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Home My WebLink AboutE2021-0794 - PermitsCity of Newport Beach - Building Division *E2021-0794* ' b 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 r� aa�A Job Address: 835 AMIGOS WAY Bldg: 1 Floor: 1 Suite: 18 Description of Work: MFR ELECT FOR A/C UNIT DISCONNECT (H2O21.0657) Inspector Area: Legal Description: 5425 LOT 3 UNIT 2 PATIO 2-P1 PATIO 2-P2 BALCONY 2-B2 GARAGE Owner: VUKELICH MELINDA Contractor: RICE HEATING & AIR Address: 3721 INLET ISLE DR Address: 24761 BRODIAEA AVENUE CORONA DEL MAR, CA 92625 MORENO VALLEY, CA 92553 Phone: 949-467-4874 Phone: 714.469-3075 Con State Lic: 1005124 Issued Date:11/1712021 Lic Expire: 07/31/2023 Bus Lic: BT30075486 Processed By: 195 WC Lic Exp Date: 06130/2022 New Construction Residential Multi -Family: 1-2 Family: Service 0-600V up to 20OA: 0 0-600V over 20OA: 0 Over 600V or 1000A: 0 O/H to U/G 0 TOTAL Fee : Electrical Permit: E2021-0794 Project No : Inspection Requests Phone (949)644-3255 mme•m• m e••eme e o 0 Code Edit: 2019 • • ° e e o a •ueo• o• n • e o e Worker's Compensation Insurance •°• •• a Carrier: HARTFORD FIRE INSURANCE CO °eO•°„ Policy No: 76WEGAM35Z1 ° ee•000 Expire : 07/12/2022 c o 0 ° •m 0 m m mmmem• o ....° 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 $0.00 Fixtures: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: 0 $0.00 $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 $0.00 Signs Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: $0.00 $0.00 Branch Circuit: 0 $0.00 Plan Check Fee: $0.00 $0.00 Each Add Circuit: 0 $0.00 Piggy BackfFemp Power: 0 $0.00 Investigation Fee: $0.00 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $38.00 $0.00 Additional Fee : $0.00 Supplemental Fee: $0.00 Plan Check Fee: 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. IWNER-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 is 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 'rofessions 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 of more than five hundred dollars ($500). 7 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, lusiness 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 nprovements ar(& 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 nproved for thr'plfrpdsg of sale). a J„3sowner ofthe property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not 'pply tol3n ownePdfVT)erty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). J a%exempt frgm licensure under the Contractors' State License Law for the following reason: ly mfsignature 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 a structure thebl.heue 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 rof4jl6ns Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htm[. ji84atyre of Prcpe�f Owner or Authorized Agent Date r1f,M9ED CONTRACTOR'S DECLARATION h, re`Tb��' 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 Professions Code, and my/license is in full force 1 erase Class • • _ License No Date T f Contractor Signature I ItaRS' COMPENSATION DECLARATION %RfJ11 & FAILURMS*EURE 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 'DST 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 thl erformance of the work for which this permit is issued. Policy No. �I.have 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' compensatior Isurance carrier and Policy number are: Policy Number Date Name of Agent IL I-Yo/ll rnone» 131 certify that, in the 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 that, if I should become subject he workers' compennsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. - Signature of Applicant /�'17 �— Yr-- Date DECLARATION REGARDING STRUCTION LENDING AGENCY I hereby affirm under 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). Lender's Name Lender's Address By 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 t ter the abov dentified property for inspection purposes. �[ � / Signature of PropertyOwner or Authorized Agent — Print Property Owner's or Authorized Agent's Name (��"'� Al ACTION DATE BY DECLARATION OF COMPLIANCE IMTH CODE OF FOR OFFICE USE ONLY - FEDERAL REGULAT/ONSPART 61 OF TITLE40 AND AQMDRULE T40S ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA [IAQMD.. PERMIT EXPIRED PERMIT CANCELLED PERMIT: EXTENDED ASBESTOS N0I1FICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: PERMIT FINAL / ijlZ CERTIFICATE OF OCCUPANCYISSUED