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Home My WebLink AboutE2017-0642 - Permits�,%,ok City of Newport Beach - Building Division *E2017-0642' 100 Civic Center Drive, Newport Beach, CA 92660 tw : d iry Permit Gunter Phone (949)644-3288 Job Address: 3 SECRET COVE Bldg: 1 Floor: Suite: Description of Work: ELEC REPLACE DISCONNECT FOR NEW A/C UNIT (H2O17-0729) Inspector Area: 6 Legal Description: N TR 15850 LOT 2 Owner: JIANQIANG WANG Contractor: Address: 1700 S 6TH AVE Address: ARCADIA CA 91106 Phone: Phone: Con State Lic: Issued Date:12/12/2017 Lic Expire: Bus Lic: Processed By:\ -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: Electrical Permit: E2017-0642 Project No : Inspection Requests Phone (949)644-3255 Code Edit: 2016 OCEAN A/C & HEATING CO Worker's Compensation Insurance 28052 CAMINO CAPISTRANO #101 Carrier : REPUBLIC UNDERWRITERS LAGUNA NIGUEL CA 92677 Policy No: ATWO0936200 949-582-0700 30" WIDE X 36" DEmEvuire : 0310112018 278618 02/28/2018 REQUIRED FOR ST00003631 03/31/2018 A/C DISCONNECTS Re c epta c I e/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 Plan C FEES Motors/Transformers (HPIKVA) 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 Piggy Back/Temp Power: 0 $0.00 Temp Power Pole: 0 $0.00 Temp Underground: 0 Sub Panel: 1 0 0 Record Mgmt Fee: Plan Check Fee: Investigation Fee: Issuance Fee: Supplemental Fee: ie at Permit Issuance : $58 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. OWNER -BUILDER 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 In 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 ofthe 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 U all of or U 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-Builderwill have the burden of proving that it was not built or improved for the purpose of sale). 111, 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). ❑ 1 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, 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 I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 e Business and o ssions C y license is in full force and effect. - - - License Class License No to l l L l Contr at Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIV L ES O ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I 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, for th performance 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: Policy Number Te of Agent Phor certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become if I should becom subject to the rkernsation provisions of Section 3700 of the Labor Cade, I shall forthwith comply with the iature of APNP nt _� ireby affirm undeXegaffy of perjury that there is a construction lending agency for the performance of the work for which this permit is ider's Name Lenders Address my signature b low, 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 prov Is corr I agree to comply with all applicable city and county or ' ces _ to laws relating to building construction. I authorize representatives of this city or county to e-Idespection purposes. Owner's or Authorized Date bject to the workers' compensation I we of California, and agre provisions. Date d ction 3097, Civil Code) )i®Pp Name AC77ON DA BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONt FEDERAL REGULATIONS PART 61 OF TI TLE40AND AQMO RULE 1403. PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLEO PERMIT EXTENDED ❑ ASBESTOS NO7IRCATIONIS NOTAPPLICABLETO PROPOSED DEMOLITION PERMITFINAL CERT[FiCATEOF SIGNATURE: OCCUPANCYISSUEO