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Home My WebLink AboutE2020-0138 - Permits9' City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II Electrical Permit: E2O2O-0138 �' 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 2 0 0 1 3 6 Project No: F Permit Counter Phone (949)644-3288 c;�d*��,�' Inspection Requests Phone (949)644-3255 Jab Address: 1260 SOMERSET LN Bldg: 1 Floor: Suite: Description of Work: ELEC/CHANGE OUT (E) A/C UNIT 53.5db (LENNOX; ML14XC1) *TIMER REQUIRED ON EQUIPMENT TO SHU OFF BETWEEN 10PM & TAM Inspector Area: 3 Legal Description: N TR 3031 LOT 72 Owner: HYLTON LEONARD I Contractor: Address: 10202 PARLIAMENT AVE Address: GARDEN GROVE CA 92840 n Phone: Phone: 0 Con State Lic: Issued Date:03/05/2020 Lic Expire: 555 VANGUARD Bus Lic: Processed By: Lic Exp Date: New Construction Code Edit: 2019 Receptacle/Switch/Outlets Residential n Motors/Transformers (HP/KVA) Receptacles/Outlets: 0 ECONO AIR Worker's Compensation Insurance v 555 VANGUARD Carrier: STARNET INSURANCE. CO M BREA, CA 92821 Policy No: BNUWC149340 0714-695-6661 $0.00 Expire :10/01/2020 0 445220 10 to 50 HP/KW/KVA: 0 02/28/2022 Low Voltage 0 BT30064026 08/31/2020 Service X New Construction Receptacle/Switch/Outlets Residential Motors/Transformers (HP/KVA) Receptacles/Outlets: 0 $0.00 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1-2 Family: 0 $0.00 Sep Circuits: 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 Low Voltage 0 $0.00 Service 0 $0.00 Signs 0 $0.00 0-600V up to 200A: 0 $0.00 Branch Circuit: 0 $0.00 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Over 600V or 1 OOOA: 0 $0.00 Time Clocks: 0 $0.00 O/H to U/G 0 $0.00 Additional Fee : $0.00 TOTAL Fee: $62.00 Supplemental Fee: Plan FEES Motors/Transformers (HP/KVA) 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: 1 $27.00 10 to 50 HP/KW/KVA: 0 $0.00 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 0 $0.00 Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: $0.00 Plan Check Fee: $0.00 Piggy Back/Temp Power: 0 $0.00 Investigation Fee: $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $35.00 Supplemental Fee: $0.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Friday 7:00 a.m. to 6:30 ppm. and Saturday from 8:00 a.m. to 6:00 p.m. s o o c o s m b 4 p p O♦ A J ! O f, O 0 O 0 O O E ! 8 G O (' OGG G GLO G G DCVO U ♦ B 4aY Uo G U ti 6 O E C 6 O C C O G 4C 4 6G:v �V 66 il 4] 4ii® ti4e 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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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). ❑ 1, 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 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). U I 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 in 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 appl Professions 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 LICENSED CONTRACTOR'S DECLARATION I 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 and effect. f /J , License Class License No Date"V D��7S/�29 Contractor Signature V WORKERS' COMPENSATION DECLARATION Tents covered by this permit, I cannot law, Section 7044 of the Business and Date my license is in full force IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ON9 HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for 9fmance of the work for which this permit is issued. Policy No. have and will maintain w%grkers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' rance carrier and po' y nu ber are: Date lame of Agent �_ ,«.I'V o- \,�� Phone # ]I certify that, in the performance of th wor r w ' this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agrel iat, if I should become subj to thew ker ' o nsa ion rov' ' ion 3700 of the Labor Code, I shall forthwith comply with those provisio ignature of Applicant Dalt t, (i </ 2� iECLARATION REGAR ING CONS U E ING AGENCY ../ hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ender's Name Lender's Address y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have pr ided is c ct. I agree to comply with all applicable city and county ordi nce stat laws relating to buildi ction. I authorize representatives of this city or county'$p gilter e a or Inspection purposes. IlSignature of Property Owner or Authorized Agent Y i ,Ili Iff.7\ Print Property Owner's or Authorized Agent's �(A/n Y J/YGITU/ Dattr �� ACTION DATE 0 DECLARATION OF COMPLIANCEWITH CODEOF • P21;ERA R G,%E4TIONSP(]RJ'6•f'OF7/ILE40AND • A(? DR E14 3.• : Cl .1911B/l�tlT41) Uh YfOS ZiObFICATION TO: • ❑ 'EPA • • • • ' ❑ AQMD ASBESTOS N077HCAPERMITFINAL RdQOgED U-MQN�O•NIS NOT APPCICABL.E TO ".P❑Q.' iGNAiAEi '• '. FOROFFICEDSEONLY PERMITEXPIRED • ' PERMITCANCELLED PERMIT EXTENDED '1444 CERTIFICATEOF OCCUPANCYISSUED