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-
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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: