❑ 1, as owner of the property, or my employees with wages as their sale compensation, will do (_) all of or (_) 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 1t 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 Codes 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 licensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personalresidencein which I must have resided for at -least one year prior to completion of the improvements covered by this permit, I cannot legall) sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.ieginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with action 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class"" License No Da 10- % Contractor Signatu e NOnERS' COMPENSATION DECLARATION NARMT: FAILLQ3tt0 SacURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE :OST Ok COMPBNSA'1105N, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. - %erAgy affirm under penalty of perjury one of the following declarations: 1 * ave anq:gj ;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 %op nce of the dirk for which this permit is issued. Policy No. av and wil Jtdmaintain inworkers' 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' compensatioi rsu ra a carrier Aitdpolicy number are: . Agent, Of Policy Number Expiration Date Phone # lance 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 ct to the workersco setion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisio 3 CONSTRUCTION LENDING AGENCY sreby affirm underpenalty 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). tder'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 county ordinances and state laws relating to building construction.,✓ I authorize representatives of this city or county Ix nter t bov ' ' d property for inspection purposes. nature of Prooertv Owner or Authorized Print Prooertv Owner's or Authorized ADent's Name a AC77ON DATE BY Utr.LiiMtiffvly Vr'I.ftAYYU1frvF.Cvvl fYf uu"CVr tUKU1l1,ILLU3t UlvLr FEDERAL REGUI:ATfONSPARTOf O€TITLE40AND AQMDRDLE'f403. PERMITEXPIRED 0 I SUBMfrrEDASBE5TOS NOTIFICATION €O: © EPA AQMD PERMITCANCELLED PERMITEXTENDED PROPOSEDDEMOUTION. IS NOT APPEICABLE TO PERMIT FINAL Z CERTH'ICATEOF QCCUPANCYISSUED SIGNATURE.