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HomeMy WebLinkAboute2021-0166 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 8 SUNSET COVE Bldg: 1 Floor: Suite: Description of Work: ELEC (2) A/C DISCONNECTS Inspector Area: Legal Description: 6 N TR 14859 LOT 4 Owner: TIAN EDWARDS Contractor: Address: 8 SUNSET COVE Address: NEWPORT BEACH, CA 92657 Phone: 626-625-2265 Phone: Con State Lie: Issued Date:03/03/2021 Lie Expire: Bus Lie: Processed By: Lie Exp Date: New Construction Residential Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Service 0-600V up to 20OA: 0 $0.00 0-600V over20OA: 0 $0.00 Over600V or1000A: 0 $0.00 O/H to U/G 0 $0.00 III�IEIIIIIIII0�IIIIIDI1 �I�II0�IIIIltll6 III II MC MASTER AIR & HEAT 2 MCLAREN #C IRVINE CA 92618 949-481-7995 726607 1213112021 BT30041972 01/31/2022 Receptacle/Switch/Outlets Receptacles/Outlets: 0 $0.00 Fixtures: 0 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Signs Branch Circuit: 0 $0.00 Each Add Circuit: 0 $0.00 Time Clocks: 0 $0.00 Additional Fee: $0.00 Electrical Permit: E2021-0166 Project No: 1862-2020 Inspection Requests Phone (949)644-3255 Code Edit: 2019 ISPf L—CNTC Worker's Compensation Insurance Carrier: HARTFORD Policy No: 72WECZU8138 ...... Expire : 02/02/2022 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 Backrremp Power: 0 $0.00 Temp Power Pole: 0 $0.00 Fee : ° °... Temp Underground: Sub Panel: 2 $56.00 0 $0.00 0 $0.00 Record Mgmt Fee: $0.00 Plan Check Fee: $0.00 Investigation Fee: $0.00 Issuance Fee: $37.00 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. DWNER-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 rive hundred dollars ($500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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). 111, 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.m.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED COWJ5!ACTOR'S DECLARATION I hereby affirm utl{jergefialty of perjury that I am licensed under provisions of Chapter 9 (commencin wit Section 7000) of Division 3 of the Business and Professions Code, and my license is i full force avid of eot. 4ceI.h nse ass . License No Date \ Contractor Signature W®Rl4ERS' COMPENSATION DECLARATION WARNINQ FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE UNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO TH' COIT Or.COMPENs@TiCR, %MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE; INTEREST, AND ATTORNEY'S FEES. I �er%y Affirm unMT)bnalty of perjury one of the following declarations: 0.1,1*we and 411 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 tl p Rce of V work for which this permit is issued. Policy No. K -and will pai1jin 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' compensatic Ins ncacarriemndcolicv number are: Policy Number Date 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 agree I, if I should be�o\ me *bject to the workers' com Provision on 3700 of the Labor Code, I shall forthwith comply with those prov I s. nature of Applicant!\' Date CLARATION RE DING CONSTRUQ1ION LENDING AG Y ' areby affirm unde pen y 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). 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 owners 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 I authorize representatives of this city or count enter the above-identif d e for inspection purposes. P Y YYD � ��rfL' of Property Owner ACTION DATE DEMAIZATION OF COMPLIANCE WITH CODE OF FOROFFt €ONLY ' FEDERAL REGULATIONSPART 6T OF TITL€40ANO AQMD RULE'1403. PERMITEXFIRED ❑ ISUBA/TTEDASBESTOSM077FiCATIONTO: ❑ EPA ❑ AQMD PERMIT CANCELLED PERMITEXTENDED ❑ ASBESTOS NOTIRCATTONIS NOT APPLICABLE TO PROPOSEDDEMOLITION. SIGNATURE: PERMITFINAL i.S GZ- AMA_ CERTIFICATEOF OCCUPANCYISSU€D