HomeMy WebLinkAboutE2018-0650 - Permits0City of Newport Beach - Building Division IIIIII�I IIIIIII 111111111111111 Jill II Electrical Permit: E2018-0650
s 100 Civic Center Drive, Newport Beach, CA 92660 E 2 8 1 8 0 6 5 a Project No : 0437-2018
j Permit Counter Phone (949)644-3288.
�`� ��s � Inspection Requests Phone (949)644-3255
Job Address: 3410 CATAMARAN DR Bldg: 1 Floor: Suite:
Description of Work: ELEC INSTL DISCONNECTS TO NEW A/C UNITS (H2O18-0614)
Inspector Area: 4 Code Edit: 2016 ILCTOR
Legal Description: N TR 6152 LOT 8
Owner: LI LAN Contractor: CAFORIO DEVELOPMENT GROUP LLC Worker's Compensation Insurance
Address: 3410 CATAMARAN DR Address: 11966 JACK BENNY DR #101 Carrier: STATE FUND
CORONA DEL MAR, CA 92625 RANCHO CUCAMONGA CA 91739 Policy No: NA121702500
Phone: 714-756-0730 Phone: 909-681-3435 Expire : 01/20/zp19 WIDE X 36" DEPTH
Con State Lic: 1024233 :i11
Issued Date:10/0312018 Lic Expire: 03/31/2019
Bus Lic: BT30064036 REQUIRED FOR
Processed By: Lic Exp Date: 08/31/2019
A/C DISCONNECTS
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.
FEES
9O0°
'
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:
o 0
$0.00 °
Multi -Family:
0
$0.00
Fixtures:
0
$0.00
1 to 10 HP/KW/KVA:
0
$0.00
Sub Panel:
°....`2
$52.00°°
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
`. °. V
$0.00"
Service
Signs
Over 100 HP/KW/KVA:
0
$0.00
Record Mgmt Fee:
$O.UO°'
0-600V up to 20OA:
0
$0.00
Branch Circuit:
0
$0.00
Plan Check Fee:
°
1117.06:
0-600V over 20OA:
0
$0.00
Each Add Circuit:
0
$0.00
Piggy Back/Temp Power:
0
$0.00
Investigation Fee:
s °"°°
$0.00 °
Over 600V or 1 OOOA:
0
$0.00
Time Clocks:
0
$0.00
Temp Power Pole:
0
$0.00
Issuance Fee:
O/HtoU/G
0
$0.00
Additional Fee:
$0.00
Supplemental Fee:
°°°°°°
Mot,
TOTAL
Fee:
$87.00
Plan Check Fee : $0.00
Fee Due at Permit Issuance:
$87.00
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.
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 sole compensation, will do (_) all of or U 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 it was not built or
improved for the purpose of sale).
0.1, as owner of the property, amexclusivelycontracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: 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).
❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason:
By 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 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. leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENS
I he effect
hereby
CONTRACTOR'S DECLARATION
livens No p P ( to au- �) Conttf t gnatss %ons Code, a my license is in full force
I hereb affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of Division 3 of the Bu ness and Proles
ac
WORKERS' COMPENSATION DECLARATION I UV
NARNING: FAILURE,TO SECURE WOhKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100,00D(, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirmunder.penaltyof perjury one of the following declarations:
1 have and w ai1ltain'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
anrform a wor for which this permit is issued. Policy No.
end wW'W"giRtpin 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'
carrier and-mlicv number are:
qj Agent
riify that, in Re7p
Of
Policy Number Expiration Date
Phone #
of the work for which this permit is issued, I shall not employ any person in any manner so as to become su
the worKWK cqmpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
V1011.Q�Gl1Q,DINGUZONSTRUCTIOWLE 1WNG AGENCY
affirm uBdarcecalty of perjury that there is a construction lending agency for the performance of the work for which this permit is
Name ' Lender's Address
act to the workers' compensation laws of California, and agre,
visions.
(Section 3097, Civil Code).
I am the propdrt,1dwner 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 represent tives of this city or county to en bove= a 'fi opert for inspection purposes. r. p�
Signature of Prope ner Authorized Agent riot Property Owner's or Autho Ized A e Name I'®a e
ACT70N DATE :&Y DECLARATION OF COMPLIANCEWITH CQYEGF FOR OFFICE USED LY
FEDERAL REGULATIONS PART 61 OF TITLE40AND
PERMiTEXPIRED AQMDRULEY403.
❑ i SUBUTTEDASSESTOS IV077FJCATION TO:
PERMITCANC€LLED ❑. EPA
P€RMITEXT€NDED ❑ AOMD
E3ASBESTOS NODFICAROWS NOT APPLICABLE TO
PERMfTF1NAL -/$ —7 PROPOSEDDEMOLITION.
OCCUPANCYISSUED
SIGNATURE: