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Home My WebLink AboutE2020-0151 - Permits (3)Oyu,„�r City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II Electrical Permit: E2020-0151 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 2 0 0 1 5 1 Project No: Permit Counter Phone (949)644-3268 `+ta•.,,d�y° Inspection Requests Phone (949)644-3255 Job Address: 6110 RESIDENCIA Bldg: 1 Floor: Suite: Description of Work: ELEC -DISCONNECTS for 57 A/C INSTALLATIONS (#6110-6238) Inspector Area: 4 Code Edit: 2019 Legal Description: N TR 15584 LOT 7 Owner: NEWPORT BLUFFS LLC Contractor: AMTECH HEATING & AIR INC Worker's Compensation Insurance Address: 550 NEWPORT CENTER DR Address: 20 TRUMAN SUITE 210 Carrier: FALLS LAKE FIRE & CASUALTY CO NEWPORT BEACH, CA 92660 IRVINE CA 92620 Policy No: FLA01312600 Phone: Phone: 800-882-3019 Expire : 12/20/2020 Con State Lie: 1003704 Issued Date: Lie Expire: 04/30/2021 1 Bus Lie: BT30060143 Processed By: Lie Exp Date: 08131/2020 FEES New Construction Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) Residential Receptacles/Outlets: 0 $0.00 0 to 1 HP/KW/KVA: 0 $0.00 _ Temp Underground: 0 _ 0.00 Multi -Family: tM�y: 0 $0.00 Fixtures: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: 57$1,539.00 1-2 Family: 0 $0.00 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 Service Signs Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: $0.00 0-600V up to 20DA: 0 $0.00 Branch Circuit: 0 $0.00 Plan Check Fee: $0.00 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Piggy Back/Temp Power: 0 $0.00 Investigation Fee: $0.00 Over 600V or 1000A: 0 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $35.00 O/H to U/G 0 $0.00 Additional Fee: $0.00 Supplemental Fee: $0.00 TOTAL Fee : $1,574.00 Plan Check Fee : $1.574.00 Fee 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 affirn under penalty of perjury that 1 am exempt from the Contractors' Steri License Law for the reasons) Indicated below by the checkmark(s) I have placed next to the applicable item(s) 'Section7031.5, 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 GMe Contractors' State License Law (Chapter9 (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 )ot more than two hundred dollars (5500). 11 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, 3usiness 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-Bullder will have the burden of proving that Awas not built or mproved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 70", 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). ❑ I am exempt from licensors 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 legally sell a structure that I have built as an owner -builder if it has not been constructed in As entirely 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:httpJAvww.leginfa.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profession Coda, d my license is in full force and effect. License Class License No Date 2 Contractor Signatur WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,00o), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION s7aF OFTHE LABOR CODE, INTEREST, ANOATTORNeY'S FEES. I hereby affirm under penalty of perjury one of the fallowing declarations: 111 ve and will maintain a certificate of consent to self -insure for workers' compensation, Issued by the Director of Industrial Relations as provided far by Section 3700 of the Labor Code, for thl W941mance of the work for which this permit is issued. Policy ND. 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 ins 1'ance carrier and policy number are: rier Policy Number Expiration Date is of Agent Phone # certify 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 agree , if I should become subject to the Ke ' co pensation provisions of Section 3700 Of the Labor Code, I shall forthwith comply with those prevlsions.�/2 7 / � n J ^ iaturs ofApplic Date -A _ J — N ARATIDN REGARDING CONSTRUCTION LENDM AGgNCY r 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 Cade). dot's Name Lender's Address ny 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 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 tied faro a for Inspection purposes. y ,fn �jl �-- �/ ._....__..,�__�......_____...............w n.......V /-,,,r �/ o.;...o.,..,e,«,n,,,..e.�.., n,�rr...�wa A„W. nI.—M—A14 �/C�L-�C.�J Hato /2 ACTION DATE - BY vv��+rw uv.r yr wmrunrn.r rrm +.vvc yr FEDERAL REGULATIONSPART 6Y OF177LE40AMD AQMD RULE 1403. PER&JITE(PIRED ❑ 1 SUBMITTEDASBESTQS NO71FICAT10N TO: ❑ EPA ❑ AQMD El O17POSEDOEMOLRION NONISNOTAPPL7CABLETO PERM1TG4h'CEU.G) PERMITEaWDED PERMIT RNAL j7 ZQ R� CERTIFICATEOF h OCCUPNICYISSUED SIGNATURE: