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HomeMy WebLinkAboutE2022-0054 - PermitsCity of Newport Beach - Building Division *E2022--0054' 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288- �,, i'aLi➢uiXN�� Job Address: 2408 SANTIAGO DR Bldg: 1 Floor: Suite: Description of Work: SFR ELEC DISCONNECT FOR HEAT PUMP (H2O22-1900) Inspector Area: 3 Legal Description: NEWPORT HEIGHTS LOT 297 NWLY 108 FT SELY 228 FT SWLY 150 FT Owner: FRANCIS AMANDA & JOHN Contractor: PRO WEST MECHANICAL INC Address: 2408 SANTIAGO DR Address: 15431 RED HILL AVE #F NEWPORT BEACH, CA 92660 TUSTIN CA 92780 Phone: 415-696-1322 Phone: 714-651-8737 Con State Lie: 974570 Issued Date:01/2812022 Lie Expire: 0613012022 Bus Lie: BT30051314 Processed By: tJ Lie Exp Date: 05/31/2022 Electrical Permit: E2022-0054 Project No: 1182-2021 Inspection Requests Phone (949)644-3255 Code Edit: 2019 Worker's Compensation Insurance ° ^ Carrier: ACE AMERICAN 2 Policy No: C68631506 Expire : 11/01/2022 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: 1 $7.00 10 to 50 HP/KW/KVA: 0 $0.00 0 $0.00 Low Voltage 0 $0.00 50 to 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 200A: 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 1000A: 0 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $38.00 O/H to JIG 0 $0.00 Additional Fee : $0.00 Supplemental Fee: $0.00 TOTAL Fee : $45.00 Plan Check Fee : $0.00 Fee Due 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. LDER 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 ie 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 of more than five hundred dollars ($500). 7 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, ;usiness 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). 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 ow.tjl 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 I am exemp, Isom licensure under the Contractors' State License Law for the following reason: '•y m,• signature belcN 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 legal ell a structure that I `lave 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 'mf3ssions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. tonnture of Property Owner or Authorized Agent to .ICF.NSED COKTflACTOR'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 Prof sions hod , an my license is in force nd effect. Y loans Class License No Date / ` 1 - 2 8� 2 2 Contractor Signature COMPENSATION DECLARATION IA'ININO: FAILURE TO SEI:URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), 19 ADDITION TO THE :OST OF COMPENEAmON, 3AMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ;Iurauy affirm under p3nalty of perjury one of the following declarations: have and wk 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 )rmance of the work for which this permit is issued. Policy No. have 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' compensa rance carrier and policy number are: , 1 4 Tier IN V1 blicy Number me of Agent .0 to certify that, in the performanc of the for hich this pe Blis issued, I t, if I should become subject the r rs' mpensation provisions of S nature of Applicant CLARATION REGARDING ON UCTI LENDING AGENCY Ireby affirm under penalty o ury hat ere is a construction lending a Ider's Name my signature below, I certify to each of the following: I am the property owner or authorized to act on the I have read this application and the information I he I agree to comply With all applicable city and county I authorize representatives of this city or county t e Date I not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agref 3700 of the Labor Code, I shall forthwith comply with those provisions. Date Z!5�, /— 28-2Z for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Address is behalf. correct. to laws rel 'ng to building construction. Identified pro rty for inspection purposes. Owner's or Authorized Name ,<D.ft y CPru-c LA ! c5 6<ate il`.. ACTION DATE BY DECLARATION OF COMPLIANCE KITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE40 AND AQMD RULE 1403. PERMITEXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD' PERMITCANCELLED PERMITEXTENDED ❑ ASBESTOS NOTIFICATIONIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL ' V5 CERTIFICATEOF OCCUPANCYISSUED SIGNATURE: