HomeMy WebLinkAboutE2020-0150 - Permits (3)�;xwrrlUQ�,-
City of Newport Beach- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Job Address: 5310 RESIDENCIA Bldg: 1 Floor: Suite:
Description of Work: ELEC -DISCONNECTS for 57 A/C INSTALLATIONS (#5310-5439)
Inspector Area:
Legal Description: N TR 15584 LOT 7
Owner:
NEWPORT BLUFFS LLC
Contractor:
Address:
550 NEWPORT CENTER DR
Address:
NEWPORT BEACH, CA 92660
Phone:
Phone:
Con State Lic:
Issued Date:
Lic Expire:
Bus Lic:
Processed By:
Lic Exp Date:
New Construction
Residential
Multi -Family:
1-2 Family:
0 $0.00
0 $0.00
Service
0-600V up to 20OA: 0
0-600V over 20OA: 0
Over600V or1000A: 0
O/H to U/G 0
$0.00
$0.00
$0.00
$0.00
E
IIIIIIIII0 II IIIIII��I 0 IIIIIIIII0 II
AMTECH HEATING & AIR INC
20 TRUMAN SUITE 210
IRVINE CA 92620
800-882-3019
1003704
04/30/2021
BT30060143
08/31/2020
Electrical Permit: E2020-0150
Project No:
Inspection Requests Phone (949)644-3255
Code Edit: 2019
Worker's Compensation Insurance
Carrier: FALLS LAKE FIRE & CASUALTY CO
Policy No: FLA01312600
Expire : 12/20/2020
FEES
Receptacle/Switch/Outlets
Motors/Transformers (HP/KVA)
---Receptacles/Outlets:
0
$0.00
-0-to 1-HP/KW/KVA:
0
$0.00
Temp Underground:
0 $0.00
Fixtures:
0
$0.00
1 to 10 HP/KW/KVA:
0
$0.00
Sub Panel:
57 $1,539.00
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
Signs
Over 100 HP/KW/KVA:
0
$0.00
Record Mgmt Fee:
$0.00
Branch Circuit:
0
$0.00
Plan Check Fee:
$0.00
Each Add Circuit:
0
$0.00
Piggy Back/Temp Power:
0
$0.00
Investigation Fee:
$0.00
Time Clocks:
0
$0.00
Temp Power Pole:
0
$0.00
Issuance Fee:
$35.00
Additional Fee:
$0.00
Supplemental Fee:
$0.00
Plan Check Fee :
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.
Issuance:
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contlactors'State License Law for the reason(s) Indicated below by the checkmark(s) I have placed next to the applicable item(s)
iection 7031.5, Business and Professions Code: Any city or countythat requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
is pennitlofile a signed statement that he orshe is licensed pursuantto the provisions ofthe Contractors' State License Law (Chapter9 (commencing with Section 7000) of Division 3 of the Business and
'rofessions Code) orthat he arshe is exempt from ficensure 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
of more than five hundred dollars (5500).
3 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
',usiness 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 Awas not built or
npmved for the purpose of sale).
1 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
Daly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the (Iontmctbrs' State License taw).
I am exempt from Iloensure under the Ccntraclors' State License Law for the following reason:
ly 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 legal])
ell a structure that 1 have built as an owner -builder it 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
trafessions Cade, is available upon request when this application is submitted or at the following Web site:hhpJ/Www.leginfo,ca.govicalaw.himl.
ngnature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing withSectfon 7000) of Division 3 of the Business and Profs ID_ n$ Codd my license is In full force
and effect.
.icense Class License No Date Z 2) u! Contractor Signatur
PORKERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SI WLL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS (51De,01M), IN ADDITION TO THE
CST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
7 I ve and will maintain a certificate of Ccnsent 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
15rF mance of the work far which this permit is issued. Policy No.
Ihave 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' compensatioi
Ls Yancecanderand policy numberare:
ier Policy Number Expiration Date
lame of Agent Phone #
Cerro 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 California, and
If I should become the e ' co previsions of Section 3700 of the Labor Cade, I shall forthwith comply with those proviisions._� /P % / n
:reby affirm under penalty of perjury that there is a 0Xstruction lending agency for the
Ider's Name (/ Lend
my signature below, I certify to each of the following:
I am the property owner or authodsed 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 relatin
I authorize representatives of this dry or county to enter tht/ovi 'dTiliiied prope
of the work for which this permit is issued (Section 3097, Civil Code).
to building construction.
)r inspection purposes.
ACTION
DATE
BY
DECLARATION OF COMPLA CE NCODEOF
FOR OFFICE USE ONLY
FEDERAL REGULATIONSPART6f OFT17LE40AND
AQMD RULE 1403.
PERPAITEXPIRED
❑ 1 SUBMITTED ASBESTOS N077FICATION TO:
Q EPA
❑ AQMD
PERMITCANCELLED
PERMITEXTENDED
❑ ASBESTOS U077FIC4170NIS NOTAPPLICABLE 70
PROPOSED DEMOLITION.
-
PERMIT
)7 Z�
f
G'_R7fF1CATEOF
Z �l S -
OCCUPANCYISSUED
SIGNATURE:
-