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Home My WebLink AboutE2020-0651 - Permits*akw,.,,ir City of Newport Beach - Building Division 11111111111111p11111111pll11111111111111111111111 Electrical Permit: E2020-0651 Gffi 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 2 0 0 6 5 1 Project No Permit Counter Phone (949)644-3288 �+t„ �a+`�a Inspection Requests Phone (949)644-3255 Job Address: 1934 PORT BISHOP PL Bldg: 1 Floor: Suite: 11NISPECTOR Description of Work: ELEC A/C DISCONNECT Inspector Area: 4 Code Edit: 2019 Legal Description: N TR 7030 LOT 58 Owner: MAYES ALAN K Contractor: AIR -TECH AIR CONDITIONING & HEATING INC Workers Compensation Insurance Address: 1934 PORT BISHOP PL Address: 204 S ROSEMEAD BLVD Carrier: OAK RIVER NEWPORT BEACH, CA 92660 - PASADENA CA 911047 Policy No: AIWC133137 Phone: Phone: 626-795-8880 Expire : 01/01/2021 Con State Lie: 541161 Issued Date:11/10/2020 Lie Expire: 0913012022 Bus Lie: BT30073467 Processed By: Lie Exp Date: 11/30/2021 New Construction Residential Multi -Family: 1-2 Family: Receptacle/Switch/Outlets Receptacles/Outlets: 0 $0.00 $0.00 Fixtures: 0 $0.00 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Service Signs 0-600V up to 20OA: 0 $0.00 Branch Circuit: 0-600V over 20OA: 0 $0.00 Each Add Circuit: Over 600V or 1000A: 0 $0.00 Time Clocks: O/H to U/G 0 $0.00 Additional Fee: TOTAL Fee: FEES Motors/Transformers (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/KVA: 0 $0.00 $0.00 $0.00 Piggy Back/Temp Power: 0 $0.00 $0.00 Temp Power Pole: 0 $0.00 $0.00 Plan Check Fee : Temp Underground: 0 $0.00 Sub Panel: 1 $28.00 0 $0.00 0 $0.00 Record Mgmt Fee: $0.00 Plan Check Fee: $0.00 Investigation Fee: $0.00 Issuance Fee: $37.00 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. 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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) 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 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). ❑ lam 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 Prcpsrty Cwner or Authorized Agent Date I.ICENSED CONTRACTOR'S DECLARATION I hereby affirm I'rd=• �rnalty of perjury that I am licensed under provisions of Chapter 9 (commencing w 'th ection 7000) of Division 3 of the Business an Pr fessi ode, and my license is in full force and effect. License Class t% License No ,j t.� (� { Date Contractor Signature WORKERS' COMPENSATION DECLARATION V.ARAIN& 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 LOST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I nee eoy 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 the Qrfnrmznce of thi wc'k 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 .S11T-qnci carrier I.d policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # certify that, in the=pedu wo which this permit is issued, I shall not employ any person in any manner so as to become subject tD a workers' compensation laws of California, and ogre that, if I should becomompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provi ' ns. 77--11 Signature of Applicant Date! 1 f) W DECLARATION REGION LENDING AGENCY I hereby affirm under at there is a construction lending agency for the performance of the work for which this permit is issued (Sect n 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 o ne 's behalf. I have read this application and the information I have provid i correct. I agree to comply with all applicable city and o ny ordina and state laws relating to building construction. I authorize representatives of this city or cou o enter th ove-identified property for inspection purposes. Si nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name t V' I V `w M Datp G!l ACTION DATE BY DECLARATION OF COMPLIANCE 147TN CODE OF FOR OFFICE US€ONLY FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1483. PERMIT EXPIRED ❑ 1 SUBMlTTEDASBESTOS NOTIFFCATION 70: ❑ EPA ❑ AQMD PERMIT CANCELLED PERMIT EXTENDED A❑RpPOSEDTDE OUT OCfATION IS NOT APPLICABLE TO PERMIT FINAL Qy y / Z.j 3 Ix �1 I CERTI F(CATE OF SIGNATURE: OCCUPANCYfSSUED