HomeMy WebLinkAboutE2020-0642 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
t' Permit Counter Phone (949)644-3288
Job Address: 277 MORNING CANYON RD Bldg: 1 Floor.
Description of Work: ELEC A/C DISCONNECT
Inspector Area: 5
Legal Description: N TR 1116 LOT 2
Owner: SNYDER STEVEN V
Contractor:
Address: 277 MORNING CANYON RD
Address:
CORONA DEL MAR, CA 92625,
Phone:
Phone:
Con State Lic:
Issued Date:11/05/2020
Lic Expire:
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Bus Lic:
Processed By: 5P`v
Lic Exp Date:
New Construction
Residential
Multi -Family:
0
$0.00
1-2 Family:
0
$0.00
Service
0-600V up to 20OA:
0
$0.00
0-600V over 20OA:
0
$0.00
Over 600V or 1000A:
0
$0.00
O/H to U/G
0
$0.00
TOTAL Fee: $65.00
Suite:
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WHITE MECHANICAL INC
27221 BURBANK
FOOTHILL RANCH CA 92610
949-716-8379
822474
08/31/2021
BT30055645
06/30/2021
Receptacle/Switch/Outlets
Receptacles/Outlets: 0 $0.00
Fixtures:
0
$0.00
Sep Circuits:
0
$0.00
Low Voltage
0
$0.00
Signs
Branch Circuit:
0
$0.00
Each Add Circuit:
0
$0.00
Time Clocks:
0
$0.00
Additional Fee:
$0.00
Electrical Permit: E2020-0642
Project No:
Inspection Requests Phone (949)644-3255
Code Edit: 2019
Worker's Compensation Insurance
Carrier: TRAVELERS CASUALTY
Policy No: ZUP-51M07775-20-NF
Expire: 10/01/2021
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 HPfKW/KVA:
0
$0.00
Piggy Back/Temp Power: 0 $0.00
Temp Power Pole: 0 $0.00
Plan Check Fee: $0.00
Temp Underground:
Sub Panel:
Record Mgmt Fee:
Plan Check Fee:
Investigation Fee:
Issuance Fee:
Supplemental Fee:
Fee Due at Permit Issuance
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
Construction Flours: Monday- Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00-a.m. to 6:00 p.m.
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$65.00
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$0.00
$28.00
$0.00
$0.00
$0.00
$0.00
$0.00
$37.00
$0.00
FNER-BUILDER DECLARATION
1 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 Rem(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).
L_I 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,
Business and Professions CodeI 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
improved 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 legall,
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,c-is available "upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html_
Signature o#4F�ape�rty Owner or Authorized Agent
Date
LICENSED CONcTRACTOIRS DECLARATION
1 r2 eby afFF-mcEr perialiy of perjury that I am licensed under provisions of Chapter 9 (commencing wit Se ti 1 000) of Division 3 of the Business an fessions Cod nd my license is in full force
and effect.
Liceese Class License No Date \ \ Contractor Signature �. .
IN6RKERs!r66k?ENS'ATION DECLARATION
VARN')IG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUS AN� RSJU$ ), IN ADDITION TO THE
cC3 'OF COMPrr•`.--ATrJN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
: cFaby aiirm under penalty of perjury one of the following declarations:
`Chave 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 th
€4—dir,,gance of iherwprk for which 'this permit is issued. PolicyNo.
have artd will maintain wokers' 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' compensation
ns ri a rri?r and`polrcy number are: F V, C'a -) s L
arrier ,"! Policy Number �1 `� Expiration Date
ie of Agent
certify that, in the pi
, if I should become
ignature of Applicant
iECLARATION REGAIC
hereby affirm under p v-
ender's Name
y my signature below, I c
I am the property own
I have read this applic
I agree to comply with
I authorize representa
ianature of ProDertv Owr
Trance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject t the workers' compensation laws of California, and agre
tom rs',�ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pKSe,
isns. r�
D�� F
G CONS RUCT60N LE�i (DING AGENCY
y perjury that there is a construction lending agency for the performance of the work for which this permit is issuedon 3097, Civil Code).
�1 i Lender's Address
to'each of the following: -
authorized to act on the property owner's behalf.
and the information I haveJprovided is correct.
ip►icable city and c unty ordinances and state laws relating to building construction. ti
)f this city or county�o e he bEE -4 rJtifi roperty for inspection purposes. %`� s
Authorized Agent ,�i Print Property Owner's or Authorized Agent's Name X �3 .i3��` , , C` Date
AMON
DATE
BY
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