HomeMy WebLinkAboutE2020-0154 - Permits (2)City of Newport Beach - Building Division
o 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
it
Job Address: 7310 RESIDENCIA Bldg: 1 Floor: Suite:
Description of Work: ELEC - DISCONNECTS for 57 A/C INSTALLATIONS (#7310-7439)
Inspector Area:
Legal Description: N TR 15584 LOT 7
Owner: NEWPORT BLUFFS LLC
Address: 550 NEWPORT CENTER DR
NEWPORT BEACH, CA
Phone: 0
Issued Date:
Processed Bv: A
Contractor:
AMTECH HEATING & AIR INC
Address:
20 TRUMAN SUITE 210
IRVINE CA 92620
Phone:
800-882-3019
Con State Lie:
1003704
LicExLire: _
04/30/2021
Bus Lie:
BT30060143
Lie Exp Date: 08131/2020
Electrical Permit : E2020-0154
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
New Construction
Receptacle/Switch/Outlets
Motors/Transformers (HP/KVA)
Resid n i I
RecaptaclesLOutlet *
$0_00_
D1o_1Ji.P1KWlKVA:
0_
$0.00-
Multi -Family:
0
$0.00
Fixtures:
0
$0.00
1 to 10 HP/KW/KVA:
0
$0.00
1-2 Family:
0
$0.00
Sep Circuits:
0
$0.00
10 to 50 HP/KW/KVA:
0
$0.00
Low Voltage
0
$0.00
50 to 100 HP/KW/KVA:
0
$0.00
Service
Signs
Over 100 HP/KW/KVA:
0
$0.00
0-600V up to 200A:
0
$0.00
Branch Circuit:
0
$0.00
0-600V over 20OA:
0
$0.00
Each Add Circuit:
0
$0.00
Piggy Back/Temp Power:
0
$0.00
Over 600V or 1000A:
0
$0.00
Time Clocks:
0
$0.00
Temp Power Pole:
0
$0.00
O/H to U/G
0
$0.00
Additional Fee :
$0.00
TOTAL Fee:
Plan
Temp Underground:
0 _W00-
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 Permit Issuance:
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 1 am exempt from the Contractors' State License Law for the mason(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 mpair 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
4ofessions Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permitsubjeets the applicant to a civil penalty of
.at more than five hundred dollars (5500).
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
Tprovements 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 itwas net built or
Tiproved 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
Ippty 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 Ccatmctma State License Law for the fallowing mason:
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 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
'rafessions Code, is available upon request when this application is submitted or at the following Web site:http:tfwmv.leginfo.ca.gov/calaw.him[.
>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 Profs a' C it d my license is in full fume
and effect.
.!tense Class License No Date Z 2Q20 Contractor Signatur
VORKERS' COMPENSATION DECLARATION
EARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVEHAiGE IS UNLAWPIIL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100,000), IN ADDITION TO THE
AST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORIU NS 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 tht
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' compensation
1s Tance Carrier and policy number are:
Ter Policy Number Fxpiration Date
lame of Agent Phone it
71 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
iat, If I should become subject to the er ' co pensatfon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ilgnature of Applic Dal r7 A / / �20 20
)ECLARATION REGARDING CONSTRUCTION LEND,40 AGjZNCY /
hereby affirm under penalty of perjury that there is a struction lending agency far the performance of the work for which this permit is issued (Section 3097, Civil Cade).
.tinder's Name Lender's. Address
ly my 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 coonl ordinances and state laws relating to building construction. '7
I authorize representatives of this City, or county to enter !Fled rope for Inspection purposes. 2/ /�
it nature of Property Owner or AuthorizedA Agent Prim Pro erty Owner's or Authorized Agent's NaRM&AIA( f'CC E"C� Date J
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