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Home My WebLink Aboute2022-0321 - Permitswerr City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIII'II�Illlllllllllll II Electrical Permit: E2022-0321 �'+' 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 2 2 0 3 2 1 Project No : 1279-2018 .w " Permit Counter Phone (949)6443288 �"�kt3K5Yi%�4 Inspection Requests Phone (949)644-3255 Job Address: 41 BEACON BAY Bldg: 1 Floor: Suite: Description of Work: ELEC/INSTALL (3) DECK MOUNTED MINISPLITS (H2O22-01720) Inspector Area: Legal Description: R SK 9 PG 42 PAR 41 Owner: TODD MICHAEL Contractor: Address: 41 BEACON BAY Address: NEWPORT BEACH, CA 92660 Phone: Phone: Con State Lic: Issued Date:05/26/2022 / Lic Expire: Bus Lic: Processed By: Lic Exp Date: TRUE HOME HEATING A/C 4FARADAY IRVINE CA 92618 949-382-6337 1025397 04/30/2023 BT30064629 10/31/2022 New Construction Receptacle/Switch/Outlets Residential Receptacles/Outlets: 0 $0.00 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1-2 Family: 0 $0.00 Sep Circuits: 3 $21.00 Low Voltage 0 $0.00 Service Signs 0-600V up to 20OA: 0 $0.00 Branch Circuit: 0 $0.00 0-600V over20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Over 600V or 1000A: 0 $0.00 Time Clocks: 0 $0.00 O/H to U/G 0 $0.00 Additional Fee : $0.00 Code Edit: 2019 0 Worker's Compensation Insurance Carrier: TRAVELERS CASUALTY�� Policy No: UB9S6828382126G 6"►► Expire : 12/01/2022 P FEES Motors/Transformers (HP/KVA) 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 Plan Check Fee: Temp Underground: 0 $0.00 Sub Panel: 0 $0.00 0 $0.00 0 $0.00 Record Mgmt Fee: $0.00 Plan Check Fee: $0.00 Investigation Fee: $0.00 Issuance Fee: $38.00 Supplemental Fee: $0.00 Fee Due at Permit Issuance : PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday -Friday7:00 a.m. to 6:30p.m. and Saturday from 8:00 a.m. to 6:00 p.m. a o ¢ • ¢ ¢ cc a ¢ 4 ¢PB • G¢ 6 O 16 P Y O p 4 a. 43 p 0r"1J J c ¢ a c �> �@ c 0 0 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). ❑ 1, 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 purpose of sale). LJ 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 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 legal 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.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00) of ivision 3 of the Business and Profession de, - cense is in full force and effect. License Class License No Date �Z Contractor Signatu WORKERS' COMPENSATION DECLARATION :FAILURE TO SECURE 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 COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: 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 e of the work for which this permit is issued. Policy No. have and will ntain workers' rance carrier a d I�plicy number of insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' Date certify that, in IF�e performance of the r hich this permit i shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre t, if I should becoAsut to the wor rs' compens rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provi nature of ApplicaDateCLARATION RE ON LENDING AGENCY areby affirm under pen perury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). lder'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 cow. r I agree to comply with all applicable city and county finances state la sting to building Construction. �� I authorize representatives of this city or county to r the ove= Ified property for inspection purposes. LignOl ature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Na Da ACTtON DATE Y DECLARATION OF COMPLIANCE MTH CODE OF FOR OFFICE USE ONLY - -FEDERAL RFGMLAFIONS PW;?T MOF TITLE40 AND : 4QMD2?ULE'1J03.: : `• ` PERMITEXPIRED -PSUBMITTCD DSDESTQS WJiFjCATION TO:. s •E} EPA •. ElAQMD, PERMITCANCELLED PERMITEXTENDED - I ❑ ASBESTOS NOT/FICARONIS NOT APPLICABLE TO PROROSEDD .IRON-.`• .•+ e • • • • • • • PERMIT FINAL CER7IFIC47TOF SIGNf TUUE: ' OCCUPANCYtSSUED •.s sa •s + • ee+ +s