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Home My WebLink AboutE2020-0252 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 24 VIA CORALLE Bldg: 1 Floor: Suite: Description of Work: ELEC-DISCONNECT FOR A/C CONDENSOR Inspector Area: 6 Legal Description: N TR 15079 LOT 34 Owner: GIVOLY DAN Contractor: Address: 24 VIA CORALLE Address: NEWPORT BEACH, CA 92657 Phone: Phone: Con State Lic: Issued Date:05/26/2020 Lic Expire: Bus Lic: Processed By: Lic Exp Date: r Il iii iiiii iiiii iiiii iiii iiiii iiiii 52 II OCEAN A/C & HEATING CO 28052 CAMINO CAPISTRANO 4101 LAGUNA NIGUEL CA 92677 949-582-0700 278618 02/28/2022 BT00003631 03/31 /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 t000A: 0 $0.00 Time Clocks: 0 $0.00 O/H to U/G 0 $0.00 Additional Fee : $0.00 TOT Electrical Permit: E2020-0252 Project No Inspection Requests Phone (949)644-3255 Is lt4O uljtv.. 11 ^ Code Edit: 20&A Worker's Compensation Insurance Carrier : EVEREST NATIONAL INS Policy No: ON0956201 Expire:03/01/2021 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 Plan Check Piggy Back/Temp Power: 0 $0.00 Temp Power Pole: 0 $0.00 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: $62.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Fridav 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m, to 6:00 p.m. 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 the 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 Professions 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 not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business 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 improvements 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 'mproved 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 apply 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: By 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 sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sec' 7000 f Division 3 of the Business and Profes ides Code, a ny license is in full force and effect. -icense Class License No Date ��Contractor Sign NORKERS' COMPENSATION DECLARATION VARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES ANO CINL FINES UP TO ONE NDR5 I USAND DOLLARS 19100,000), IN ADDITION TO THE :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3T06 OF THE LABOR CODE, INTEREST, AND ATTORNEYS 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 Industrial Relations as provided for by Section 3700 of the Labor Code, forth( IFmance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: of Agent certify that, in the performance , if I should become subject to 1 Iatureof Applicant /JC i i Policy Number Date work for w permit is issued, I shall not employ any person in any manner so as to become subject to the workers' comp nsation laws of California, and agre 1rs' corapeffsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Dpro�visi ns. TIO ENCY V )reby affirm under pen'alt f perju h ere I onstruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ider's Name Lender's Address my signature bet , I certify 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 county ordinances and state laws relating to building construction. I authorize representatives of this city or county to ant above -identified property for inspection purposes. nature of Property Owner or Authorized Aqent e::�, 1b s2.45;; It Prooertv Owner'c nr Authnri,ed Ane.Fc Nema AC77ON DATE BY DECLARATION OF COMPLIANCE IMTNCODE OF FEDERAL REGUTATION3 PART 61-OF ; ITLE4CA3 AQMD RULE 1403, ❑ I SUBMITTE9AS8°STOS h'ONFItiATION T0: ❑ EPA ❑ AQMD ❑ ASBESTOS NO17FICARON IS NOT APPLICABLE TO PROPOSED DEMOIJ 00N. SIGNATURE: FFI ONLY PERMIT EXPI RED PERMITCANCELLED PERMITEXTENDED PERMIT F7NAt 7—i2 20 P Fo*- usti CERTIFICATE OF OCCUPANCYISSUED