The URL can be used to link to this page

Home My WebLink AboutE2021-0567 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 cr. � *E2021-0567* Electrical Permit: E2021-0567 Project No : Job Address: 97 PELICAN CT Bldg: 1 Floor: Suite: Description of Work: ELEC A/C DISCONNECT Inspector Area: 3 Legal Description: N TR 12212 LOT 18 Owner: MINARSCH LAURA A Contractor: TRITON AIR INC Address: 97 PELICAN CT Address: 1221 PUERTA DEL SOL #300 NEWPORT BEACH, CA 92660 SAN CLEMENTE CA 92673 Phone: Phone: 949.492.0290 Con State Lic: 774877 Issued Date:09/09/2021 Lic Expire: 06/30/2022 Bus Lic: BT30042558 _ Processed By: Lic Exp Date: 03/31/2022 Inspection Requests Phone (949)644-3255 mmmm Code Edit:2019 °° m m e 6••° ease m ° • emm• . o e• ° Worker's Compensation Insurance °°°° • ° Carrier. TRANSVERSE INS CO o .. Policy No: FORWC0000000660 m'°m °°°• °•®, ° Expire : 04/01 /2022 ® .m m m mmomoo mmmoo• m m moon FEES New Construction Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) Multi -Family: 0 $0.00 Receptacles/Outlets: 0 $0.00 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: 0 $0.00 [Residential -2 Family: 0 $0.00 Fixtures: Sep Circuits: 0 0 $0.00 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: 1 $29.00 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 ervice -600V up to 20OA: 0 $0.00 Signs Branch Circuit: 0 $0.00 Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: $0.00 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Piggy Back/Temp Power: 0 $0.00 Plan Check Fee: Investigation Fee: $0.00 $0.00 Over 600V or 1000A: 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. 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 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 sole compensation, will do U all of or U 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 gurgose of sale). I, as owns} pf tCq 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 t o an owns rof property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I aRl exerM)L j4rplicensure under the Contractors' State License Law for the following reason: 1By 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 i st!ructure 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 Cgdl?' 15•available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Date 1gnatwe of Prof)elRy Owner or Authorized Agent ICEtJSED CONTRACTOR'S DECLARATION fiar'eby affirm uudar.penalty of perjury that I am licensed under provisions of Chapter 9 (commencinpiuvIIth Sectio 70 ) of Division 3 of the Business an Prof ssions e, and se is in full force AE Wfect. \/ icense,Class License No DatgL Contractor Signatur WORKERS' CQMPeNSATION DECLARATION NARISItn.. FAILURE JO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HU OR THOUSAND DOLLARS (8700,000], IN ADDITION TO THE t;pgygp COMPEMA WGINI MAMAGES AS PROVIDED FOR IN SECTION 3TO6 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I 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 V of the work for which this permit is issued. Policy No.d 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' compensatiorrier and policy number are: _ Policy Number me of Agent -- -- I certify that, in the performanc the rk for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' c mpe ,sation laws of California, and agre, ,t, if I should becom s jec o the w ers' com a isions of Section 3700 of the Labor Code, I shall forthwith comply with those provi 'o s. Date [nature of Applicant !CLARATION REGA CTION LENDING AGENCY Breby affirm under penalty o perjury that there is a construction lending agency for the performance of the work for which this permit is issued ( ectl n 3097, Civil Code). nder'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 prqvi#d is correct. I agree to comply with all applicable city and count ina as and state laws r g to building construction. I authorize representatives of this city or count to nter a above-identifi roperty for inspection purposes. Zlk ]nature of PropertyOwner or Authorized Agent Print Property Owner's or Authorized Agent's Name V �'l Da e ACT(ON DATE 8Y DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USEONLY 11 FEDERAL REGULATIONS PART 51 OF T17LE 40 AND PERMIT EXPIRED I PERMIT EXTENDED I I I AQMD RULE 1403. ❑ I SUBMITTED ASBESTOS NOTIFICATION TO:. ❑ EPA ❑ AQMD ❑ ASBESTOS M077RCAT70N IS NOT APPLICABLE TO PROPOSED DEMOLITION. CERTIFICATEOF SIGNATURE: OCCUPANCyfSSUEO