HomeMy WebLinkAboutE2021-0418 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Job Address: 8 CHATELAINE Bldg: 1 Floor:
Description of Work: ELEC A/C DISCONNECT
Inspector Area: 6
Legal Description: N TR 14571 LOT 50
Owner: KESSLER STEPHEN TODD
Address: 8 CHATELAINE
NEWPORT COAST, CA 92657
Phone:
Issued Date:07/14/2021 �VO"`v' fr"
Processed By:
Suite:
*E2021-0418*
Contractor:
ALISOAIR INC
Address:
29736 AVE DE LAS BANDERAS
0 0
RSM CA 92688
Phone:
949-589-2021
Con State Lic:
526420
Lic Expire:
03/31/2022
Bus Lic:
BT30019236
Lic Exp Date:
03131/2022
Electrical Permit: E2021-0418
Project No :
Inspection Requests Phone (949)644-3255
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.
noon
0 0
FEES
Dano
Code Edit: 2019
New Construction
Receptacle/Switch/Outlets
Motors/Transformers(HP/KVA)
V"
Residential
°
Receptacles/Outlets:
0
noo
0 to 1 HP/KW/KVA:
0
r.
Temp Underground:
0 0
$0.00
Worker's Compensation Insurance
0
$0.00
Carrier: LIBERTY MUTUAL
n
°
1 to 10 HP/KW/KVA:
0000
$0.00
Policy No: WC2Z61036218090
1
$29.00
1-2 Family:
noe-"
o
Expire :07/01/2022
0
$0.00
10 to 50 HP/KW/KVA:
0
0000"a
00 0
0 0
Low Voltage
O VO
$0.00
50 to 1 DO HP/KW/KVA:
0
000000
0
$0.00
Service
a 00oo0
oono
Signs
0
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
New Construction
Receptacle/Switch/Outlets
Motors/Transformers(HP/KVA)
Residential
Receptacles/Outlets:
0
$0.00
0 to 1 HP/KW/KVA:
0
$0.00
Temp Underground:
0
$0.00
Multi -Family:
0
$0.00
Fixtures:
0
$0.00
1 to 10 HP/KW/KVA:
0
$0.00
Sub Panel:
1
$29.00
1-2 Family:
0
$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 1 DO HP/KW/KVA:
0
$0.00
0
$0.00
Service
Signs
Over 100 HP/KW/KVA:
0
WOO
Record Mgmt Fee:
$0.00
0-600V up to 20OA:
0
$0.00
Branch Circuit:
0
$0.00
Plan Check Fee:
$0.00
0-600V over 20OA:
0
$0.00
Each Add Circuit:
0
$0.00
Piggy Back/Temp Power:
0
$0.00
Investigation Fee:
$0.00
Over 600V or IOOOA:
0
$0.00
Time Clocks:
0
$0.00
Temp Power Pole:
0
$0.00
Issuance Fee:
$38.00
O/H to U/G
0
$0.00
Additional Fee:
$0.00
Supplemental Fee:
$0.00
TOTAL Fee:
$67.00
Plan Check Fee: $0.00
Fee Due at Permit Issuance :
$67.00
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.
DWNER-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).
I, as owner of the property, or my employees with wages as their solecompensation, will do L) 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 f ft -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.p:roperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
•.I.arri exempt frowl.licensure under the Contractors' State License Law for the following reason:
By my signaturry bclow 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,
E6 1 -a %acture 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
f6Gaions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
Si®nature of Praperty&ner or Authorized Agent Date
airn.wSED CONTRACTOR'S DECLARATION
I.11 q,* affirm drab: penalty of perjury that I am licensed under provisions of Chapter 9 (commencing i Se/9tion]000) of Division 3 of the Business a G Professions CQ, —aR y Ii Wf c
and effect. •••• I�"t17t
License Class • License No Dater tt44 Contractor Stgnat
••••••
�JORK�RS' C,OMFEfISATION DECLARATION
NARNING: FAILURE-"SECORE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLO ER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUND ED THOUSAND DOLLARS ..... ,DO0)rIN- TION TO THE
Vbtlb? COMPENSAJION, *MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hEfdbq affirm dhflgi' Malty 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 th
uerlprmance 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'
carrier and policy number are:
Policy Number
me of Agent
I certify that, in the pe rmance of the work for which this
It, if I should I: Scorn bject to the workers' compglisatio,
Inature of Applicant
iCLARATION REGA DI CONSTRUCTION LENPJNO'
ereby affirm under penalty of perjury that ther is- constn
niter's Name
my signature below, I certify to eac the following:
I am the property owner or auth ized to act on the prop
I have read this application and t lrtemratlo7T1- pl
I agree to comply with all applicable city and couy rdi
I authorize representatives of this city or county t nter
Date
LMS,
Fsh not. slyer. ro manner so as to become subject to th worke compensation laws of California, and agre
awsra s' -aba?-Code,-I-shall - ith comply with those provi ions.
Date
=_NCY
in lending agency forap5Addr�� dc_far_w.hic mit is issued (Action 3097, Civil Code).
Lende
led
is correct.
led is correct.
.as and state laws relating to building construction.
above -identified property for inspection purposes. _ r -,I.
ACTION DATE BY
DE RATION' OF COMPLIANCE WITH CODE OF
FOR OFFICE USE ONLY
_ F L REGULATIONS PART 61 OF TITLE 40AND
AQMD RULE 9403.
PERMITEXPIRED
❑ 1SUBUTT€DASBESTOS N071FICATIONTQ:
❑ EPA
❑ AQMD
❑ ASBESTOS N077FICANON15 NOT APPL)CABL€ TO
PROPOSED DEMOLITION.
PERMIT CANCELLED
PERMfTEX.TEN:DED
PERNRT FINAL
CERTIFICATEOF
SIGNATURE.
OCCUFANCYfSSUED