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HomeMy WebLinkAboute2021-0382 - Permits (2)City of Newport Beach - Building Division 11�111111111111111111111111111111111111111111111111 JillElectricalct Permit: E2021-0382 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 8 KINGSPORT DR Bldg: 1 Floor: Description of Work: ELEC/DISCONNECT TO A/C Inspector Area: 6 Legal Description: Owner: YE MING Address: 8 KINGSPORT DR NEWPORT COAST CA 92657 Phone: Issued New Constructijrn 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 Fee : Suite: Contractor: Address: Phone: Con State Lie: Lie Expire: Bus Lie: Lie Exp Date: 1ST CHOICE HEATING & A/C 20371 LAKEFORESTDR STE A-5 LAKE FOREST, CA 92630 949-305-5754 1006824 08/31/2021 BT30064046 08/31/2021 Receptacle/Switch/Outlets Receptacles/Outlets: 0 $0.00 Fixtures: 0 $0.00 Sep Circuits: 3 $21.00 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 Inspection Requests Phone (949)644-3255 Code Edit: 2019 Worker's Compensation Insurance Carrier: OHIO SECURITY INS CO. Policy No:XWS2262377720 s•• Expire : 02/7 5/2022 • � • • - •3Bi G9 0 • FEES Motors/Transformers (HP/KVA) 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: 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 Record Mgmt Fee: Plan Check Fee: Piggy Back/Temp Power: 0 $0.00 Investigation Fee: Temp Power Pole: 0 $0.00 Issuance Fee: Supplemental Fee: Plan Check Fee : Fee 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. a•0 '.00 ° 0 0 ° • • 6 •aa.� $0•001 • $0.00 $0.00 $0.00 $0.00 $0.00 $37.00 $0.00 30" WIDE X 36" DEPTH REQUIRED FOR A/C DISCONNECTS JWNEK-bLIILDER 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 he 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 lot more than five hundred dollars ($500). 1, 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, 3usiness 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 mproved 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 ipply 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: 3y 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:hftp://www.leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent Date -ICENSED CONTRACTOR'S DECLARATION hereby affirm uropr penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force Ind effect. icense Class ��.� License No M69zm Date-21-'z02 Contractor Signatu 40RKERS' 015b1PE47SATION DECLARATION 7% IARNINS: 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 ,OST()E EOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. �rr'' h.ereby affirm (((tder r jalty of perjury one of the following declarations: 177 4ieve 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 the vV nce of $e worlt for which this permit is issued. Policy No. 'ftVq 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 iqunarqik carrier and eolicy number are: iarri %fro r T;o% EyytCr /rp Policy Number fi.�i?Zy6Z3 �� © Expiration Date e O&Agent Phone # I 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 agre that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Date "'o� Z�J-z01% DECLARATION REGA IN TION LENDING AGENCY I hereby affirm under p nalty 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). Lender's Name Lender's Address By 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 and state laws relating to building construction. I authorize representatives of this city or county to ente a above -identified property for inspection purposes. Signature of Property Owner or Authorized .gent Print Property Owner's or Authorized Agent's Name(-2?j- ACTION OA.TE BY DECLARATION OF COMPLIANCE MTH CODE OF FEDERAL REGULATIONSPART 61 OF TITLE40AND AQMD RULE 1403. ❑ I SUBMffFEDASBESTOS NO77FVCATIONTO: ❑ EPA ❑ AQMD ❑ ASBESTOS NORHCA77ON IS NOT APPLICABLE TO PROPOSEDDEMOLITION. SIGNATURE: FOR OFFICE USE ONLY PERMIT EXPIRED PERMITCANCE€LED- -- - PERMITEXTENDED PERMITFINAL S —ZZ. ti GER77F(CA1CQF OCCUPANCYISSUED