The URL can be used to link to this page

Home My WebLink AboutE2020-0251 - Permitst� City of Newport Beach - Building Division o d 100 Civic Center Drive, Newport Beach, CA 92660 F Permit Counter Phone (949)644-3288 Job Address: 219 NATA Bldg: 1 Floor: Suite: Description of Work: ELEC -DISCONNECT FOR A/C CON DENSOR Inspector Area: 8 Legal Description: N TR 7052 LOT 19 II IIEIIIIILII0II�IILII0IIITVI0�IIVIII5IIII III II Owner: ZAHN EMILY Contractor: SPC HEATING & A/C Address: 219 NATA Address: 7108 KATELLA AVE #401 NEWPORT BEACH, CA 92660 STANTON CA 90680 Phone: Phone: 714-264-2322 Con State Lie: 1001872 Issued Date:05/26/2020 Lie Expire: 03/31/2021 FEES Bus Lie: BT30071976 Processed By: Ifto Lie Exp Date: 05/31/2021 Electrical Permit: E2020-0251 Project No: Inspection Requests Phone (949)644-3255 Code Edit: 2019 Worker's Compensation Insurance Carrier: NORGUARD Policy No: SEWC076030 Expire : 05/30/2020 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday- Eriday.7:00^m. to 6o3Qpin. and Saturday from 8:00 a.m, to 6:00 p.m. O O OEO • 000 • oc 0•• • • • •e• c c o 0 0 0• o• o IC c< o o c c oo c c o • o o c o o c o • o 0o eo0 e o o° o° Dee FEES New Construction Receptacle/Switch/Outlets Motors/Transformers (HP/KVA)�.- t Residential Receptacles/Outlets: 0 $0.00 0 to 1 HP/KW/KVA: 0 $0.00 w �''iemp Underground: 0 $0.00 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: 1,r $27.00 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 0 $0.00 Service Signs Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: $0.00 0-600V up to 20OA: 0 $0.00 Branch Circuit: 0 $0.00 Plan Check Fee: $0.00 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Piggy Back/Temp Power: 0 $0.00 Investigation Fee: $0.00 Over 600V or 1000A: 0 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $35.00 O/H to U/G 0 $0.00 Additional Fee: $0.00 Supplemental Fee: $0.00 TOTAL Fee: $62.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $62.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday- Eriday.7:00^m. to 6o3Qpin. and Saturday from 8:00 a.m, to 6:00 p.m. O O OEO • 000 • oc 0•• • • • •e• c c o 0 0 0• o• o IC c< o o c c oo c c o • o o c o o c o • o 0o eo0 e o o° o° Dee DWNER-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 (—) all of or (_) 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). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below 1 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 legal) 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 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 Professions Code, and my license is in full force and effect. IZ O License Class License No Date) Zo Contractor SignaturetJ Yy WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 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 the 9IIN"ance of the work for which this permit is issued. Policy No. 2r, Nave 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' compensatior nsur nce carrier and policy number are: ier Policy Numberr•nrs�'e' v SEW CU7<.016 Expiration Date f %ZJv Name of Agent Phone # ❑I certify that, in the perform ance 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 that, if I should become subject to the wor ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicaner SI / 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 Lenders Address ly 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 to er)tec(F�above-identified property for inspection purposes. c _ / / tiannfure of Prnnwrty Owner nr Authnrized ADenh I � Print Property Owner's or Authorized Agent's NarrTrr / 5' 6,t , ACTIONDATE BY DECLARAT10NOFCOMPLIANCEiMTNCODEOF V FOR OFFICE PENIVIffExPIR€D : [� f SUBMI&El7AS&SZOL h%AFICATION TO: PERMIT CANCELLED [] EPA ... P€RMITEXTENDED ❑ AQMD ASBESTOS NOTfflCAT/ONIS NOT APPLICABLE TO ❑_ PERMITFINAL . %/J A EEhL1F.MQf1,TIt1?* :'. CERTIFICATEOF . .. . . :. . . OCCUPANCYlSSUED SIdNAT IRE:. . . . . . ... .. .. . . ... ..