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HomeMy WebLinkAboutE2020-0071 - Permitsawlv�k - City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIII II Electrical Permit: E2020-0071 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 2 0 0 0 7 1 Project No: -'4,. Permit Counter Phone (949)644-3288 �:a iFZ11L�°�. Inspection Requests Phone (949)644-3255 Job Address: 1421 SEA RIDGE DR Bldg: 1 Floor: Suite: Description of Work: ELEC/DISCONNECT TO A/C H2O20-0104 A Inspector Area: 8 Code Edit: 2019 Legal Description: N TR 15011 LOT 52 Owner: CHAMBERS CIN Address: 1 1 SEA RIDGE EWPORT BEAC Phone: 848-775-6498 Issued D te:02/05/2020 Processed By: F w Construction sidential lti-Family0 Family: 0 Service 0-600V up to 20OA: 0 0-600V over 20OA: 0 Over 600V or1000A: 0 0/H to U/G 0 Contractor: ECONO AIR 2 Address: 555 VANGUARD CA 92660 BREA, CA 92821 Phone: 714-695-6661 Con State Lic: 445220 Lic Expire: 02/29/2020 Bus Lic: BT30064026 Lic Exp Date: 08/31/2020 Worker's Compensation Insurance Receptacle/Switch/Outlets mmm. Receptacles/Outlets: 0 $0.00 $0.00 Fixtures: 0 $0.00 $0.00 Sep Circuits: 1 $7.00 50 to 100 HP/KW/KVA: Low Voltage 0 $0.00 0 Signs ° ° m $0.00 $0.00 Branch Circuit: 0 $0.00 $0.00 Each Add Circuit: 0 $0.00 $0.00 Time Clocks: 0 $0.00 $0.00 Additional Fee : $0.00 Worker's Compensation Insurance mmm. Motors/Transformers (HP/KVA) mmmm 0 to 1 HP/KW/KVA: Carrier: STARNET INSURANCE CO $0.00 1 to 10 HP/KW/KVA: 0 $0.00 10 to 50 HP/KW/KVA: Policy No:BNUWC149340 $0.00 50 to 100 HP/KW/KVA: Expire : 10/01/2020 0 `6 • . 0 m ° ° m $0.00 o®mm° ° ° omoom ® 000mo __ oommo� FEES mmm. Motors/Transformers (HP/KVA) °mood 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: Sub Panel: Record Mgmt Fee: Plan Check Fee: Investigation Fee: Issuance Fee: Supplemental Fee: Fee Due at Permit Issuance: °. mmm. mmm°� °mood $0.00,° 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 $0.00 $35.00 $0.00 PERMITS EXPIRE 980 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. 30" ,NIDE X 36" DEPTH REQUIRED FOR NO DISCONNECTS IWNER-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 ie 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, Usiness 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 Troved 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 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 am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 legalq 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:/Aw .leginfo.ca.gov/calaw.html. signature of Prpppgy Owner or Authorized Agent Date .ICENSEDC.Q1J1RACTOR'S DECLARATION hereby affirm u nde�ryenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Prof 'ons d , a d license is in full force fid 2¢ect. icense Class " License No Da O �� Contractor Signature VQ¢KERS' CBMPENSATION DECLARATION • �ARNyJG: FAILUpTOS E TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 15100,0001, IN ADDITION TO THE QST OF COMPEN39", DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. heleby affirm-wMePgenalty of perjury one of the following declarations: poh!* andwill*r6main 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 ce of th0 work for which this permit is issued. Policy No. .•and will rnaiRtain 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' compensatiol carrierand policy number are: :3Vi&[• •.•.• Policy Number Expiration Date ne of Agent - rnone s certify that, in the performance of t work IF h this ermit 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 t, if I should becoms 'act to the kers' ns ' n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant oA� Q2/Dim/Z�20 CLARATION REGA DING C RU&�WCtUDIIIIIIIG 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's Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owne&�: I have read this application and the information I have pro`y`%/�(ijded is I agree to comply with all applicable city and county ordin ces anelating to building construction. I authorize representatives of this city or county toprRer th abovpelfor inspection purposes. ^ 11r ACTION PERMITFINAL CERTWCATEOF OCCUPANCYISSUED DATE BY ❑ I SUBMITTED ASBESTOS M077FICATION TO: ❑ EPA ❑ AQMD ❑ ASBESTOS NOURCARONIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: f#110111144