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Home My WebLink AboutE2019-0671 - PermitsCity of Newport Beach -Building Division o` 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 F4AZAAf54�'tr Job Address: 1325.//99 BAY AVE W Bldg: 1 Floor: Description of Work: 'ELEC/AC UNIT DISCONNECT Il iii iiiii iiiii iiiii iiii iiiii iiiii iiiii 1 II Inspector Area: 1 Legal Description: TRACT 626 LOT 3 OF PROJECT 939-71 LOCATED ON AP 047-233-32 TOGETHER V �� +OA-e� mkt® FEES Owner:R016fiCS G Contractor: MC MASTER AIR & HEAT Address: 1325 kBAY AVE Address: 2 MCLAREN #C NEWPORT BEACH CA 92661 Receptacle/Switch/Outlets IRVINE CA 92618 Phone: Phone: 949-481-7995 Residential Con State Lie: 726607 Issued Date:10/02/2019 Lie Expire: 12/31/2019 0 to 1 HP/KW/KVA: Bus Lie: BT30041972 Processed By: Lie Exp Date: 01/31/2020 IVB Electrical Permit: E2019-0671 Project No : Inspection Requests Phone (949)644-3255 Code Edit: M WorkerCompensation Insurance Carrier: SENTINEL INS CO LTD 0 Policy No: 72WECZU8138 Expire : 02/02/2020 PERMITS EXPIRE 180 DAYS AFTER /SSVANCE,OR LAS]' VALID INSPECTION Construction Hours: Monday - Friday 7:00 a.m. to 6:.T0 p4n.;and Satwuay froze 8:07a.m. to 6:00 p.m. o0o e o o 0 o e m ® o me mm o c m •o• • o o mmm mo c e m o c m m o • m a c c • • c co � o • m e c oco 00 0• • • coo •o FEES New 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 $27.00 1-2 Family: 0 $0.00 Sep Circuits: 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 0 $0.00 Low Voltage 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00. 0 $0.00 Service Signs Over 100 HP/KW/KVA 0 $0.00 Record Mgmt Fee: $0.00 0-600V up to 20OA: 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 Backlfemp 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: $35.00 O/H to U/G 0 $0.00 Additional Fee : $0.00 Supplemental Fee: $0.00 TOTAL Fee: $62.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $62.00 PERMITS EXPIRE 180 DAYS AFTER /SSVANCE,OR LAS]' VALID INSPECTION Construction Hours: Monday - Friday 7:00 a.m. to 6:.T0 p4n.;and Satwuay froze 8:07a.m. to 6:00 p.m. o0o e o o 0 o e m ® o me mm o c m •o• • o o mmm mo c e m o c m m o • m a c c • • c co � o • m e c oco 00 0• • • coo •o )WNER-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 a) 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 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 'rofessions 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). 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, 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 nproved for the purpose of sale). 1 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 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). _ I 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 personalresidence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally 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 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. signature of Property Owner or Authorized Agent to .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) f Division 3 of the Business ar d ns Code, and my license is in full force nd effect. icense Class License No �ZZ_ycsC7 r Date Contractor Signat o YORKERS' COMPENSATION DECLARATION DARNING: 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 ($100,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I 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 Labor Code, for thI ormance of the work for which this permit is issued. Policy No. have and will intal 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' compensatior Isurance carrier ank Dolicv number are: in Carrier Po' b r Expiration Date Name of Agent b - Phone 9 I certify that, in 0enalty 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 that, if I should beworkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Appli D / DECLARATION RUCTION LENDING AGENCY I hereby affirm unry that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on the pr Ry owners half. I have read this application and the information I h2 provided is rect. I agree to comply with all applicable city and county ordinanc nd state laws relating to building construction.. / I authorize representatives of this city or e a tified Signature of Property Owner or Author Anent Print Property Owner's or Authorized Agent's Name re ACTION E BY DECLARATION OF COMPLIANCE RUH CODEOF FOR OFFICE USE ONLY .•• .. FEDERQILFBIQULATIONS PART 61 OF TITLE40AND : / M R N(aE1$63. • [' t SCIBIUMPASBESTOS NOTIFICATION TO:. • • ❑ • EPA• ❑ AQMD PERMIT€XPIRED • • . • • PERINfTCANCELLED ' . • : • • PERMIT €XTENDED ❑ ASBESTOS NOTIRCATIONIS NOT APPLICABLE TO • PROPPSEVOEiNOLITTON. PERMIT FINAL CERTIFICATEOF • • • • • OCCDPANCYISSOEO : : •• : � lf�NA7jIRE; •• •• •••