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Home My WebLink AboutE2018-0103 - Permits (3)4 ��wrYk City of Newport Beach - Building Division a- O, 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 U m Job Address: 428 ONDA Bldg: 1 Floor: Suite: Description of Work: ELEC/DISCONNECT, FOR A/C 46.6dB (LENNOX;XC16-048-250) Inspector Area Legal Description: N TR 7082 LOT 62 II IIE II�II0 I�I I 0 � 0 III II Owner: HAD JOHN C Contractor: HOME COMFORT USA Address: 428 ONDA Address: 3162 E LA PALMA AVE NEWPORT BEACH, CA 92660 ANAHEIM CA 92806 Phone: Phone: 714-632-8789 Con State Lie: 974908 Issued Date:02/14/2018 Lie Expire: 07/31/2018 Bus Lie: BT30056727 Processed By: 1V ` Lie Exp Date: 10/31/2018 Electrical Permit : E2018-0103 Project No: Inspection Requests Phone (949)644-3255 Code Edit: 2016 y ' Worker's Compensation Insurance Carrier: TRAVELERS PROPERTY Policy No: ZAWC125245 ` Expire : 11/01/2018 FEES New Construction Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) Residential MultiEamily_. _ 0 $0-00 _ Receptacles/Outlets: Fixtures: 0 $0.00 0--y0.00 0 to 1 HP/KW/KVA: 1-to-`t0-HPtKW/KVA: 0 $0.00 Temp Underground: 0 $0.00 1-2 Family: 0 $0.00 Sep Circuits: 0 $0.00 10 to 50 HP/KW/KVA: 0 0 4,0:0 $0.00 6ub Hanel: 1 0 $25.00 $0.00 Low Voltage 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 0 $0.00 Service 0-600V up to 20OA: 0 $0.00 Signs Branch Circuit: 0 $0.00 Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: $0.00 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Piggy Back/Temp Power: 0 $0.00 Plan Check Fee: Investigation Fee: $0.00 $0.00 Over 600V or 1000A: 0 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $33.00 O/H to U/G 0 $0.00 Additional Fee : $0.00 Supplemental Fee: $0.00 TOTAL Fee: $58.00 Plan Check Fee • $0.00 Fee Due at Permit Issuance : $58.00 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. )WNER-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). El 1, as owner of the property, or my employees with wages as their sole compensation, will do U 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). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below : 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 rij,esJons 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 Propa.ty Cwner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under_penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wl Section 700 ) of Division 3 of the Business and ofessions.Gode, and my license is in full force and effect. pa� Contractor Signature Licen.:L Class _._ _,- License No TTTTTT WORKERS' COMPENSATION DECLARATION %A,ti. AU: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP DRED THOUSAND DOLLARS ($100,000J, IN ADDITION TO THE Cr)CT OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. - I hereby affirm wirer p,�ialty of perjury one of the following declarations: I I.aaa 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 rm3nce of the -.vork 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' compensatiol i ura a carrier and policy number are: r rr,or r Expiration Date ne of Agent ' Certify that, i 0 ance of the r which this permit is issued, I shall not employ any person in any manner so as to become subject to t workers' compen)ation laws of Califomia, and agre if I shout becAsJect to orkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provis' srD /� Da / nature of Applic cLARATION RCONSTRUCTION LENDING AGENCYIreby affirm uf perjury that there is a construction lending agency for the performance of the work for which this permit is iss d (Section 3097, Civil Code). Ider'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 prope ner's behalf. 1 have read this application and the information I rowded is rfe&: I agree to comply with all applicable city a ces and state laws relat' I ing construction. I authorize representatives of this ci enter the above-iden operty for inspection purposes. G te� nafOm of Pronertv Owner or Authorized Agen Print Property Owner's or Authorized Agent's Name AC77ON PERMIT PERMIT BY IlJC6LRi(H UVlr air wmrunn..�.. .. FEDERAL REGULATIONS PART 67OF ❑ 1 SUBM7TTEDASBESTOS N071FICATIO14 TO: ❑ EPA ❑ AQMD ❑ ASBESTOS H077HCATIONIS NOT APPLICABLE TO PROPOSED DEMOLITION. OCCUPANCYISSUED SIGNATURE: