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Home My WebLink AboutE2019-0397 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 si �"tinvtti.�` Job Address: 4006 INLET ISLE DR Bldg: 1 Floor: Suite: Description of Work: ELEC/DISCONNECT TO A/C Inspector Area: Legal Description: N TR 6425 LOT 44 Owner: MCMILLAN HENRY MARK Address: 4006 INLET ISLE DR ONA DglMAR, CA 92625 Phone: 549 Issued Processed New Construction Residential Multi -Family: 1-2 Family: Service 0-600V up to 20OA: 0 0-600V over20OA: 0 Over600V or1000A: 0 O/H to U/G 0 *E2019-0397* Electrical Permit: E2019-0397 Project No: Contractor: KALKA KEVIN J HEATING & A/C Address: 15550 ROCKFIELD BLVD #A-100 IRVINE CA 92618 Phone: 949-458-6600 Con State Lie: 677889 Lie Expire: 10/31/2020 Bus Lie: BT30054832 Lie Exp Date: 06/30/2020 Receptacle/Switch/Outlets Receptacles/Outlets: 0 $0.00 $0.00 Fixtures: 0 $0.00 $0.00 Sep Circuits: 1 $7.00 Low Voltage 0 $0.00 Signs $0.00 Branch Circuit: 0 $0.00 $0.00 Each Add Circuit: 0 $0.00 $0.00 Time Clocks: 0 $0.00 $0.00 Additional Fee: $0.00 Inspection Requests Phone (949)644-3255 i Code Edit 2016 ' •na• oeoa Worker's Compensation Insurance a •• • Carrier: EMPLOYEE SERVC GRP , Policy No: WCO290817 Expire : 0710112019 a 30rr WIDE X 36" DIo%tt REQUIRED FQR• r a A/C DISCONNEC110 FEES Motors/Transformers (HP/KVA) 0to1HP/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 : Fee Temp Underground: Sub Panel: Record Mgmt Fee: Plan Check Fee: Investigation Fee: Issuance Fee: Supplemental 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 e,ao aee:, GJGSa oae:a• , o • a cc•a• • a �COa $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $35.00 $0.00 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) Iction 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 rfessions 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). 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, 0ness 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 )rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of co'rrrpletion, the Owner -Builder will have the burden of proving that it was not built or )roved 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 )ly 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: my signature.baiow 1 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 a structure't¢atjhbve 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 ifessions Code, is' available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. 'nature of Prapsrty Owner or Authorized Agent Date LENSED CONTRACTOR'S DECLARATION ?rgpy affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sec on 000) of Division 3 of the Business and P fes 'ons Code, a d y cense is in full force ieffect. xnse.Class • License No Dat a �� Contractor Signature `-" -' ) ERS' CQW.4NSATION DECLARATION ININGr FAILURE TO SECt1RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPL YER TO CRIMINAL PE ALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COMPENSAWN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. IBtl*ffirm 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 Industrial Relations as provided for by Section 3700 of the Labor Code, for the mance of the work for which this permit. is.issued. Policy No. ha,e and wi1PPnlihtain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the' I performance of the work for which this permit is issued. My workers' compensation �r ce carrier and policy number are: Fier Policy Number ne of Agent certify that, in the perfor nce 0 the work or wppp h this permit is issued, I shall not employ any person in any ma I, if I should beco a sub' ct to th orkers' come sabon provisions of Section 3700 of the Labor Code, I shall foi nature of Applicant CLARATION REG RDING CONSTRUCTION LENDING AGENCY veby affirm under p nalty of perjury that there is a construction lending agency for the performance of the work for 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 pro y owners behalf. I have read this application and the information I ha pr vided is c It. I agree to comply with all applicable city and coun ordi ances and to I ws relating to building construction. I authorize representatives of this city or county to nter t r�a'DM id property for inspection purposes. nature of Property Owner or Authorized Agent Print Property Owner's Date so as to become subject to the worker ' compensation laws of California, and agree r comply With those provisions. I Da i this permit is issued (Section 3097, Civil Code). Name ACTION DATE BY DECLARATION OF COMPLIANCEVATN CODEOF FOR OFR#USE FEDERAL REGULATIONS PART fife OF TITLE 40AND AQMDRULE1403. ! PERMITEXPIRED ❑ I SUBMITTEDASBESTOS NOTIFICATIONTO: 0 EPA AQMD PERMITCANCELLED P€RM7TEXT€lVDED EOPOS STOS NONNRONISNOT APPLICABLE TO PERMIT FINAL \ C€R77FIC4TEOF OCCUPANCYISSUED SIGNATURE: