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Home My WebLink AboutE2021-0184 - PermitsCity of Newport Beach - Building Division d 1.00 Civic Center Drive, Newport Beach, CA 92660 H Permit Counter Phone (949)644-3288 �wcarau�"�' Job Address: 2139 VISTA LAREDO Bldg: 1 Floor: Suite: Description of Work: ELEC INSTALL DISCONNECT FOR A/C UNIT (H2O21-0191) Inspector Area: 4 Legal Description: TR 5692 (L.L.84-214027) PAR 31 Owner: MCCLOSKEY ROBERT Address: 2139 VISTA LAREDO NEWPORT BEACH, CA Phone: Issued Processed *E2021-0184* Electrical Permit: E2021-0184 Project No : - 10652 TRASK AVE ` GARDEN GROVE CA 92843 1 State'Llc. 718978 Ex ' /26 22 E .Da 30 1 New Construction a tact `witch Residential r.. tact lltl 0 00 Multi -Family: 0 $0.0 ixtures: 0 $0.00 1-2 Family: 0 $0.0 Sep Circuits: 0 $0.00 ow Itage 0 0.00 Service ig sag e 0-600V up to 200A: 0 $0.0 ra 11 0 0-600V over 20OA: 0 $0.01 Each a dd Cir uit: Tmgrit sta rbed Jo.00 Over 600V or 1000A: 0 $0.0 Time O/H to U/G 0 $0.0 Additional Fee: $0.00 € vote' TOTAL Fee : $65.06. -- Piwrein Inspection Requests Phone (949)644-3255 Code Edit:2019 1! `4 TU0 udillul. l UlYIrYYGo I IIYJUR IYVC i f appl, Policy No: WCV550233402 6 fff9R 3611 DEPTH El80% or [�R11'NtO�FOR . G to whom. air n�CONINiECTS .® FE o s m (HP/KVA) 1 0 to / 0 $0.00 Temp Undergi 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: 10 to 50 HP/KW/KVA: 0 $0.00.. 50 to 1 KW/KVA: 0 $0.00 Over 1 W 0 F;e o gmt ekFe Pig Bac mp Power: 0 $ 00 Investigation F Te p Power Poletn� work %Wbbted) Issuance Fee: Supplemental �Insp. initia 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. <.0 $l)mD 1 $2®AOBG era ®® A6t) m s o0 We. G ¢4.900 $6.a6aG $0.00 $0.00 $37.00 $0.00 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 (_) 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 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). ❑ I 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 legallt 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 CONTRACT y R idil I hereby affirm un° er penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Seclio 700 of D vision 3 of the Business an Pr essions Code, and my license is in full force and effect. License Class °' License No D i v'" Contr Signature - WORKERS' CO NSATION DECLARATION ,��(� t j NARNING: FAILURE i 2 URE WQRKR Ste' COMPEN,�q�'�,�9V COVIIWE IS PS AWOL, /),( PQ,). L } A MPLOYEU CrI1MIaN//At Q ALQS AIJPJ9ILCF ES&i'Yd'ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE ffirm IrtIrpen Ity of pe: on f the foil Ar cl and wit main r ' Cate o o se [ " , ice of tqe ork permit is Issued. Policy No. and'will airttain workers' compens i ur q t 1aIcti Q lrBs,. abor Code, for the performance of the work for which this permit is issued. My workers' compen came1.r s poli '# mit is s ovislons in it' L der's Addr(ss ''11 k owner's behalf. Ied.js correct. - which this subject to )reby affirm unae pen t of rju6y9alAOSS6113 don: Ider's Name i. my signature bet w, I certify to each(4tt ekllog�)-j I am the prope owner or authorized to act on the pry I have read this pplication and the information I have I agree to comp, v�it4i(�tO� Iicable city and county I authorize representatives of thist gpnty nt nature of PrODert Owner or Author�e�d Alien"t Expiration Date ' Phone # sued, tshall not employ any person in any manner so as to become su act to the workers' -comp nsation laws of California, and of Section 3700 of the Labor Code, I shall forthwith comply with th rovisions. r agency fort rm w r is is derma is ssued (Section 3097, Civil Code). I PERMITEXPIRED I I / Ir1./ems tit // All < I PERMiT CANCELLED PERMfTFXTENDED }o, 'q�{-rf19'Yi 'by tli0'b7e'c1dF rIa e a Ions as provided for by Section 3700 of the Labor Code, for property for inspection FEDERAL REGULATIONSPART 01 OF THLE40AND AQMDRULE 4403 ❑ 1 SUBM ITEDASSESTOS MOO FICATION TO: ❑ EPA AQMD ASBESTOS NOTIRCATION IS NOT APPLICABLE TO PROPOSEDDEMOUTION. OCCUPANCYISSUED I I SIGNATURE: