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e2020-0359 - Permits
"rr City of Newport Beach - Building Division '>~ ' 100 Civic Center Drive, Newport Beach, CA 92660 E. Permit Counter Phone (949)644-3288 'Tk�Fv'i8�. Job Address: 4206 RIVER AVE Bldg: 1 Floor: Suite: Description of Work: ELEC/CHANGE OUT (1) A/C 49.8DdB, (2) AIRHANDLERS Inspector Area: 1 Legal Description: BANAL SECTION Owner: BENSON UEC —'—' Address: 4206 RIVI R AVE NEWPOR r BE Phone: ri Issued Date:07115/20 kn— Processed By: — Bus Lic: E►����0 200 3 5 9�1 _ if applicable: GREENSTAR HOME SERVICES 96 ID LVDIT18U10l0 or E1, 8 0 9-885 ' t0 Vri7of71: 0 812022 BT30056111 REP Electrical Permit: E2020-0359 Project No : Inspection Requests Phone (949)644-3255 Worker's CompertatiiInsurance Expire : 1 New Construction FEES Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) Residential Multi -Family: 1-2 Family: 0. 0.0 Receptacles utlets: 0 C i u s:psa ircons: $0.00t5-�� 0 1 V $0.00} 1 tb 1 / a $O.00ttttty 10 to 50 HP/KW/KV 0 $0.00 d, orjL�f�e ) 0 $0.00 5o (or 190.;IjPJ1 m*ar eod) $0.00 Service ll ignsr Over 100 HP/KW/KVA: 0 $0.00 0-600V up to 20OA: 0 $0.00 Branch Circuit: 0 $0.00 0-600V over 20OA: Wites0.00 Each Add CircuiT 0 $0.00 Pingy.Byck/Ternp Power:--�0 $0-9 Over 600V or 1000 : 0 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 P. O/HtoU/G 0 $0.00 Additional Fee: $0.00 initials 019 u F, empUnderground: 0 $0.00 ub_ganel: 1 $27.00 0 $0.00 0 $0.00 ecoo Mgmt Fee:. $0.00 laaheck Fee: $0.00 jnve0gation Fee: $0.00 t1 u4ce Fee: $35.00 .uppe'mental Fee: $0.00 Due at Permit Issuance : $62.00 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 D °Oo © o eu° oom D m . U O U O ° Oa O O D GWJ UV � LJO 00 Jo O ° o c o0 o u DV Ooo ea INER-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) ction 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 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 fessions 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 more than five hundred dollars ($500). I, 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, ,iness 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 rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the - ' eerwI hav(ohe burden of proving that it was not built or roved for the purpose of sale). - ' - I, as owner of the property, am exclusively contracting with licensed Contractors to c [ !t ect (Section 7044, Business and Professions C de:,a Contractors' State License Law does not ly to an owner of property who builds or improve thereon, andlwhD cnntrawt rs`Mtf ti a p'prrooj cts with a licensed C ntrad rsuant to the Contracom' tale icense Law). J I am exempt from licensure under the C ly my signature belravebuilt a , e; ell a structure thats an owner-b Irofessions Code, ion,re� quueestvlignature of Propert g.ICENSED CONS DECLAW hereby affirm undehe 1 r and effect. .icense Class VORKERS'COMP NS 10 'LAF IARNING: FAILURE TO SE RE `MPENS :OST OF COMPENSATION, MAGES ASP OVIDED FC hereby affirm under p .ally a of I have and will Tlai ain c of e rmance of the work or w h is p it I, and will m ' t wo ent isurance carrier an o' y numbe tamer lame of Agent t• 71 certify that, in the pert an t w hat, if I should become su 'act t lignature of Applicant vdfo the following reason: de hich I mu�thave resided for at least one y�a5ppor�ot�Ietipd oPthe prgments covered by this permit, I cannot c I s eTE entirety by licensedr�ryn 8 . Yq�ider3tahlYlkaf a copy of the ap IicalilE law, Section 7044 of the Business and submitted or at the follpAdngVVeb siteahttP. Ieginfo.ca.govlcalaw.htmi. - ;p l� If Division 3 of the Business COVERAGE IS uNL, AD $JT ANY-MOYErO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE insurance, as required by Section :reby affirm under pehi ofgpgdu tbat there is a cr Ider's Name i�50fg • my signature below, I cerqy to each of the following: I am the property owner Itauthorized t I have read this applicati a Info I agree to comply with all city and county I authorize representatives of this city or county tot ACOON PERMITFINAL CERTIFICATE OF OCCUPANCYtSSUED agency for the issued by the Director of Industrial Relations as provided ,*a"Je rC rr ar a ah which mplGyarhyperson in any manner so as to of the Labor Code, I shall forthwith comp} Ing construction. for inspection purposes. BY VLLERAI LIILli V1 lHEO,OrS"PNAE4LEEII)E�.VYIv, 11 FEDERAL R€GUI.ATLONS PART fit OF T(Ti€)iOAMD AWW0KULr,FVJ.--- • ee• El 1 SUBMfT 0AfkST0S %OW1CAT1ON� • � ❑ A • ess. �° i•• °•° ❑ ASBESTOS N077RC4170MIS NOT APPLICABLE TO PROPOSED DEMOLITION. •e see • • s se• SIGNATURE: 0 Date is in full force DOLLARS ($100,000), IN ADDITION TO 3700 of the Labor Code, for is issued. My workers' Date M Ct to a s' cqi an Vision Section 3097;,Civil Code). laws of California, and FOR OFRCE USEONLY