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Home My WebLink AboutE2017-0025 - PermitsCity of Newport Beach - Building Division *E2017-0025* 100 Civic Center Drive, Newport Beach, CA 92660 '`,�✓ Permit Counter Phone (949)644-3288 1� b �'dilp4MNY Job Address: 2901 CAROB ST Bldg: 1 Floor: Suite: Description of Work: ELEC FOR (3) NEW CONDENSERS @ SIDE YARD (H2O17-0028) Inspector Area: 8 Legal Description: N TR 5018 LOT 102 Owner: RADOVANOVIC ALEX Contractor: W A M CONSTRUCTION Address: 2901 CAROB ST Address: 11246 MOUNTAIN AVE NEWPORT BEACH, CA 92660 RIVERSIDE CA 92505 Phone: Phone: 949-290-1842 Con State Lic: 781538 Issued Date:01/17/2017 Lic Expire: 07/31/2018 Bus Lic: BT30024689 Processed By:- Lic Exp Date: 08/31/2017 Electrical Permit: E2017-0025 Project No : 2765-2014 Inspection Requests Phone (949)644-3255 s Code Edit: 2016 d3 } %. �1 Cf Worker's Compensation Insurance' Carrier: STATE COMP Policy No: 9134943 Expire : 0611112017 FEES New Construction Receptacle/Switch/Outlets 3 $3.00 Motors/Transformers (HP/KVA) 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: 0 $0.00 Residential 0 $0.00 Receptacles/Outlets: Fixtures: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: 0 $0.00 Multi -Family: y: 1-2 Family: 0 $0.00 Sep Circuits: 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 0 0 $0.00 $0.00 Low Voltage 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 $0.00 Signs Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: Service 0-600V up to 20OA: 0 $0.00 Branch Circuit: 0 0 $0.00 $0.00 Piggy Backriemp Power: 0 $0.00 Plan Check Fee: Investigation Fee: $0.00 $0.00 0-600V over 20OA: 0 0 $0.00 $0.00 Each Add Circuit: Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $0.00 Over 600V or 1000A: O/H to U/G 0 $0.00 Additional Fee : $0.00 Supplemental Fee: $10.00 TOTAL Fee: $13.00 Plan Check Fee : $0.00 Fee Due at Permit issuance: $13.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION ELECTRICAL METALLIC TUBING (EMT) IS NOT ALLOWED FOR EXTERIOR APPLICATIONS 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 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 fcr 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). Q I,. as'owner of the property, or my employees with wages as their sole compensation, will do L) 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 -Builder will have the burden of proving that it was not built or improved for the purpose of sale). ❑ I, as owner cf 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 roperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). n : 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: salt a s�ructure 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 Prcfessions Code, is available upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.html. of Prapnr!y 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 Se tion 7000) of Division 3 of the Business and Pr fessiofsode,and y license is in full force and effect. "` )k 1� License Class License No Date ( Contractor Signature NORKERS' COMPENSATION DECLARATION VARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I 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 1 ormance of the work for which this permit is issued. Policy No. ve 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' compensatior n ante carrier and policy number are: "ler Policy Number Expiration Date ie of Agent n Phnnn If JI certify that, in the performan a of the w k 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 tat, if should become su lect t work s' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisio`n�s. y y ignature of Applicant Date k C�� l IECLARATION REGARDING CONSTRUCTION LENDING AGENCY hereby 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). Ender's Name Lender's Address y my signature below, I certify to each of the following: I am the property owner or authorized to act on the prop y owners behalf. I have read this application and the information I have pr ded is o rect. I agree to comply with all applicable city and coun ordi a ces an tate laws relating to building construction. I authorize representatives of this city or county to t r ve-I entified property for inspection purposes. (I �,/, ` �e' �r�I ignature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name 1 v0d DatdAUAM r �u�i ACTION DATE By DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403, ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD ❑ ASBESTOS NO7IRCATIONISNOTAPPL/CABLE TO PROPOSED DEMOLITION. SIGNATURE: FOR OFFICE USE ONLY PERMJTE$PIRED,- :-. ' ' ° _ - PERMITCANCELLED PERM1TFf AL - r CERRFICAIFOF'+ a <'-,.a OCCUPANCYISSUED