HomeMy WebLinkAboutE2020-0246 - Permits (2)t City of Newport Beach - Building Division *E2020-0246*
100 Civic Center Drive, Newport Beach, CA 92660
_ Permit Counter Phone (949)644-3288
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Job Address: 4423 COAST HWY W Bldg: 1 Floor: Suite:
Description of Work: ELEC -INSTALL DISCONNECT FOR NEW AIC UNIT (H2O20-0262)
Inspector Area:
Legal Description: TR 7530 LOT 1 UNIT 11 OF PROJECT LOCATED ON AP 423-031-01
TOGETHER
Owner: HAYS GEORGE Contractor:
Address: 6227 E SUNNYSIDE DR Address:
SCOTTSDALE AZ 85254
Phone: Phone:
Con State Lie:
Issued Date:05/21/2020 Lie Expire:
Bus Lie:
Processed By: o/' Lie Exp Date:
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
STEWARD JAMES R
6752 LAURELTON AVE
GARDEN GROVE CA 92845
714-943-3230
1004538 30"
06/30/2021
BT30056371
06/30/2020
A/C DISCONNECTS
Electrical Permit: E2020-0246
Project No : 2402-2019
Inspection Requests Phone (949)644-3255
Code Edit: 2019 1NSPDCT0R
Worker'NQQQNSTLRWT10N WOR
Carrier: WIC EXEMPT
Policy No:
WIDE X36" DEFgKe
REQUIRED FOR
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Plan Check Fee:
Fee Due at Permit Issuance:
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,o
$0.00
Fixtures:
0
$0.00
1 to 10 HP/KW/KVA:
0
$0.00
Sub Panel:
° 1
$2.7;0® °
$0.00
Sep Circuits:
0
$0.00
10 to 50 HP/KW/KVA:
0
$0.00
"o `0
A.0d
Low Voltage
0
$0.00
50 to 100 HP/KW/KVA:
0
$0.00
a�0
$0;00.;
Signs
Over 100 HP/KW/KVA:
0
$0.00
Record Mgmt Fee:
q
0906 °
$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:
$35.00
$0.00
Additional Fee:
$0.00
Supplemental Fee:
$0.00
Plan Check Fee:
Fee Due at Permit Issuance:
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.sequires nhe 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 Cot 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 L) 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
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
im 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
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 legally
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.htmi.
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 with Section 7000) of Division 3 the Business and Professions Code, and my license is in full force
and effect. /'//f'�
License Class License No D `Lt/ 10 tractor Signature /G""
WORKERS' COMPENSATION DECLARATION
NARNING: FAILURE yJ.:1Ff,URE 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
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION $706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
••••
Thereby®ffirm under penalty of perjury one of the following declarations:
_I I have and ivlil rpyfhtain 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 thi
rr?lVice of the.work.for which this permit is issued. Policy No.
have and wil4m iiniain 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
maece carrie4 •nprl policy number are:
Policy Number Expiration Date
'Apitify that, in tfle performance of the work 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
N if I phould beconwsubject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those ovision�
natepeof p Date
Q6AAAT MARDIN CONSTRUCTION LENDING AGENCY 1
:reby affirm ur, t penalty of perjury that there is a construction 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 signature below, I 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 ordinances and state laws relating to building construction. )
I authorize representatives of this city pr county to eater the above -identified property for inspection purposes. P%000�_
of PrOUertv Owner or
ACTION
DATE I BY
I PERMITEXPIR€D I I I
PERMIT CANCELAED
PERMIT EXTENDED
PERMITFINAL
CERTfFtCAT€OF
OCCUPANCYISSUED
AQMD RULE 1403.
❑ I SUBMITTED ASBESTOS NOTIFICATION T0:
EPA
❑ AQMD
❑ ASBESTOS NODFICATIONIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
SIGNATURE:
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1,
i J � ,�I •) f1 �'1
To whom It may concern:
i' •,
n HERS Raters and its
nts- Juan
, Nathan Kelsey,
and/orThis let er iswritten to
Cordoa authorize
IdentiBGree ng themselves with Californ aedriver licenises, to ob ain any necessary
building permits or business licenses so that I may conduct business and comply with local codes.'
Please call me directly with any questions or concerns.,
1;
James R. Steward
CSLB #i: 1004538
6752 Laurelton Avenue
Garden Grove, CA 92845 rctJ✓E FEOECAL
(714) 943-3230 �-- =