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HomeMy WebLinkAboutE2020-0666 - Permits,r City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 u i . Description of Work: ELEC A/C DISCONNECT II'lll�lllllllllllllllllllll�llllllllllll�ll II Electrical Permit: E2020-0666 E 2 0 2 0 0 6 6 6 Project No : Inspector Area: 3 Legal Description: PARCEL MAP 251-16 PAR. 1 OF PROJECT LOCATED ON AP 425-103-32 Owner: MARTIN RENEE TR FAMILY TR Contractor: ALPS A/C & HEATING INC Address: 2421 E 16TH ST #10 Address: 1895 S SANTA CRUZ ST NEWPORT BEACH, CA 92660 ANAHEIM, CA 92805 Phone: Phone: 714-633-8892 Con State Lie: 667953 Issued Date:11/16/2020 Lie Expire: 04/30/2021 Bus Lie: BT30047511 Processed By: Lie Exp Date: 06/30/2021 New Construction Residential Multi -Family: 1-2 Family: Service 0-600V up to 20OA: 0 0-600V over 20OA: 0 Over 600V or1000A: 0 O/H to U/G 0 TOTAL Fee: Inspection Requests Phone (949)644-3255 Code Edit: 2019 ° e eoeese Worker's Compensation Insurance Carrier: PREFERRED PROFESSIONAL Policy No: ON0915602 Expire : 10/19/2021 ooec mo c ° �0000c e c ° ° o ° 0000c 0 eococ or c c eece�o o ° 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 Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) Receptacles/Outlets: 0 $0.00 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: 0 $0.00 $0.00 Fixtures: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: 1 $28.00 $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 Signs Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: $0.00 $0.00 Branch Circuit: 0 $0.00 Plan Check Fee: $0.00 $0.00 Each Add Circuit: 0 $0.00 Piggy Backlfemp Power: 0 $0.00 Investigation Fee: $0.00 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $37.00 $0.00 Additional Fee : $0.00 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 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 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). ❑ 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, 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). ❑ 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 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 frpm licensure under the Contractors' State License Law for the following reason: By my signatu"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 legali sell a structure thael 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 • fpttssions QgdlI available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. e Sign9ture of Oroperfy Owner or Authorized Agent Date LIOgNSED CONTRACTOR'S DECLARATION e thereby affirrr6undeo penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wit Section 000) f Division 3 of the Business and P fessions C e, and my license is in full force and•effect. ••••'e • LlcAp9e Class License No Date t 1 Contractor Signature r J%WrTe'o KERS,CCojPENSATION DECLARATION 0: FAILURE 70 SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOY R TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000(, IN ADDITION TO THE F COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LAaOR CODE, INTEREST, AND ATTORNEYS FEES. � affirmdndar7penalty of perjury one of the following declarations: ••ave and w�lrgaintain 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 ftnce oll awork forwhich this permit is issued. Policy No. ve 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' compensationce carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # I certify that, in the p=thatthere rk 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 becomr ' ovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provi / Signature of Applicant Date 61 21 >> DECLARATION REGAION LENDING AGENCY I hereby affirm under pthere is a construction lending agency for the performance of the work for which this permit is issued ( ection 3097, Civil Code). Lender's Name Lenders Address By my signature below, I certify to each of the following: I am the properly 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 ounty ordinances tate laws relating to building construction. I authorize representatives of this city or Sou t titer th ove-Identified property for inspection purposes. Signature of Property Owner or Authorized Agent Print ropertOwner's or Authorized Agent's Nam Dat ACTION DATE BY DECLARATION OFCOMPLIANCE CMT CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OFTtRE40AND PERMITEXPIRED AQMD RDLE'f407. ❑ ! SOSi14fTTEBA5BE5TOS MOTtFlGATtQN TQ:. PERMITCANCELLED ❑ EPA P€RiWfTEX7ENDED ❑ AQhPD ASBESTOS NOTIFICATION lSNOT APPLICABLE 70 PERMIT FINAL PROPO5EDDEM011TION. CERTIFtCATEOF OCCUPANCYISSUED SIGNATURE., .