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Home My WebLink AboutE2019-0254 - PermitsCity of Newport Beach - Building Division IIII�IIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIII Electrical Permit: E2019-0254 c�. 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 1 9 0 2 5 4 Project No : 1260-2018 F. }i Permit Counter Phone (949)644-3288 "¢ra.xv° Inspection Requests Phone (949)644-3255 Job Address: 2 CAPE ANDOVER Bldg: 1 Floor: Suite: Description of Work: ELEC DISCONNECTS FOR A/C REPLACEMENTS (H2O19-0249) t, mg 1 1 't�"'5y Inspector Area: 3 Code Edit: 2076 e Legal Description: N TR 15012 LOT 7 Owner: RABBITT CRIS & SHELLY Contractor: SKY HEATING AND COOLING Address: 2 CAPE ANDOVER Address: 769 N GLASSELL ST NEWPORT BEACH, CA 92660 Receptacles/Outlets: ORANGE CA 92867 Phone: 424-247-4110 Phone: 714.883-0623 $0.00 Con State Lie: 1045281 Issued Date:04/29/2019 Lie Expire: 10/31/2020 $0.00 Bus Lie: BT30065983 Processed By: Lie Exp Date: 02/28/2020 New Construction 0 $0.00 Receptacle/Switch/Outlets Residential $0.00 10 to 50 HP/KW/KVA: 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 °°o°°° $0°00° Issuance Fee: Low Voltage 0 $0.00 Service $0.00 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 or 1000A: 0 $0.00 Time Clocks: 0 $0.00 0/H to U/G 0 $0.00 Additional Fee : $0.00 TOTAL Worker's Compensation Insurance Carrier: NORGUARD INSURANCE Policy No: SKWC010873 Expire : 0210112n" WIDE X 36" DEPTH 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 Backrremp Power: 0 $0.00 Temp Power Pole: 0 $0.00 Plan Check Fee : REQUIRED FOR A/C DISCONN$TS ° 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. Temp Underground: 0 $041 Sub Panel ° 0 $0700° ° Record MgmbFee: ° ° ° ° ° $10.00 Plan Check Fee: Investigation Fee: °°o°°° $0°00° Issuance Fee: $35.00 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. 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 U 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 from licensure under the Contractors' State License Law for the following reason: By my signature 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) 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 yuth Section 7000) of Division 3 of the Business anA 6 l my license is in full force and effect. p p License Clas's . � -- ` - License No to / Contra otol Signature NORKERS' COMPENSATION DECLARATION X VARNING: FAILURE -TO.SECUR E WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO E DRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE :OST OF COMPEN9AXIOK, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm umiilor- enalty of perjuryone of the following declarations: 2•1•I1%ve and*%0:Inainta'in a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th, rerformance of the NDfk for which this permit is issued. Policy No. and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' carri,ranjt'j 1icy number are: Policy Number Expiration Date �am@ pf Agent,'". : Phone # :11"rtify that, in lie performance of th which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre j vt: if shoul t come�subje e w rk ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pro isions. 3ignatur4 pplcant�: lig JQQL•AISATI N F;F.GA$DI ONSTRUCTION LENDING AGENCY �rereby affi uhgig;q, ty 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 Lender's Address my signature below,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 ordinanc a I authorize representatives of this city or county to enR ACTION I DATE V / BY PERMITEXPIRED PERMITFINAL CERPRC4TEOF OCCUPANCYISSUEO relating to building construction. )party for inspection purposes. Print Procertv Owner's or Authorized FEDERAL REGULATIONSPART fit OF TIILE40AND AQMD RULE 9403. ❑ ISUBMITTEDASSESTOSN071FIC4TIONTO. ❑ EPA ❑ AQMD ❑ ASBESTOS M017HC4710MIS NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: "116