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Home My WebLink AboutE2019-0801 - Permits9 City of Newport Beach - Building Division 1111111111p11p11111p1Jill 1111111111111111p11111ill Electrical Permit: E2019-0801 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 1 9 0 8 0 i Project No: 1273-2018 Permit Counter Phone (949)644-3288 Job Address: 4411 COAST HWY W Bldg: 1 Floor: Suite: Description of Work: ELEC/DISCONNECT TO A/C H2O19-0778 Inspector Area: Legal Description: TOGETHER 7 TR 7530 LOT 1 UNIT 6 OF PROJECT LOCATED ON AP 423-031-01 Owner: HOWELL REGINALD A Address: 4411 WY PORT BEA CA 92663 Phone: Date:12/03/2019 New Construction TWIN AIR CONDITIONING Address: Residential 1 ANAHEIM CA 92806 Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Service BT30069961 Lie Exp Date: 0-600V up to 20OA: 0 $0.00 0-600V over20OA: 0 $0.00 Over 600V or1o00A: 0 $0.00 O/H to U/G 0 $0.00 TOTAL Fee: $42.00 Contractor: TWIN AIR CONDITIONING Address: 2545 E WARD TER #D 1 ANAHEIM CA 92806 Phone: 714-768.0404 Con State Lie: 975245 Lie Expire: 07/31/2020 Bus Lie: BT30069961 Lie Exp Date: 10/31/2020 Receptacle/Switch/Outlets Receptacles/Outlets: 0 $0.00 Fixtures: 0 $0.00 Sep Circuits: 1 $7.00 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 Plan Inspection Requests Phone (949)644-3255 I PECI® Code Edit: 2016 Worker's Compensation Insurance Carrier: EXEMPT Policy No: Expire : 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 BackfTemp Power: 0 $0.00 Temp Power Pole: 0 $0.00 Temp Underground: Sub Panel: Record Mgmt Fee: Plan Check Fee: Investigation Fee: Issuance Fee: Supplemental Fee: 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. 000e o m 0000 0 0 0 0 om mm 0 m 0000co 0 0 0 0® m 0 mmm00 0 oeseoo m 0 00000 0 omomm o. M(�oo/�.m s8kc. e $0.00 $0.00 $0.00 $0.00 $0.00 $35.00 $0.00 30" WIDE X 30" DEPTH REQUIRED FOR A/C DISCONNECTS 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) 1 have placed next to the applicable item(s) lection 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 L) 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 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 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: y 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 legally 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. ignature 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 Professions Code, and my license is in full force nd effect. . . q. icense Class ""'-�2/% License No `Ts 0y1 Date Zo/ Contractor Signature , , Z�� 4 / AORKkRS' C®MRbNSATION DECLARATION ARNING FAILURE FQ SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE OST CF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereb;affirm under penally of perjury one of the following declarations: L have and'41*i ;;Tntain 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 IN 3rfd1rTiance of jhe wyrk for which this permit is issued. Policy No. 11 have and wig rrrainiain 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 surance carrier and policy number are: Policy Number Date that, jri ft 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 agree Iould bEdo"e subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those proIsl of Applicant � ��% s Dat :reby affirm under pen Ity of perjury that there is a constection 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 owner's 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 nter the e-identif d pr y for inspection purposes. nature of Property Owner or Authorized Agent rint Pro ert Owner's or Authorized Agent's Ne ACTION DATE I BY DECLARATION OF COMPLIANCE tMTNCODEOF FEDERAL REGULATIONS PART 61 OF TITLE40AND AOMD ROLE 1403. PERMITEXPIRED 1 SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AOMD PERMIT CANCELLED ... PERMIT EXTENDED ❑ ASBESTOS NOTIFiCATIONIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: PERMITFINAL —15'- 2-0 CERTIFICATEOF OCCUPANCYISSUED