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Home My WebLink AboutE2022-0323 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 3223 CLAY ST Bldg: 1 Floor: Suite: Description of Work: ELEC -DISCONNECT FOR A/C INSTALLATION Inspector Area: 3 Legal Description: Owner: DEINERT-PETERSON JENNIFER Contractor: ALPS A/C & HEATING INC Address: 3223 CLAY ST Address: 1895 S SANTA CRUZ ST NEWPORT BEACH CA 92663 ANAHEIM, CA 92805 Phone: Phone: 714-633-8892 Con State Lic: 667953 Issued Date:05/27/2022 Lic Expire: 04/30/2023 Bus Lic: ST30047511 Processed By: Lic Exp Date: 07/30/2022 New Construction Residential Multi -Family: 1-2 Family: Service 0-600V up to 20OA: 0 0-600V over 20OA: 0 Over600V or1000A: 0 O/H to U/G 0 TOTAL Fee: Receptacle/Switch/O utl e Receptacles/Outlets: 0 $0.00 Fixtures: 0 $0.00 Sep Circuits: 1 Low Voltage 0 Signs $0.00 Branch Circuit: 0 $0.00 Each Add Circuit: 0 $0.00 Time Clocks: 0 $0.00 Additional Fee : Electrical Permit: E2022-0323 Project No: Inspection Requests Phone (949)644-3255 Code Edit: 2019 Workers Compensation Insurance Carrier: INS OF THE WEST Policy No: WSD506354500 Expire : 12/25/2022 is FEES Motors/Transformers (HP/KVA) $0.00 0 to 1 HP/KW/KVA: 0 $0.00 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 $7.00 10 to 50 HP/KW/KVA: 0 $0.00 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 Over 100 HP/KW/KVA: 0 $0.00 $0.00 $0.00 Piggy Back/Temp Power: 0 $0.00 $0.00 Temp Power Pole: 0 $0.00 $0.00 Plan Check Fee : $0.00 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 e at Permit Issuance : $45.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hour$:°Monday - Friday 7.00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. b ° 6 6 00 0 D b G 4 6 6 E C G O OWNER -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 ie 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). - I, as owner of the property, or my employees with wages as their sole compensation, will do L) 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 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 nproved 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 pply 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: ly 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 ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. signature of Property Owner or Authorized Agent Date ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busine s a d Pro y Icense is in full force Ind effect. Q icense Class License No Date 51t% 201 Contractor Sign to VORKERS' COMPENSATION DECLARATION FARMING: 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 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 thi �Vormance of the work for which this permit is issued. Policy No. 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' compensation Is ranee carrier and policy number are: trier Policy Number Expiration Date lame of Agent Phone # 71 certify that, in the performance of the ork for which this permit is issu_ employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre tat, if I should become, ieect to the orkers' compensa' Islons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 'signature of Applicant ✓ Datef�, Z�( "•� IECLARATION REGARDASO.CCONSTRIJI&ION LENDING AGENCY hereby affirm under penalty that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ender's Name Lender's Address ly 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 an tale laws relati Ing construction. I authorize representatives of this city or county to enter th a-Idenf ' operty for inspection purposes. \X/ /may ��t %I �e Iignature of Property Owner or Authorized Agent i Print Property Owners or Authorized Agent's Name�1 Vow ` !/litl'�A.�i(/r. Date Z� ACTIDN DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEU€RAL REGULATIONSPAR3 6T OF•T43LE40AND • • • • • AQMD RULE I4BJ: ; : ' ; 0. : : • e PERMIT EXPIRED El SUBMITTEDASBiSP�OINOTIFIC.AM. :. 1QTOe o ❑ EPA • e • • • • • e e PERMIT CANCELLED ❑ AQMD PERMfTEXT€LADED ❑ ASBESTOS N077FICA71ON IS NOT APPLICABLE TO PROPOSED DEMOLITION. o 0 o c e • e e e o c o o e a e e •• o c > > > o 0 PERMITFINAL % /S CER77FICATEOF SIGNATURE:. 0 0 OCCUPANCYISSUED 0 0 0 000 ooa o-o 0 o aoo 0