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HomeMy WebLinkAboutE2020-0184 - Permits� , City of Newport Beach - Building Division 11111111111111111111111111111111111111p1111111111 a 100 Civic Center Drive, Newport Beach, CA 92660 F7; a Permit Counter Phone (949)644-3288 '�Lrsay."�^ a Electrical Permit: E2020-0184 Project No Inspection Requests Phone (949)644-3255 Job Address: 464 62ND ST Bldg: 1 Floor: Suite: Description of Work: ELEC/INSTALL NEW A/C UNIT 59.5dB" (H2O20-0178) cc Inspector Area: 3 Code Edit: 2019 Legal Description: TR 772 LOT 7 BLK 22 AND NLY 2 FT LOT 6 AND SLY 2 FT LOT 8 ALL IN BLK Owner: MCMAINS MICHAEL Contractor: SKY HEATING AND COOLING Worker's Compensation Insurance LU Address: 460 62ND Address: 769 N GLASSELL ST Carrier: NORGUARD INSURANCE NEWPORT BEACH, CA 92663 ORANGE CA 92867 Policy No: SKWC149863 Phone: Phone: 714-883-0623 Expire : 02/0112021 Con State Lic: 1045281 Issued Date:03/13/2020 Lic Expire: 12131/2021 Bus Lic: BT30065983 Processed By: Lic Exp Date: 02/28/2021 New Construction Receptacle/Switch/Outlets Residential Receptacles/Outlets: 0 $0.00 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1-2 Family: 0 $0.00 Sep Circuits: 0 $0.00 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: 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 Plan Check Fee : Temp Underground: 0 $0.00 Sub Panel: 1 $27.00 0 $0.00 0 $0.00 Record Mgmt Fee: $0.00 Plan Check Fee: $0.00 Investigation Fee: $0.00 Issuance Fee: $35.00 Supplemental Fee: $0.00 Fee Due at Permit Issuance : PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Friday 7:00 a.m.fooe�0 p.M 2nj?4atur yak from 8:00 a.m. to 6:00 p.m H 0 •• • • 9 lJ G O p4 J G C uy0 O Oy J O C � p 0 4 O O i O O G4D `dB Jr30 O OvNJ JOy 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 '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 iot more than five hundred dollars ($500). 1 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). 7 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 Irofessions Code, is available upon request when this application is submitted or at the following Web site:hftp://ww .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 Business and rofessd my license is in full force nd effect. ., �,,//`` icense Class License No Data 03 / 13 C a Contractor Signatur VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONII(; RED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE OST 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 ppfolrmance of the work for which this permit is issued. Policy No. have an V 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' rance ca ier a d policy number g7g: _ 11` R Expiration Date of certify that,irttKe performance of the w rk 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 ogre I, if I should become sub' pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provi(si/ops. Sri 9 h, nature of Applicant D. OyI506 CLARATION REGA CONSTRUCTION LENDING AGENCY weby affirm under pen ty f perjury that there is a construction lending agency for the performance of the work for which this permit is issue (Section 3097, Civil Code). Ider's Name Lender's Address my signature below, I certify to each of the following: 1 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 ordinance to laws relating to building construction. r I authorize representatives of this city or count to ej'� ve ' d' d property for inspection purposes. nature of Property Owner or Authorized Agent V Print Property Owner's or Authorized Agent's NarJL� ��12�J�L ( dl✓!�/ (( D ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY • ae• F5DEP.44REGUVTIO(MS PART 61 OFT771E4OAND 4QMDR.ULE14®3.• e e PERMITEXPIRFD • • • • • I SYBMIdTE9 AS1IE$TOS NO77FICATIOIV TO: • ... ❑ s •EPA i PER7M7ITC4NCELLEO a a • • a ❑ AQMD PERMITEXTENDED ❑ ASBESTOS NO77F7C477ONI5 NOTAPPLICABL.E TO RROPOSEDdiMUTION o c °o "• e PERMIT FINAL e w e e CERTIFICATEOF o 0 OCCUPANCYISSUED ° °I:fGoVAT'o7:0 _ o c -