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Home My WebLink AboutE2020-0523 - PermitsUG. pop ¢11g4City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 1113 GRANVILLE DR Bldg: 1 Floor: Suite: Description of Work: ELEC A/C DISCONNECT Inspector Area: II III II III IIII III III IIV III III 2III3 IIII II�` INSPECTOR Legal Description: TRACT 14839 LOT 1 OF PROJECT 939-63 LOCATED ON AP 442-421A3 Owner: SPEARS PAMELA Contractor: Address: 1113 GRANVILLE Address: NEWPORT BEACH, CA 92660 Phone: 630-399-2711 Phone: Con State Lie: Issued Date:10122/2020 Lic Expire: i Bus Lic: Processed By: Lic Exp Date: AIRWEST A/C & HEATING INC 1886 SO SANTA CRUZ ST ANAHEIM CA 92805 714-978-7877 733715 0313112021 BT30072921 09/30/2021 New Construction Receptacle/Switch/Outlets 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 20DA: 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 $0.00 Additional Fee : $0.00 Fee: Electrical Permit: E2020-0523 Project No : Inspection Requests Phone (949)644-3255 "DEPTH REQUIRED FOR Code Edit: 2019 A/C DISCONNECTS Worker's Compensation Insurance Carrier: OAK RIVER Policy No: AIWC034008 Expire : 11/1412020 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 Piggy BackfTemp Power: 0 $0.00 Temp Power Pole: 0 $0.00 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 he 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 'rofessions 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 iot more than five hundred dollars ($500). :3 1, 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, Business and Professlons,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 ' 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 .mprovements are not offered ftir sale. If, however, the mproved for the purpose of sale). ❑ 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale 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). ❑ I am Bxempt from licensure under that Contractors' State License Law for the following reason: By my signatvrzflelow (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 legal) sell a structure 'hat I :lave 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 Gode, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Date Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing it Section 7000) of Division 3 of the Busines an Pr fes ion Code, and my license is in full force aid effect Date 6 �22— Contractor Signature License Class _ License No WORKERS' COMPENSATION DECLARATION WARNING: FAILUPE TO SE^URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 15100,000I, IN ADDITION TO THE COST OF COMPENE %-ION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. oemoy affirm under penalty of perjury one of the following declarations: I have and will melntain 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 IN -ormance of Gee: wolK 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' compensatior 9 ance carrier and policy number are: r, aI Policy Number Expiration Date lame of Agent ]I certify that, in the performan e o h ork 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 ogre iat, if I should becoYJ ject t the er ' ions of Section 3700 of the Labor Code, I shall forthwith comply with those provi¢y�ns. signature of ApplicanDat ,^IECLARATION REG 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). ander's Name Lender's Address ly my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and co my ordinances and state laws relating to building construction. I authorize representatives of this city or coin t to enter t�he�al},ove-identified property for inspection purposes. >ionature of Property Owner or Authorized Agent �P*111; % ��- Print Property Owner's or Authorized Agent's Name Date v ACTION I DATE - I BY PERMIT EXPIRED PERMITCANCELER PERMIT EXTENDED PART 61 ❑ I SUBMITTEDASBESTOS NONFICATION TO: ❑ EPA ❑ AQMD ❑ ASBESTOS N017RCATIONIS NOT APPLICABLE TO PROPOSED DEMOLITION. CERTIFICATE OF OCCUPANCYISSUEO SIGNATURE: