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Home My WebLink AboutE2020-0192 - Permits (3)t,rliFrly,�;.. City of Newport Beach - Building Division 1111111111111111111111111111111111111111111111111111111 Jill 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 2 0 0 1 9 2 Permit Counter Phone (949)644-3288 sr yam, f��iPp1S u4 Jon Address: 1091 CAMPANILE Bldg: 1 Floor: Suite: Description of Work: ELEC -DISCONNECTS for 27 A/C INSTALLATIONS (#1091-1117) Inspector Area: 4 Legal Description: N TR 15584 LOT 7 Owner: NEWPORT BLUFFS LLC Contractor: AMTECH HEATING & AIR INC Address: 550 NEWPORT CENTER DR Address: 20 TRUMAN SUITE 210 NEWPORT BEACH, CA 92660 IRVINE CA 92620 Phone: Phone: 800-882-3019 Con State Lie: 1003704 Issued Date: Lie Expire: 0413012021 Bus Lie: BT30060143 Processed By: Lie Exp Date: 08131/2020 New Construction Receptacle/SwitchlOutlets Residential Receptacles/Outlets: 0 $0.00 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1-2 Family: 0 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Service Signs 0-600V up to 20OA: 0 $0.00 Branch Circuit: 0 $0.00 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Over 600V or 1000A: 0 $0.00 Time Clocks: 0 $0.00 O/H to U/G 0 MOO Additional Fee : $0.00 Fee : Electrical Permit : E2020-0192 Project No : Inspection Requests Phone (949)644-3255 Code Edit: 2019 Worker's Compensation Insurance Carder: FALLS LAKE FIRE & CASUALTY CO Policy No: FLA01312600 Expire: 12/20/2020 FEES MotorslTransformers (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 HP/KW/(VA: 0 $0.00 Piggy Backrremp Power: 0 $0.00 Temp Power Pole: 0 $0.00 $1 6In—P3sE� I UK Temp Underground: 0 $0.00 Sub Panel: 27$1,639.00 0 $0.00 0 $0.00 Record Mgmt Fee: $0.00 Plan Check Fee: $0.00 Investigation Fee: $0.00 Issuance Fee: $35.00 Supplemental Fee: $0.00 Fee Due at Permit Issuance : 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. 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, pdor to its Issuance, also requires the applicant for is 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 'rafessions 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 permitsubjects the applicant to a civil penalty of at more than five hundred dollars ($500). 11, 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, lusiness 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 nprovements 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 nproved 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 pply to an owner of property who builds or improves thereon, and who contracts forthe 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: ty 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 all a structure that 1 have built as an owner -builder if it has not been constructed in Its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and lu fessions Code, is available upon request when this application is submitted or at the following Web sitchttp://Www.leginfo.ca.govlcalaw.html. signature of Property Owner or Authorized Agent Date JCENSED CONTRACTOR'S DECLARATION hereby affirm underpenalty of perjury that I am licensed under provisions or Chapter 9 (commencing with Section 7000) of Division 3 of the Business and ProfessioIt my license in full force Intl effect. e+—x- <i license Class License No Date 2 `/A 20 Contractor Signaturgq VORKERS' COMPENSATION DECLARATION M"INO: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100,000), IN ADDITION TO THE .Oar OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37060F THE UPON CODE, INTEREST, AND AT ORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: �7 I ve 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 the ance 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' compensation 1s noe canter and policy number are: Policy Number Date me of Agent Phone 9 I 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 became subject to the workers' compensation laws of Calffomia, and agree t, If I should became subject to the or ' co pensatfon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those previsions. r7 nature of Applic Date CLARATION Rimby affirm under penalty of perjury that there is a 9dXgtrucfion lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners 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 to enterth a 'fied Signature of Property Owner or Authorized Agent rope or Inspection purposes. Print Property Owner's or Authorized A enfs Nam ry /f /� "C> — J9 2/ ( fZ"C'Date ACTION DATE BY DECLARATIOJVOFCOMPLIAtJCEMTHCODEOF REGULATTONSPART61 OFTIXE40AN FEDERALD] FOROFFlCE USfONtY AQMD RULE 1403. ❑ ISUBMITTEDASBESTOSNOITFICAnONTD: PERMITEVIRED PERM?CANCELLED Q EPA Q AOMD P❑ROPOS DDEMOLIDOTOS N nONISNOTAPPLICAI3LET0 r PERP41TEXTENDED PERMfTHNAL /ZS/ZO i CEER71FICATEOF OCCUPANCYISSU D SIGNATURE,