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Home My WebLink AboutE2017-0350 - PermitsCity of Newport Beach - Building Division I 111lill 111111111p11111111Jill 111JJ1p1p1111111111p1 o`t 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 1 7 F Permit Counter Phone (949)644-3288 `aaneau` JillElectrical Permit: E2017-0350 0 3 5 0 Project No: Inspection Requests Phone (949)614-529 • o • • m Job Address: 12 ODYSSEY CT Bldg: 1 Floor: Suite: ¢ Description of Work: ELEC FOR NEW A/C UNIT **CHANGE OF CONTRACTOR** E2017.0259 DELTA 1 - EQUIPMENT & CONTRACTOR +• • o 8a ' K: Inspector 3 P Code Edit: 2016•-• ¢•.mm Legal Description: TR 7817 LOT 1 UNIT 121 OF PROJECT LOCATED ON AP 424-041-01 ...... • • TOGETHER m Receptacles/Outlets: Owner: YANNI DANIEL Contractor: THOMSON AIR CONDITIONING ... Worker's Compensation Insurance • ... m`' Address: 12 ODYSSEY CT Address: 21205 JUAN AVE UNIT A .. Carrier: EMPOYEE SERV GROUP NEWPORT BEACH, CA 92663 HAWAIIAN GARDENS, CA 90716 Policy No: RWCC64375751 Phone: Phone: 562-201-3014 Expire : 03/01/2018 Con State Lic: 959811 1 to 10 HP/KW/KVA: Issued Date:07/06/2017 Lic Expire: 04/30/2019 Sub Panel: Bus Lic: BT30055107 1-2 Family: Processed By: Lic Exp Date: 05/31/2018 Sep Circuits: 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 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: 0 $0.00 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: 0 $0.00 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: $33.00 O/H to U/G 0 $0.00 Additional Fee : $0.00 Supplemental Fee: $0.00 TOTAL Fee :$33.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $33.00 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� Wped 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 pendlty of 6f more than fiv8ililndred dollars ($500). 1,'Mownerof 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, Bysineess and PT&essions 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 Tlot 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'urpe se of sale). C34, as -owner oPttie property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not 4pply to an ownerof.property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 121.. exempt from licensure under the Contractors' State License Law for the following reason: Eyffi4 %ignature 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 TTI VStrpcture that I hale built as an owner -builder if it has not constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and TTI Code! "ATilable upon request when t[ h s, ap at9 Is dowing Web site:http://www.leginfo.ca.gov/calaw.html. Sigryotura of Property Owner or Authorized Agent l( r2 s.�%�7 Dat % if[C SED C(3NTWCTOR'S DECLARATItN, I hereby affirm uh8er 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. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: 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: 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 th r ance of the work for which this permit is issued. Policy No. ave 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' compensatio urance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # ❑1 certify that, in the 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 agre that, if I should beco subjec 4v1Fj? W r62 com atioon/n p//provisions of Section 3700 of the Labor Code, I shall forthwith comply with those prov Ions. +moi Signature of App lica \/..✓7 Data DECLARATION REGAR CONSTRUCTION LENDING AGENCY I hereby affirm under p alty 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). Lender's Name Lender's Address By 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 courriy to er t a Ide ti€d plopert for inspection purposes. g Signature of Property Owner or Authorized Agent >`s Print Property Owner's or Authorized Agent's Name Dat r'n ACTION DATE BY DECLARATION OF COMPLIANCE WlTNCODEQF FOR OFFICE USE ONLY FEDERAL REGULATIONSPART 61 QFTI REdOAND PERMJTFXPiRED AQMDRULE 9403. ❑ 1SUBMITTED ASBESTOS NQ77FICARQNTO: PERM(TCANCEEtED ❑ EPA PERMlTEXTENDEO -' AQMD FFRA417F1NAt ASBESTOS NOT7FlCATlQNIS NQT APPLICABLE TO o QPOSEDDEMQtf CERTIFICATEOF QGCUPANCYtSSUEO SIGNATURE. /�c�