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Home My WebLink AboutE2022-0162 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIII�IIIIIIIII 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 2 2 0 1 6 2 Permit Counter Phone (949)644-3288 EctricE2022-0162 Pl Permit: Inspection Requests Phone (949)644-3255 Job Address: 6 POINT LOMA DR Bldg: 1 Floor: Suite: Description of Work: ELECI(2) ROOF MUNTED A/C UNITS (H2O22-0027) 0 Inspector Area: 6 Code Edit: 2019� Legal Description: N TR 7432 LOT 32 LU Owner: SADEGHI MOHSEN Contractor: CAL HVAC SERVICES Worker's Compensation Insurance Address: 6 POINT LOMA DR Address: 8 PANDORA Carrier: TECHNOLOGY INS CO INC �. CORONA DEL MAR, CA 92625 IRVINE CA 92604 Policy No: TWC4019722 G Phone: Phone: 949-338-8698 Expire : 1010112022 Con State Lic: 1032743 - ...� Issued Date:03/15/2022 Lic Expire: 09/30/2022 Bus Lic B _. . Processed By: Lic Exp Date: 0212812023 8/2128120 023 FEES New Construction Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) Residential Receptacles/Outlets: 0 $0.00 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: 0 $0.00 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: 0 $0.00 1-2 Family: 0 $0.00 Sep Circuits: 2 $14.00 10 to 50 HP/KW/KVA: 0 $0.00 0 $0.00 Low Voltage 0 $0.00 50to 100 HP/KW/KVA: 0 $0.00 0 $0.00 Service Signs Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: $0.00 0-600V up to 20OA: 0 $0.00 Branch Circuit: 0 $0.00 Plan Check Fee: $0.00 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Piggy Back/Temp Power: 0 $0.00 Investigation Fee: $0.00 Over 600V or 1oo0A: 0 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $38.00 O/H to U/G 0 $0.00 Additional Fee: $0.00 Supplemental Fee: $0.00 TOTAL Fee: $52.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $52.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday -Friday 7.00 a.m. to 6: 0 p.m. and Satu oday from 8:00 a.m. to 6:00 p.m. ® .. ° a° a ooe ° o00 a ... . . . .a° 0 0 0 0 0 0 0 e a �o 0 o ao 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). U I, as owner of the property, or my employees with wages as their sole compensation, will do (-) all of or U portions of the Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through en improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of comple improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, BI apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor p. ❑ I am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one yea Sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I undE Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo. Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION work, and the structure is not intended or offered for sale (Section 7044, ployees' or personal effort, builds or improves the property, provided that the ion, the Owner -Builder will have the burden of proving that it was not built or and Professions Code: The Contractors' State License Law does not to the Contractors' State License Law). w wmproiron Or me Improvements covered by this permit, I cannot that a copy of the applicable law, Section 7044 of the Business and Date hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of ivision 3 of the Business and Professio Code, and my license is in full force and effect. _icense Class I - License No O Date Contractor Signature NORKERS' COMPE TION DECLARATION VARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDREII33fe No DOLLARS I$100,0001, 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: 1 have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Iidustrial Relations as provided for by Section 3700 of the Labor Code, for thl Lance of the work for which this permit is issued. Policy No. Lance and will main 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' compensatior nsurance carrier and p icy umber are: ;arrier - -anlicy beq _ Expiration Date to of Agent certify that, in the performanceofthV work for hich this permit is issued, I shall not employ any person in any manner so if I should become sub�'Fct to the am' co pensation provisions of Section 3700 of the Labor Code, I shall forthwith cl iature of Applicant X f i i hereby affirm under I%nalty of perju there is a construction lending agency for the performance of the work for which ender's Name Lender's Address y my signature below, I cerIfy 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 countyordinanc and state laws relating to building construction. I authorize representatives of this city or counk s nter thg ve-identified property for inspection purposes. of Owners or to become subject to the workers' compensation laws of California, and agre Iply with those provisions 7 D e� permit is iss duion 3097, Civil Code). D to ACTION DATE If DECLARATION OF COMPLIANCE MTH CODEOF - FOR OFFICE USE ONLY FEQERA�f�vEGULATK}NSAARTGY OFTITLE40AND A DRUCE I, •�• PERMITEXPfRED NOT7FICA VONTO:. PERMIT CANCELLED ••• ❑ £PA••• • ❑ AOMD' PERMPTEXTEAJDED , ❑ ASBESTOS NOTIRCATIONd5NOT APPLICABLE Tfl PERMITFINAL Z 143 I� �-.^_ i�@ g€neaLa Tion+.. . s e o 0 0 0 o e CERIiF3CATE Q€ OCCUPANCYISSUED GNAr URA' c o 00 0 0 000 00 00 0 0 000 00