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Home My WebLink AboutE2020-0638 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 c'+UrnY�"a Job Address: 1818 PORT WESTBOURNE PL Bldg: 1 Floor: Suite: Description of Work: ELEC A/C DISCONNECT Inspector Area: 4 Legal Description: N TR 6622 LOT 41 Owner: SEAN HANNA Contractor: Address: 1818 PORT WESTBOURNE PL Address: NEWPORT BEACH, CA 92660 Phone: Phone: Con State Lic: Issued Date:11105/2020 Lic Expire: Bus Lic: Processed By: Lic Exp Date: Electrical Permit: E2020-0638 Project No : Inspection Requests Phone (949)644-3255 30" WIDE X 36" REQUIRED FOR A/C DISCONNECTS Code Edit: 2019 SOUTHWEST HVAC INC Worker's Compensation Insurance 11255 WOODRUFF AVENUE #4 Carrier: OAK RIVER INS CO. DOWNEY CA 90241 Policy No: SO 138786 562-425-4822 � �� Ld� 01 1 932164 °y" 05/31/2021 BT30068540 08/31/2021 FEES 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: 0 $0.00 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: 1 $28.00 1-2 Family: 0 $0.00 Sep Circuits: 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 0 $0.00 Low Voltage 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 0 $0.00 Service Signs Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: $0.00 0-600V up to 20OA: 0 $0.00 Branch Circuit: 0 $0.00 Plan Check Fee: $0.00 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Piggy Backfiemp Power: 0 $0.00 Investigation Fee: $0.00 Over 600V or 1000A: 0 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $37.00 O/H to U/G 0 $0.00 Additional Fee : $0.00 Supplemental Fee: $0.00 TOTAL Fee : $65.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $65.00 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 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 J 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'sbld 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 pr'ojedt (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 arlicensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By -ry tirnature below L3cknowledge 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 legal) sell a structure that I nave 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 PrOess.Ons Code, is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/caiaw.htmi. Sgnatre 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 Section 7000) of Division 3 of the Business n Professions C a my license is in full force and affect ./ License Class �� License No / �J �/ Dat Contractor Signature WORKERS' COMPENSATION DECLARATION I WhRN,NG: FAILURE TU SFCJHE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SU&IECT AN EMPL ER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE COST OF COMPENSHT'CN, Or MAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under nenalty of perjury one of the following declarations: I have and wil' ,na.ntain 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 Kpe ormance of the work for which this permit is issued. Policy No. I 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' compensatio s nce carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # I certify that, in the erf mance of the work for which ' per It 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 that, if I should becom s bject to the workers' comp !on vi ' f Section 3700 of the Labor Code, I shall forthwith comply with those provisi n . Signature of Applicant Date DECLARATION REGA DIN NSTRUCTION N13G A CY I hereby affirm under natty of perjury that there is a n ction lending agency for the performance of the work for which this permit is issued (S i 3097, Civil Code). Lender's Name Lenders Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's alf. I have read this application and the information I have provided is cor, et. I agree to comply with all applicable city and co my rdinances an fate aws relating to building construction. I authorize representatives of this city or county nter the ab I ' en led property for inspection purposes. yz:n Signature of Propert Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name \ Dat -- ACTION DATE / DECLARATION OF COMPLIANCE 4NTH CODE OF FOR OFFlCE USE ONLY -_/ FEDERAL REGULATfONSPART 61 OF RRE40AND AOMD RULE 1403. PERMIT EXPIRED ❑ I SUBMITiEDASBE5T05 NOTlFICATlON TO: ❑ EPA ❑ AOIbID PERMIT CANCELLED PERMIT EX7ENOE0 ❑ ASBESTOS NOilFlCA7lONlS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL CERTIFICATEOF OCCUPANCYlSSUED SIGNATURE: