HomeMy WebLinkAboutE2020-0446 - PermitsCity of Newport Beach - Building Division
ab4 100 Civic Center Drive, Newport Beach, CA 92660
.t Permit Counter Phone (949)644-3288
ca;.reiw�s...
Job Address: 20272 SPRUCE AVE Bldg: 1 Floor: Suite:
Description`of Work: ELEC DISCONNECT FOR AIC UNIT (H2O20-0481)
Inspector Area: 3
Legal Description: N TR 1506 LOT 24
Owner: SHARIF NINA
Contractor:
Address: 1401 QUAIL ST #105
Address:
NEWPORT BEACH CA 92660
0 to 1 HP/KW/KVA:
Phone: 949-677-7999
Phone:
0
Con State Lic:
Issued Date:09/01/2020
Lic Expire:
$0.00
Bus Lic:
Processed By:
is
Lic Exp Date:
*E2020-0446*
BEST QUALITY HEATING & AIR INC
130 A E COLLINS AVE
ORANGE CA 92867.
714-759-0167
949466
06/30/2022
BT30060260
08/30/2021
New Construction
0 $0.00
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Receptacle/Switch/Outlets
Residential
0 to 1 HP/KW/KVA:
0
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
° • ° ° °
m
Expire : 05/10/2021
Low Voltage
0
$0.00
Service
emee
REQUIRED FOR e•°°°e
o
mem°
Signs
0-600V up to 20OA:
0
$0.00
Branch Circuit:
0
$0.00
0-600V over 20OA:
0
$0.00
Each Add Circuit:
0
$0.00
Over 600V or1000A:
0
$0.00
Time Clocks:
0
$0.00
O/H to U/G
0
$0.00
Additional Fee:
$0.00
TOTAL Fee:
Electrical Permit: E2020-0446
Project No: 2672-2019
Inspection Requests Phone (949)844-3255
0 $0.00
•eee
Motors/Transformers (HP/KVA)
s
memm
0 to 1 HP/KW/KVA:
0
o r
e sm
emsmor
Code Edit: 2019 "
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e e
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• •
Worker's Compensation Insurance e e
• ° °
Carrier: HARTFORD CASUALTY OO°°°°
•°°°°
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Policy No: 57WECDE6068
° • ° ° °
m
Expire : 05/10/2021
30" WIDE X361i DEPTF;
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emee
REQUIRED FOR e•°°°e
o
mem°
FEES
0 $0.00
Sub Panel:
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 Back/Temp Power: 0 $0.00
Temp Power Pole: 0 $0.00
Plan Check Fee:
A/C DISCONNECTS
Temp Underground:
0 $0.00
Sub Panel:
1 $28.00
0 $0.00
0 $0.00
Record Mgmt Fee:
$0.00
Plan Check Fee:
$0.00
Investigation Fee:
$0.00
Issuance Fee:
$37.00
Supplemental Fee:
$0.00
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.
INER-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 tpe checkmai(K(s) I have placed next to the applicable item(s)
ction 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
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
fessions 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
more than five hundred dollars ($500).
1, 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,
;iness 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
irovements are V1 iptended 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
uoved for the%upPee of sale).
IL ai 8wner ofike prgperty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
Illy 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).
' LalA.exempt frflpldikensure under the Contractors' Slate License Law for the following reason:
mysignature Lelowi 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,
a sirueture tgaMaw 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
iEggjdns Code flll"ailable upon request when this application Is submitted or at the following Web site:htip://www.leginfo.ca.gov/calaw.htmi.
Nature of Proptl4y� �'iwner or Authorized Agent Date
.EI)!D CONT TOR'S DECLARATION
,r'e y afFrm undo penalty of perjury that I am licensed under provisions of Chapter 9 (commencing w' eclio� n 70 ion 3 of the Bu ness and Professionsnd my license is in full force
:nse`Elass �. License No to Contr for ignaturet
Nt{f !RS' C�(i geMSATION DECLARATION
All FAILUR&.0.4JISRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FI S U TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
r JF QUMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
:reby affirm under penalty of perjury one of the following declarations:
i `t a`va and will, maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
lc, rMtlnce of tIf%V9rk1for which this permit is issued. Policy No.
and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
carrier and policy number are:
Policy Number
1e of Agent Pnor
certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become
, if I should become Aubject to jbil workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with lhd
Date
to the workers' compensation laws of California, and
natureof Appli nl �� a[e` "( f fg
CLARATIO ARDI G CONSTRUCTION LENDING AGENCY
lreby affirm oder penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
lder's Name Lender's Address
my signature below, I certify. to each of the following:
I am the property owner or authorized to act on the property owner's behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this c' 0 y to eDte t ve-identified property for inspection purposes. (� J
nature of Prnnerly Owner or Author$ ed e t Print Prooertv Owner's or Authoriz d A e s Name A I i
AC77ON DATE BY
DECLARATION OF COMPiIANCL W/f N CO
FOR OFFICE USPgWY—�
FEDERAL REGULATIONS PART fit OF TFTL AND
AQMDRULE 1403.
PERMITEXPIRED
❑ I SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
PERMITCANCELLED
PERMITEXTENDED
❑ ASBESTOS M017RC4710MIS NOT APPLICABLE TO
PROPOSED DEMOLITION
PERMITFINAf vfd
CERTIRCATEOF
SIGNATURE.
OCCUPANCYISSUED