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
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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
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Worker's Compensation Insurance
Carrier: PREFERRED PROFESSIONAL
Policy No: ON0915602
Expire : 10/19/2021
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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
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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.,
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