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Home My WebLink AboutE2020-0153 - Permits (3)rwerok City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 iR Job Address: 7110 RESIDENCIA Bldg: 1 Floor: Suite: Description of Work: ELEC -DISCONNECTS for 57 A/C INSTALLATIONS (#7110-7238) Inspector Area: Legal Description: N TR 15584 LOT 7 111111111111111111111111Jill1111111111111p1111p11111Electrical Permit: E2020-0153 Project No : Owner: NEWPORT BLUFFS LLC Contractor: AMTECH HEATING & AIR INC Address: 550 NEWPORT CENTER DR Address: 20 TRUMAN SUITE 210 NEWPORT BEACH, CA IRVINE CA 92620 Phone: 0 Phone: 800-882-3019 Con State Lie: 1003704 Issued Date: _ Lie Expire: 04130/2021 ` Bus Lie: BT30060143 Processed By: J` Lie Exp Date: 08/31/2020 New Construction Multi -Family: 1-2 Family: Service 0-600V up to 20OA: 0 0-600V over20OA: 0 Over600V orI000A: 0 O/H to JIG 0 Receptacle/Switch/Outlets Receptacles/Outlets: 0 $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 Inspection Requests Phone (949)644-3255 Code Edit: 2019 Workers Compensation Insurance Carrier: FALLS LAKE FIRE & CASUALTY CO Policy No: FLA01312600 Expire : 12120/2020 FEES w°'=•t.'—"y` �„" Motors/Transformers (HP/KVA) Qt0A_HP/K1A KVA 0_ $0-00 TEmp_Underground 0 $0.00_ 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: 57$1,539.00 10 to 50 HP/KW/KVA: 0 $0.00 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 0 $0.00 Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: $0.00 Plan Check Fee: $0.00 Piggy Backlfemp Power: 0 $0.00 Investigation Fee: $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $35.00 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. 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) ;action 7031.5, Business and Professions Code: Any city or county that requires a permit be 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 previsions of the Contractors' 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 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 of more than five hundred dollars (S500). 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 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 oroffered 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). ] 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 pply 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 licensure under the Contractors' State License Law for the fallowing reason: y 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 ell a structure that I have built as an owner -builder If it has not been constructed in Its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and rofessions Cade, is available upon request when this application Is submitted or at the following Web si1e:http:1Avww.leginfo.ca.gov7calaw.him1. ignature 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 Professio�d my license is in full force nd effect.-��/1�_ icense Class License No Date 2 2020 Contractor Signatur PORKERS' COMPENSATION DECLARATION AMINO: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNbItFD THOUSAND DOLLARS R1100,000), IN ADDITION TO THE OSr OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND AMRNEY 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 far by Section 3700 of the Labor Code, for thi 5rf mance 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 is lance carrier and policy number are: Cgfirler Policy Number Expiration Date Name of Agent Phone # I 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 California, and ogre that, if I should became subject to the er ' cc pensation provisions of Section 3700 of the Labor Cade, I shall forthwith comply with those provisions. n^n^ Signature of Appllc Datr.� 2197/ 20 ICJ DECLARATION REGARDING CONSTRUCTION LEND AG CY 16A I hereby 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). Lender's Name Lender's Address By my signature below, I certify to each of the following: I am the property owner or authorized to act an 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 county ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter 'fled Signature of Properly Owner or Authorzed Agent ro a for Inspection purposes. 2„ Print Property Owner's or Authorized Agent's NamXAIA ( fZ"� �C� Date / AC17ON DATE BY DECL9RATIONOFCOMPLA CE ITHCODEOF FEDERAL REGULATIONSPART 61 OFTI7LE40AND FORDFFICEUSEONLY AQMDRULE1403. ❑ 1 SUBM17TEOASBESTOS N07IFlCAT10NTO: PERMITE(P1RED PERMIFC4NLELLED ❑ EPA ❑ AQMD ASBESTOS �TNTONISNOTAPPLICABLE TO OOOS DEMOUIO PERAAITEXTENDED PERMITFINAL CFRTIFIC4TEOF OCCUPANCYISSUED t SIGNATURE: