HomeMy WebLinkAboute2021-0643 - Permitsw „ City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
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Job Address: 4 SEASTAR CT Bldg: 1 Floor: Suite:
Description of Work: ELEC -(2) DISCONNECTS FOR A/C REPLACEMENTS
Inspector Area: 6
Legal Description: N TR 14038 LOT 46
Owner: DAFTARIAN PAUL
Contractor:
Address: 4 SEASTAR CT
Address:
NEWPORT COAST CA 92657
Phone:
Phone:
Con State Lie:
Issued Date:09/28/2021
Lie Expire:
Bus Lie:
Processed By:
Lie Exp Date:
Ill Elu� 111 l0�� � ll��� ll� l��lll0� � 6lll�4 3 II
ALSO AIR INC
29736 AVE DE LAS BANDERAS
RSM CA 92688
949-589-2021
526420
03/31/2022
BT30019236
03/31/2022
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:
0
$0.00
Low Voltage
0
$0.00
Service
Signs
0-600V up to 20OA:
0
$0.00
Branch Circuit:
0
$0.00
0-600V over 20OA:
0
$0.00
Each Add Circuit:
0
$0.00
Over600V or1000A:
0
$0.00
Time Clocks:
0
$0.00
O/H to U/G
0
$0.00
Additional Fee :
$0.00
TOTAL
Electrical Permit: E2021-0643
Project No :
Inspection Requests Phone (949)644-3255
Code Edit: 2019
Worker's Compensation Insurance
Carrier: LIBERTY MUTUAL
Policy No: WC2Z61036218091
Expire : 07/01/2022
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
Temp Underground:
0
$0.00
Sub Panel:
2
$58.00
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
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.
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Issuance:
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
Drofessions 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
iot 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
'.mprovements 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).
❑ 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 legally
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 Se do 7000) of Division 3 of the Business and Professions Code, and my license is in full force
and effect. �tir� I �A \
License Class License No Date Contractor Signatu
WORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THO ND DOLLARS ($100,000(, IN DITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
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
pe ormance of the work for which this permit is issued. Policy No.
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'
carrier and policy number are:
e of Agent
:ertify that, in the performan a work for whit
if I shou ect tot rs;ZSM
ature of Applicant
LARATION, A DING CONSTRUCTION L
Policy Number
Date
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
rovisio� Section 3700 of the Labor Code, I shall forthwith comply with those provision
areby affirm r enalty of perjury that there Is a constructer, m�ertwng-agerr
Ider's Name
my signature below, I certify to each of the fo owing:
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 cou - nd state la
I authorize representatives of this city-arcoDrtly-tnenter a D¢
of Property Owner or
r the performance of the work for which this permit is issued (Section 3097, Civil Code).
Lender's Address
to building construction.
Jr inspection purposes.
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ACTION
DATE
BY
D LA COMPLIANCE WITH CODE OF
FOR OFFICE USE ONLY
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FEDERAL REGULATIONSPART 0f OF TITLE40AND
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AQMD RULE 1403.
❑ ISUBMITFEDASBESTOSNOTFFICATIONTO:
❑ EPA
❑ AQMD
PERMIT EXPIRED
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PERMIT CANCELLED
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PERMIT.EXTENDED
❑ ASBESTOS NONFICA7IONI5 NOTAPPLICABLETO
PROPOSED DEMOLITION.
SIGNATURE:
PERMITFINAL
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• • • ... • •
CERTIFICATE OF
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OCCUPANCYISSUED
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