HomeMy WebLinkAboutE2020-0015 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
m Permit Counter Phone (949)644-3288
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Job Address: 4 SEA COVE LN Bldg: 1 Floor: Suite:
Description of Work: ELEC/DISCONNECT TO A/C
H2O20-0013
Inspector Area:
Legal Description: TR 9676 LOT 3 UNIT 12 OF PROJECT LOCATED ON AP 442-361-31
TOGETHER
Owner: REDMOND PATRICK J
Address: 4C LN
EWPORT EACH, CA 92660
Phone: 949-233-6191
Processed
Contractor:
Address:
Phone:
Con State Lic:
Lic Expire:
Bus Lic:
Lic Exp Date:
LIONS HEATING & AIR
10100 VENICE BLVD #501
CULVER CITY CA 90232
310-465-0630
1057295
08/31/2021
BT30070545
01/31/2021
New Constructiory
0 $0.00
Sub Panel:
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:
1
$7.00
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 1000A:
0
$0.00
Time Clocks:
0
$0.00
O/H to U/G
0
$0.00
Additional Fee :
$0.00
Electrical Permit: E2020-0015
Project No:
Inspection Requests Phone (949)644-3255
I SPECTOR
D I
Code Edit: 2019 °
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Worker's Compensation Insurance °•°•
Carrier: STATE COMP '•,••• •ee
.. e
Policy No: 9260306
Expire :09/06/2020" WIDEX`C�,DEPT •ee
REQUIRED FOR ®�
• •e
A/C DISC"PT$,m,m°
FEES
0 $0.00
Sub Panel:
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
Temp Underground:
0 $0.00
Sub Panel:
0 $0.00
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.
)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 itgm(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.
1e 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
Irofessions 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
iot more than five hundred dollars ($500).
7 1, 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).
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
p 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 exempMf�•o m.iBensure under the Contractors' State License Law for the following reason:
W my signature Aro 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 legally
@V a SfrQcture tla*J rade 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
Irofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
"Ngnaturo of Property Owner or Authorized Agent Date
10ENSED CONTRACTOR'S DECLARATION
DdrEb j affirm undetr4Jehalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Codg, and my license is in full force
nd effect. • • • "`-J\
"""Class • • • License No Date 1 4- 110 Contractor Signature
VGRK'ERS' C6'%PENSATION DECLARATION
IARM". VAILURE TO SE%UjtE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
0S�OF CDMPENSa�101fe 6$h1AGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
4P,re4x4ffirm unde4 penalty of perjury one of the following declarations:
•.
1•I •have and vril•�a•irRain 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
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
Date
I1Ze f Agent vnone s
ceI iffy 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
1 should become subject
/k the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of Applicant\� /_�,TIO�\r\�` D�e-O� o'i a
IECLARATION REGA CONSTRUCTION LENDING AGENCY
hereby affirm under pe alty 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).
Ender's Name Lender's Address
y my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owners 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 a vie -id tified property for inspection purposes.
innafilra of Prnnerty Owner nr Anthnrized Aaeno � 7 CL�n \ c— Print Prooertv Owner's or Authorized ADent's Name(
ACTION I DATE
PERMIT EXTENDED
PERMITFINAL
CERTIFICATEOF
OCCUPANCYISSUED
BY uctL.Hrw rlvly ur wmrcrarrvl.c vvlrn l..vuc ur
FEDERAL REGULATIONS PART fitOFT17LE40AND
AQMDRULE1403.
1 SUBMITTED ASBESTOS NOPF/CATION TO.
❑ EPA
❑ AQMD
❑ ASBESTOS NORRCARONIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
SIGNATURE: