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Home My WebLink AboutE2021-0311 - PermitsCity of Newport Beach - Building Division -,� 100 Civic Center Drive, Newport Beach, CA 92660 .,y n Permit Counter Phone (949)644-3288 iiiiiiiiii1iiii1ii II Job Address: 2203 VISTA HUERTA Bldg: 1 Floor: Suite: Description of Work: ELEC/A/C UNIT H2O21-0308 FEES Inspector Area: 4 Legal Description: TR 5798 (L.L.84-245722) PAR 41 Owner: JUNYING/NIES Contractor: CAL HVAC SERVICES Address: 88 FINCH Address: 8 PANDORA LAKE FOREST CA 92630 0 IRVINE CA 92604 Phone: Phone: 949-338-8698 Temp Underground: Con State Lic: 1032743 Issued Date:05/13/2021 Lic Expire: 09/30/2022 $0.00 Bus Lic: BT30071166 Processed By: C Lic Exp Date: 02128/2022 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: Electrical Permit: E2021-0311 Project No: Inspection Requests Phone (949)644-3255 Code Edit: 2019 Worker's Compensation Insurance Carrier: SECURITY NATIONAL Policy No: SWC1312343 Expire : 10/01/2021 Plan 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 Back/Temp 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 Plan 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. ° )WNER-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 ie 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 'rofessions 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 of more than five hundred dollars ($500). I, 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, lusiness 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 nprovements 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 n roved 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 pply 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). I am exempt from licensure under the Contractors' State License Law for the following reason: sy 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 legally ell 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 'rofessions 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 .ICENSED CONTRACTOR'S DECLARATION a hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes lo s Code, and my license is in full force nd effect. icense Class .r:, - License No J"y 2'] +�, •Z Date Qv L Contractor Signature VORKERS' COMPENSATION DELL RATION T �� IARNING: 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 OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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 the eAformance of the work for which this permit is issued. Policy No. have and wil intain 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' compensatior trance carrier nd licy number aro. Tier (pp1idy Nrj�l e Expiration Date TIE of Agent �� Phone # certify that, in the performance of the work 'r which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers Ic mpensation laws of California, and agree I, if I should becomes ect to the workers' mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those prov sio s. nature of Applicant Daty CLARATION REGA DING CONSTRUCTIO LE DING A ENCY ereby affirm under pedalty of perjury thction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ider's Name Lender's Address my siature below, I certify to ea he following: I am a property owner or authorized to act on the property owner's behalf. I have read this application and the information I hav¢�'fp�'m�Ided'correct. 1 agree to comply with all applicable city and county Minahkces a d state laws relating to building construction. I authorize representatives of this city or county tor�e`❑ter thea identified property for inspection purposes. A ) f nature of Pronertv Owner or Authorized AGent V �� Print Property Owner's or Authorized Agent's Na 5 Z -c' zy Dail AC77ON DATE - ! DECLARATION OF COMPLIANCE MFH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIOIJSPART $8 OFI17LE404ND PERA41T EXPIRED AQMD RULE 44M.* * ❑ I StLBMfTiEDE1SBfSTO$ AbTIFICATION' TO.: PERMIT CANCELLED ❑ EPA • • • • :. • V PERMIT EXTENDED ❑ AOMD ❑ ASBESTOS NO nFICARONIS NOT APPLICABLE TO PERMIT FINAL /L/t /J. PROPOSED .DEMOLiTJO41 • CERVFICATEOF SIGNATURE: OCCUPANCYl55UED � � • e i i •