HomeMy WebLinkAboutE2019-0707 - Permits., City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
Electrical Permit: E2019-0707
100 Civic Center Drive, Newport Beach, CA 91660 '
E 2 0 1 9 a 7, 0 7
Project NO
Permit Counter Phone (949)644-3288
-
-
Inspection Requests Phone (949)644-3255
Job Address: 108 EMERALD AVE: Bldg:
1 Floor: Suite:
P
Description of Work' ELEC/DISCONNECT TO A/C
���
H2O19-0649 :
-
��
Inspector Area: 2
Code Edit: 2016
Legal Description: BALBOA ISLAND RESUB SEC 1 BILK 3 LOT 22
°
.... ....ems
Owner. EMERAL STONE LLC -
Contractor:
CUNEO AIR INC
Worker's Compensation Insurance °....
Address: I0 RALD AVE
Address:
3565 LATHROP AVE
Carrier: STATE COMP •° •°°
WPO BEACH, CA 82662
SIMI VALLEY CA 93063
Policy No: 9262380 ° mm
Phone:
: Phone:
805-526-1765
Expire.:1010712020 o °m°° .` •°°
Con State Lic:
783055
Issue Date:10/22/2019 '
'_Lic Expire:
06/31/2020
30" WIDE X'3'rf3PTi'1.
Bus Lic:
BT30069432
m m��°
o o
Processe
Lic Exp Date:
10/31/2020
REQUIRED 6 °
A/C DISCQRNMTS
17
FEES
New Constructio
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 0 $0.001
1-2 Family: 0 $0.00
Sep Circuits:
1 $7.00 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 $0.001
Service
Signs
Over 100 HP/KW/KVA: 0
$0.00 Record Mgmt Fee; $0.00
0-600V up to 200A: 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 1000A: 0 $0.00
Time Clocks:
0 $0.00 Temp Power Pole; 0
$0.00 Issuance Fee: $35.00
O/H to U/G 0 $0.00
Additional Fee:
$0.00
Supplemental Fee: $0.00
TOTAL Fee: $42.00
Plan Check Fee ;, $0.00
Fee Due at Permit Issuance: $42.00
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.
NO CONSTRUCTION NOISE
ON THE WEEKEND
DWNER-BUILDER DECLARATION I I
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 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
improved 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 .4Loyu 14cknowledge 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 legalll
sell a structure that f ave 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
rQfe"&s Code. isjuailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
STgnatur0 of ProPggy.Q*ner or Authorized Agent Date
LJEFNVD COM[RACTOR'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 of the Business and Profess! &&a n full force
and effect. .
*ehgg Class " ' License No Date Contractor Signature
NORAERS' CCU RE6lSATIONDECLARATION
NARNRIG FAILURE Tb%ECLIRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLO ER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,0001, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORN�rS FEES.
...'.•
ssh��eleby a ffirm:ue d �rF� � altyofperjury one of the following declarations:
I. bave and will maiAotain 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 thl
6D
W"Ace of trEtvprJforwhich this permit is issued. Policy No.
'•..
and willmaintain workerscompensation 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
a carrier and policy number are:
Policy Number Expiration Date
Vame of Agent /1 Phone #
I certify that, in the performance of or whlch is r ' I issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
it, if I should become subject to rk comp rov' ions of Section 3700 of the Labor Code, shall forthwith comply with those provisions.
(nature of Applicant Datb„n�
ICLARATION REGAR N C UCTIO ENDING AGENCY _
sreby affirm under pe ally o perjury that th a 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 or county tD enter ove-identified property for inspection purposes.
jnature of Property Owner or Authorized Agen[� //yam,,. Print Property Owner's or Authorized Agent's Name Pace/! ��iuu.i ,// u.CDate)� /Eayw./
ACTION
DATE
BY
DECLARATION OF COMPIJANCE141THCODEOF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 61 OF T77LE40AND
AQMD RULE 1403.
PERMiTEXPIRED
.
13 I SUBMITTEDASBESTOS M71FICATION TO:
❑ EPA
❑ AQMD
PERMIT CANCELLED
-
PERMITEXTENDED
❑ ASBESTOS NOTIACATIONIS NOTAPPLICABLE TO
PROPOSED DEMOLITION.
_.PERMITFINAL
Z
CERTIFICATE OF
SIGNATURE:
OCCUPANCYISSUED