The URL can be used to link to this page

Home My WebLink AboutE2021-0012 - Permitsw City of Newport Beach - Building Division *E2021-0012* 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 3805 SANDUNE LN Bldg: 1 Floor: Suite: Description of Work: ELEC INSTALL (2) DISCONNECTS FOR NEW A/C UNITS (H2O21-0012) Inspector Area: 6 Legal Description: N TR 6425 LOT 68 Owner: WILLIAMS HOLLY & TIM Contractor: DPL AIR CONDITIONING INC Address: 3805 SANDUNE LN Address: 4540 VIA BELLA VISTA CORONA DEL MAR, CA 92625 0 YORBA LINDA CA 92886 Phone: Phone: 714.609-9795 0-600V over20OA: Con State Lir: 801191 Issued Date: 712021 Lic Expire: 01/31/2022 O/H to U/G Bus Lic: BT30056884 Processed By. Lic Exp Date: 10/3112021 New Construction Residential Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Service 0 $0.00 0-600V up to 20OA: 0 $0.00 0-600V over20OA: 0 $0.00 Over 600V orIOOOA: 0 $0.00 O/H to U/G 0 $0.00 TOTAL Fee: Receptacle/Switch/Outlets Receptacles/Outlets: 0 $0.00 Fixtures: 0 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Signs 0 $0.00 Branch Circuit: 0 $0.00 Each Add Circuit: 0 $0.00 Time Clocks: 0 $0.00 Additional Fee: $0.00 Electrical Permit: E2021-0012 Project No : 0880-2020 Inspection Requests Phone (949)644-3?,5& ° °aao° ° o � NSPECI° °° ° I; Code Edit: 2018 ° ° ° anus° Worker's Compensation Insurance Carrier ,NORGUARDINS Policy No: DPWC177015 Expire 07/213MWIDE X 36" DEPTH FEES 0 $0.00 Motors/Transformers (HP/KVA) 2 $56.00 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: REQUIRED FOR A/C DISCONNECTS Temp Underground: 0 $0.00 Sub Panel: 2 $56.00 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 : $93.00 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' Stale 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 thy+ 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 Profession.5 t1o2e).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 tha?MM hundred dollars ($500). n I, as owpDa Gfat&e property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the imprpvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Builderwill have the burden of proving that it was not built or ,ffini roved for ttloprlrpose of sale). LJ Zas owner+o4l$ie property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apgiy to an gyanerofyproperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 4 gm exelgiptfrom licensure under the Contractors' State License Law for the following reason: _#.my signature Pelow 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: 5@4a IItructurejhat j gave 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 Profe*ions C.odt!is ylvailable upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.html. Signatjrre of Pn6perty Owner or Authorized Agent Date MYNSED %194jACTOR'S DECLARATION I'h'ble'by affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of theiness andSTHD de d my license is in full force and effect. _ .< ,,,_ r� x License Class ' - " "' " +License No / Contract Ignature NORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' G10A1ARATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES up TO ONE HUDOLLARS ($100,000), IN ADDITION TO THE DOST OF COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury,?e ofatX following declarations: I have and will maintain a Bertlflcate 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 rerfQrmance of the work 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' .fTWe; and policy number are: rderu VT> Policy Number Expiration Date me of Agent Phone # _ Ul certify that, In the performance of rk for 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 sho be a subject er mp saticn pro 'liens of Section 3700 of the Labor Code, I shall forthwith comply with those rovisions. ) Signature Ilcant ate DE TIO REGARD O UCTION IN GENCY I hereby affirm under penalty o erjury that e i a c lructlon lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By my signature below, I ce I y o 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 ordin and state law�-r�laling to building construction. I authorize representatives of this city o�c unty to Qsr ove-ide idd property for inspection purposes. n�,„_ I Signature of Property Owner or Authori nt > .� Print Property Owner's or Authorized nVs Name /✓f )?fir✓ a ACTION DATE B DECLARATION OF COMPLIANCE M TH CODE OF FOR OFFICE USE ONTY / FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1463 PERMIT EXPIRED D ISUBHTTEDASBESTOS NOTIFICATION TOr it EPA D AQMD PERM'ITCANCELLED PERMtTEXTENDED D ASBESTOS NOTIFICARONIS NOT APPLICABLE TO PROPOSEDDEMOLITION. PERMITFINAL .-�yn21 yam, CERTfFICATEOF SIGNATURE: OCCUPANCYISSUED