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Home My WebLink AboutE2020-0152 - Permits (2)r°`kr City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 i�JiYLri4h4� Job Address: 6310 RESIDENCIA Bldg: 1 Floor: Suite: Description of Work: ELEC -DISCONNECTS for 57 A/C INSTALLATIONS (#6310-6439) Inspector Area: 4 Legal Description: N TR 15584 LOT 7 Owner: NEWPORT BLUFFS LLC Contractor: Address: 550 NEWPORT CENTER DR Address: NEWPORT BEACH, CA Phone: 0 Phone: Con State Lic: Issued Date: Lic Expire_ : ` Bus Lic: Processed By: ), Lic Exp Date: New Construction Residential 1-2 Family: Service 0-600V up to 20OA: 0 0-600V over20OA: 0 Over 600V or 1➢➢10A: 0 O/H to U/G 0 TOTAL Fee: II IIE IIIIIIIII IIII IIIII IIII IIIIIIIIII II��I IIII III III AMTECH HEATING & AIR INC 20 TRUMAN SUITE 210 IRVINE CA 92620 800-882-3019 1003704 04/30/2021 BT30060143 08/31/2020 Receptacle/Switch/Outlets ReceotacIes1Qtrtlets`0 $➢-00 $0.00 Fixtures: 0 $0.00 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Signs $0.00 Branch Circuit: 0 $0.00 $0.00 Each Add Circuit: 0 $0.00 $0.00 Time Clocks: 0 $0.00 $0.00 Additional Fee : $0.00 Electrical Permit: E2020-0152 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 : 12120/2020 FEES Motors/Transformers (HP/KVA) n m HP1 ..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 Fee : Temp Una fg nd: 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 Fee Due at PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Constructior 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 1 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 is 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 licensurs 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). 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, Nsiness 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 mprovements 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 nproved for the purpose of sale). J I, as owner of the property, am exclusively contracting with licensed Contractors to canstmct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not ipply to an owner of property who builds or improves iherean, and who contracts forthe projects with a licensed Contractor pursuant to the Contractors' State License Law)- 3 1 am exempt from licensure under the Contractors' 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]) yell a structure that I have built as an owner -builder !fit 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 Irafessions Code, is available upon request when this application is submitted or at the following Web site: http:/M^mr.leginfo.ca,govlcalaw.him 1. itgnature 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 with Section 7000) of Division 3 of the Business and Profs ssiod my license in full force Ind effect. e� 72e,- .1cense Class License No Date L971 20 20 Contractor Signatur VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUWECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVILFINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706OFTHELABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: I 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 th RYf mane of the work for which this permit is issued. Policy Na- 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' compensatioi 1s Tanoe carrier and policy number are: lair 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 become subject to the workers' compensation laws of Califomia, and If I should become subject to the er ' co pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions./2 / n ^ Iature of Applic Datdk l Kl :LARATION REG IN CONSTRUCTION LEND AG CY 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). dens Name Lender's Address Hy my slgnacure oerow, r Cerny cD eacn or me ronowing: I am the property owner or authorized 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 relating to building construction. ^� I authorize representatives of this city or county to enter "fied rape for Inspection purposes. /%/� --'- 9 2/ Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agents Nam Date J gCTfON DATE By DECLARATION OFCOMPIJA CE ITHCODEOF FOROFFICEUSEDNLY FEDERAL REGULATIONSPART 51 OFT17LE40AND PERPd1TFXPiREO AQMDRULE'1403. ❑ ISUBMITTEDASSESTOSNO7IFICATIONTO: PERMrTC4RrCELLD ❑ EPA PERPOTaTENDEO CI AOMD ❑ ASBESTOS U07IRCA170NISNOTAPPLICABLE 70 PERWI-FINAL /17/ C tic N PROPOSED DEMOLITION 'I CERTIFir4TE0F OCCUPANCYISSUEO L SIGNATURE: