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Home My WebLink AboutE2022-0157 - Permits��wa,�,� City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 µ., u wPermit Counter Phone (949)644-3288 �`��1suY=fit IIIIIIIIIIIIIII IIIII�I'IIIIIIIIIIIIII II Electrical Permit: E2022-0157 Project No : 0407-2022 Inspection Requests Phone (949)644-3255 Job Address: 633 LIDOFloor: 3 Suite: E-3 Description of Work: ELEC AIC D SCINNECT 4 Inspector Area: 7 Code Edit: 2019 Legal Description: TR 8094 LOT 1 UNIT 6 BALCONY 6-B PATIO 6-C PARKING 6-P OF PROJECT ...... 'oa°•° • • B°4l4°a Owner: MACDONALD RICH & CLAIRE Contractor: BASIC AIR INC Worker's Compensation Insurance • • a •• •" • a Address: 597 SAINT CROIX ST Address: 1157 SALINAS AVENUE Carrier: PREF PROF • ° °aa HENDERSON, NV 89102 COSTA MESA CA92626 Policy No: ON1196401 °, Phone: 702-375-6223 Phone: 714-469-4542 Expire:10122/2022 , , • • '°°• o Con State Lic: 909834 .... IssuedDate:03/14/2022 Lic Expire: 01/31/2024 • •••• ..a... Bus Lic: 8T30045172 •aea• Processed By: Lic Exp Date: 10/31/2022 �a • ° o • ° ° o ° • a o • o wo•aa ae o . o a oo•a New Construction Residential Receptacle/Switch/Outlets Receptacles/Outlets: 0 $0.00 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1-2 Family: 0 $0.00 Sep Circuits: 1 $7.00 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 Over 600V or 1000A: 0 $0.00 Time Clocks: 0 $0.00 O/H to U/G 0 $0.00 Additional Fee: $0.00 TOTAL Fee: $45.00 Plan 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 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 e at Permit Issuance: $45.00 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. JWNER-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 appT:able 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 (_) 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). 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 signatures �%Iqw 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 legall,, 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 COAe, ie available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. SigA-MDre of Flopert%owner or Authorized Agent Date I6ICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the BusineS d Pro 'd s ode, and my license is in full force aneeffect. %erf5� Class' License No Date �� Contractor Signatur WCPZKERS' QGMPENSATION DECLARATION AARRtNe: FAILURE TASEGURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUS DOLLARS ($100,000), IN ADDITION TO THE OOaW OF 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: I hive anri)yyl'mjintain 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 �LRIlance of Tile vjojk for which this permit is issued. Policy No. slave and i I r;aintain 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, I rance carrier and policy number are: Policy Number Date me of Agent rnone s I certify that, in the perfo manse of th or which this permit is issued, I shall not employ any person in any manner so as to become subject o the workers' compensation laws of California, and agre L, if I should become u jest tot ompensation provisio Section 3700 of the Labor Code, I shall forthwith comply with those provis'on . �) (nature of Applicant i - Date 3 �"l ICLARATION REGAIfDI NSTRUCTION LENDIN areby affirm under penalty of perjury that there is a cast -ruction 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 authorize representatives of this city or counttt�uuu\t�``nter the above -identified property for inspection purposes. ZjIU Inature of Property Owner or Authorized Agent X Print Property Owner's or Authorized Agent's Name �-� Dat J/ 1 ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF eXR OnuevsE ONLY FEDERAL REGULATIONSPART 61 OF TITLE40AND AQMD RULE 1403. ❑ I SUBMITTEDASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMITEXPIRED PERMITCANCELLED PERMIT EXTENDED ❑ ASBESTOS N07IRCA71ON IS NOT APPLICABLE TO PROPOSEO DEMOLITION. PERMIT FINAL Qt 2Z CERTIFICATEO€ SIGNATURE: OCCUPANCYISSUED