HomeMy WebLinkAboutE2019-0548 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIII II
100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 1 9 0 5 4 8
,.. Permit Counter Phone (949)644-3288
t'�+41Pil1lBF>.
Job Address: 10 SCENIC BLUFF Bldg: 1 Floor: Suite:
Description of Work: ELEC/A/C UNIT 36.6dB (AMERICAN STD; 4A7V8024A1000B)
Inspector Area: 6
Legal Description:
Owner: HARBOR FIELD HOLDINGS LLC
Contractor:
Compensation Insurance
Address: 8 CORPORATE PARK #110
Address:
IRVINE CA 92606
Phone:
Phone:
Con State Lie:
Issued Date:0810712019
Lie Expire:
Bus Lie:
Processed By:
Lic Exp Date:
JUST RIGHT SERVICES PLUMBING HEAT & A/C
11 WRANGLER CT
TRABUCO CANYON CA 92679
949-228-2108
970383
0413012020
BT30066798
04/30/2020
Electrical Permit: E2O19-0548
Project No:
Inspection Requests Phone (949)644-3255
Code Edit: 2016I SP ECU R
Carrier: MID CENTURY
Policy No: A09495240
Expire : 05/01/2020
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:
Multi -Family:
0
$0.00
Fixtures:
0
$0.00
1 to 10 HP/KW/KVA:
0
$0.00
Sub Panel:
1-2 Family:
0
$0.00
Sep Circuits:
0
$0.00
10 to 50 HP/KW/KVA:
0
$0.00
Low Voltage
0
$0.00
50 to 100 HP/KW/KVA:
0
$0.00
Service
Signs
Over 100 HP/KW/KVA:
0
$0.00
Record Mgmt Fee:
0-600V up to 200A:
0-600V over 200A:
0
0
$0.00
$0.00
Branch Circuit:
Each Add Circuit:
0
0
$0.00
$0.00
Piggy Back/Temp Power:
0
$0.00
Plan Check Fee:
Investigation Fee:
Over 600V or 1000A:
0
$0.00
Time Clocks:
0
$0.00
Temp Power Pole:
0
$0.00
Issuance Fee:
0/H to U/G
0
$0.00
Additional Fee :
$0.00
Supplemental Fee:
TOTAL
Fee:
$61.00
Plan Check
Fee : $0.00
Fee Due at Permit Issuanc
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
Construction Hours: Monday - Fr°day 7:00 a.r-_ to,-6:30 p.q. %na'Saturday from 8:00 a.m. to 6:00 P.M.
Worker's
.00
ILDER 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 7031.6, 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 7031.5by 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 L) 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).
❑ 1, 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
ra—poly 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).
LJ I am exempt from Iicensure 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
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wit Sectio 7000) of Division 3 of the Business and rofessions Code, and my license is in full force
and effect.
License Class License No / Date 1 Contractor Signature yt
WORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO E HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S 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, for thi
performance 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'
rance cari�r�ld policy nuro4r are:
Number Expiration Date
of
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 subject to the workers' compensation laws of California, and agre
if I should becomes bject to th F♦�urs'-compensation pfarris�f Section 3700 of ber-6ede-FstratHrorthwith comply with those pro 'sion S
lature of Applicant` Date
rreby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
lder's Name Lender's Address
my signature below, 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 t_opnte e-IdenbfiQCl Dip )e for ins rpese�- '�f�
nature of Pro Jmerty Owner or Authorized Agent 7 � P rty Owner's or Authorized Agent's Nam `� 7L�
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF
FEDERAL REGULATIONS PART 61 OF TITLE40AND
.r QMO RULE 1403.
U I St BMITTEDAS•3E.STOS ,JOIIFC.TION TO:
❑ EPA
❑ AOMD
❑ ASBESTOS NOBFICATIONIS NOTAPPLICABLE TO
PRnPO V0 DEMOLITION.
SIG TURF'
FOR OFFICE USE ONLY
PERMITEXPiRED
PERMRTCANCELLED
PERP41TEXTEPODED
PERMTFINAL
lam' 7n1
CERTIRCATEOF
OCCUPANCYISSUED