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Home My WebLink AboutE2019-0622 - PermitsCity of Newport Beach - Building Division off. t 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 1 �aA{SiSYY'43 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II Electrical Permit: E2019-0622 E 2 9 1 9 0 6 2 2 Project No : Job Address: 21 SEAMIST CIR Bldg: 1 Floor: Suite: $0.00 Description of Work: ELEC - DISCONNECT FOR AIC INSTALLATION Inspector Area: 3 $0.00 Low Voltage Legal Description: 7989 LOT 1 UNIT 27 P-27 G-27 CP -27 OF PROJECT LOCATED ON AP Owner: CAINE GREGGORY JR Contractor: VETERAN AIR Address: 21 SEAMIST CIR Address: 1340 N DYNAMICS ST STE A NEWPORT BEACH, CA 92663 Each Add Circuit: ANAHEIM CA 92806 Phone: Phone: 714-206-3493 $0.00 Con State Lic: 949515 Issued Date:09/12/2019 Lic Expire: 06/30/2020 Bus Lic: BT30068474 Processed By: Lic Exp Date: 0813112020 New Construction Residential Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Service 0-600V up to 20OA: _ 0 $0.00 0-600V over20OA: 0 $0.00 Over 600V or 1000A: 0 $0.00 O/H to U/G 0 $0.00 TOTAL Fee: $62.00 Receptacle/Switch/Outlets Receptacles/Outlets: 0 $0.00 Fixtures: 0 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Signs 0 $0.00 Branch Circuit: 0 $0.00 Each Add Circuit: 0 $0.00 Time Clocks: 0 $0.00 Additional Fee: $0.00 Inspection Requests Phone (949)644-3255 Code Edit: 2016 Worker's Compensation Insurance Carrier: EXEMPT Policy No: NO EMPLOYEES Expire : FEES 0 $0.00 Sub Panel: Motors/Transformers (HP/KVA) 0 $0.00 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 Plan Check Fee : Temp Underground: 0 $0.00 Sub Panel: 1 $27.00 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: 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. 9 OC OCC. B O . f0 900 ID p O®O °O O °O GOO )WNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that lam 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 he 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 lot 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, 3usiness 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 Tlprovements 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). 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 1 ply 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: 3y 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 legall3 all 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 Date -ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profas is in full force Ind effect. .icense Class License No Dae Contractor Signst r YORKERS' COMPENSATION DECLARATION 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 ($100,000), IN ADDITION TO THE :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 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 th erformance of the work 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 Expiration Date of Agent Ify 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 the workers' compensation laws of California, and agre If should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. l ature of Applicant CLARATION RE NG CONSTRUCTION LENDING AGENCY :reby 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' ddress; my signature below, I certify to each of the following: I am the property owner or authorized to act on the property ow alf. I have read this application and the information I have.a c I agree to comply with all applicable city and c ordinanc nd state laws relating to building construction. C I authorize representatives of this city or county to ent a abov -identified property for inspection purposes. �C't nature of Prooertv Owner or Authorized ADent % Print Property Owner's or Authorized Agent's Na �L(/l ��,(�(i(� Date ACTION DATE I " BY I PERMIT CANCELLED I I • 1 W�agIYH:tLYi�t+l�a�� PERNIfI'FINAL CERTIFICATEOF OCCUPANCYrSSUEO AQMO RULE 1103. •L1 I SVVWITE0 ASBt;STOSWOT]FICATION TO. . • [I4EPI, • I] ASBtSTOS NOTIRCARONIS NOT APPLICABLE TO PROPOSED DEMOLITION. SfGNe�if(Rt::• . . • USEOYLY