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Home My WebLink AboutE2018-0427 - Permits+t City of Newport Beach - Building Division *E2018-0427* 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 L2_ 0' � _ 0 L} 2� 1 V5511 "VUA LO Job Address: 1556 AUGUST LN Bldg: 1 F Description of Work: ELEC AIC DISCONECT Inspector Area: 8 Legal Description: Owner: CASE JACKIE Contractor: Address: 1556 AUGUST LANE Address: NEWPORT BEACH, CA 92660 ,$0.00 Phone: 949-338-2176 Phone: �fj�ea�� meeoo` °° Con State Lic: Issued Date:06/21/2018 Lic Expire: 0-600V over20OA: Bus Lic: Processed By: �� Lic Exp Date: New Construction Residential Multi -Family: 0 $0.00 1-2 Family: 0 ,$0.00 Service 0 �fj�ea�� meeoo` °° 0-600V up to 20OA: 0 $0.00 0-600V over20OA: 0 $0.00 Over 600V or1000A: 0 $0.00 O/H to U/G 0 $0.00 Electrical Permit: E2018-0427 Project No: Inspection Requests Phone (949)644-3255 Receptacle/Switch/Outlets Receptacles/Outlets: 0 $0.00 Fixtures: 0 see Sep Circuits: 0 tom': ° Low Voltage 0 �fj�ea�� meeoo` °° Signs Code Edit: 2016 =`,y Branch Circuit: 0 • .� Each Add Circuit: 0 • •e 000 CLIMATE AIR MASTERS INC Worker's Compensation Insurance e°••+ ;-„ 1139 N ANAHEIM BLVD Carrier: SECURITY NATIONAL ,o •, ANAHEIM CA 92801 Policy No: SWC1157439 • 951-288-6822 Expire : 06125/2018 o 695854 es • ose°oo 08/31/2019 ®e ° °••<^ BT30059886 07/3112018 Receptacle/Switch/Outlets Receptacles/Outlets: 0 $0.00 Fixtures: 0 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Signs $0.00 10 to 50 HP/KW/KVA: Branch Circuit: 0 $0.00 Each Add Circuit: 0 $0.00 Time Clocks: 0 $0.00 Additional Fee: $0.00 FEES 0 $0.00 Motors/Transformers (HP/KVA) 1 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 Temp Underground: 0 $0.00 Sub Panel: 1 $25.00 0 $0.00 o $0.00 Record Mgmt Fee: $0.00 Plan Check Fee: $0.00 Investigation Fee: $0.00 Issuance Fee: $33.00 Supplemental Fee: $0.00 Fee Due at Permit Issuance: $58.00 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, FNER-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 items) ction 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 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 fessions 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 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, iness 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 rovementsere•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 roved for 4ip+pJc6ose of sale). SDs owner &41� property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not ly to an oin�rp(property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). NWn exemptfirom licensure under the Contractors' State License Law for the following reason: my signature; belpw 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 astructur0 thy! I Dave built as an owner -builder if if 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 sSions Cone, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. iature of PfF�E611 owner or Authorized Agent Date +NEED CONTRACTOR'S DECLARATION Aeby affirm uneer penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wit S do 7000) f©vision 3 of the Business and rotes e, and my license is in full force etfgct. + + :nse•Class•i+++: License No Dat 2f Contractor Signature II@tRS' CONIPF�NSATION DECLARATION NM FAILURE W SBCURE WORKERS' COMPENSATION COVERAGE le UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE T 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 th krftnance of the work for which this permit is issued. Policy No. ve 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' compensatioi suranc ee carrier and policy number are: :arrier Policy Number Expiration Date lame of Agent - Phone # ]I certify that, in the perform nce of t which this permit is issued, I shall not employ any person in any manner so as to become subject to a workers' compensation laws of California, and agre iat, if I should become sub' orkers Compensation pr ns of Section 3700 of the Labor Code, I shall forthwith comply with those prov' ons. ',ignature of Appli to 1 �i l% IECLARATION G DI TRUCTION DING AGENCY hereby affirm and enalty of perjury that there ion lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ender's Name Lender's Address Iy 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 hayy€'provided is correct, I agree to comply with all applicable city and coun y/ord' a ate lato building construction. I authorize representatives of this city or count at a -I entified p1a rty for inspection purposes. ianature of ProDertv Owner or Authorized Ac C Print Propertv Owner's or Authorized Agent' ame91W" Date + CL14111141,rt OCCUPANCY/SSUED f+7_•lt��-511 ❑ t SUBWTFEDASBESTOS NOTIFICATION TO: EPA ❑ AQMD ❑ ASBESTOS NOTIRCATIONIS NOT APPLICABLE TO PROPOSED DEMOLITION, SIGNATURE: