HomeMy WebLinkAboutE2020-0147 - Permits (3)wy,r„k City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone(949)644-3288
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Description of Work: ELEC -DISCONNECTS for 57 A/C INSTALLATIONS (5110-5238)
Inspector Area: 4
Legal Description: N TR 15584 LOT 7
1111111111 im 1111111111111111111111111111111111 ip 1111Electrical Permit: E2020-0147
E 2 0 2 0 0 1 4 7 Project No :
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 Lic:
1003704
Issued Date:
Lic Expire:
04/30/2021
Bus Lic:
BT30060143
Processed By:
Lic Exp Date:
08/31/2020
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 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
$0.00
Additional Fee :
$0.00
TOTAL Fee : $1.574.00
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
Motors/Transformers (HP/KVA)
01oltIPIKW/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 Back/Temp Power: 0 $0.00
Temp Power Pole: 0 $0.00
Plan Check Fee:
a
xa am,.4a
- Temp -Underground:
0
$0.00—
Sub Panel:
57$1,539.00
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
Due at Permit Issuance :
$0.00
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.
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) 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 county that requires a permit to construct, alter, improve, demolish, or repair any stru cture, prior 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 Contactors' State License Law (Chapter9 (commencing with Section 7000) of Division 3 of the Business and
rofessions Cade) or that he or she is exempt from ficensure 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
of more than five hundred dollars ($500).
7 I, 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,
usiness and Professions Code: The Contractors' State Ucense 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
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
poly 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 [!censure under the Contractors State License Law for the fallowing reason:
ly my signature below I acknowledge that, except for my personal residence in which I must have resided for at [east one year prior to completion of the improvements covered by this permit, I cannot legally
all 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
4ofessions Code, is available upon request when this application is submitted or at the following Web site:http:lhvm.leginfo.ca.gov/calaw.hlml.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profession Code, d my license is in full fares
nd effect. ' /.
.icense, Class License No Date Z 2020 Contractor Signatur
PORKERS' COMPENSATION DECLARATION
rARNING: FAILURE TO SECURE WOREERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS tstoopao), IN ADDITION TO THE
goer OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEV'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
�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 thi
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' compensatior
is nce carrier and policy number are:
Number
Date
is of Agent Phone 8
certify that, in the performance of the work for which this permit is issued, I shall net employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree
if I should become subject to the e ' co papoose ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. rr77 lature of Applic Dat�L/ �' �_/')
7LARATION REGA DING CONSTRUCTION LENDJqG AGJZNCY
reby affirm under penalty of perjury that there is a struction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
teI's Name Lender's. Address
my signature Below, I canny to seen or the ramowmy.
I am the property owner or authorized to act on the property owner's behalf,
I have read this application and the information 1 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 enter th tried rope for Inspection purposes.
[nature of Property Owner or Authorized Agent Print Property Owner
J
ACTION
DATE
BY
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FOROFNCEUSEONLY
FEDERAL REGULATIONS PART Of OPTITLE40AND
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❑ I SUBMITTED ASBESTOS N071FICATIOIV TO:
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PERMITCANCELLED
PERWITS(TENDED
❑ ASBESTOS NOTTF7C4TIONIS NOTAPPLICABLE TO
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SfGNATURE: