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Home My WebLink AboutE2020-0155 - Permits (3)�xrok� City of Newport Beach - Building Division a .v 100 Civic Center Drive, Newport Beach, CA 92660 w ' a,+k� < 'ram _ Permit Counter Phone (949)644-3288 h Job Address: 9110 RESIDENCIA Bldg: 1 Floor: Suite: Description of Work: ELEC -DISCONNECTS for 57 A/C INSTALLATIONS (#9110-9238) 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:_ ✓� Contractor: Address: Phone: Con State Lie: Lic-EMoire_ Bus Lie: Lie Exp Date: AMTECH HEATING & AIR INC 20 TRUMAN SUITE 210 IRVINE CA 92620 800-882-3019 1003704 BT30060143 08/31/2020 Electrical Permit: E2020-0155 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) — Residential- - Receptaele6/Outlets: 0 $0.00---o-to-l--IP/KW/KVfl.--o- $0.00 Temp -Underground:— 0 $0130- Multi-Family: 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 20OA: 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 BackrFemp 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. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perurythat 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) (Section 7031.5, Business and Professions Code: Any cilyor county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions ofthe Contractors' State License Law (Chapters (commencing with Section 7000) of Division 3 of the Business and Professions 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 permitsubjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or () portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Cade: 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 wlll have the burden of proving that itwas not built or improved 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 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). ❑ 1 am exempt from licensure 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 legal]) sell a structure that I have built as an owner -builder if it has not been Conswcted in Its entirety 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:httpY/w .leginfo.co.govlcalaw.htmi. Signature of Property Owner or Authorized Agent Data LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter g (commencing with Section 7000) of Division 3 of the Business and Prof=C d d my license is in full force and effect. e.�r"N16L License Class License No Date 2 20 20 Contractor Signatur WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370E OPTHE LABOR CODE, INTEREST, ANDATTORNEY'S FEES. I 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 the part mance 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 ins Yance carierand policy number are: Number Date ne 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 California, and Egret t, if I should become subject to the er ' cc pensatfon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions./2 / n ^ nature of Applic Date_ �, KJ CLARATION REGARDING CONSTRUCTION LEND AG CY :reby affirm under penalty of perjury that there is s struction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Cade). 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 on 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 tfuAa died Signature of Property Owner or Authorized Anent rope for Inspectlon purposes. Print Pro a Owner's or Authorized Agent's Nam ^7 ( Y'Ct- 1"C� Date J 2/ ACTION DATE BY DECLARATION OFCOMPLIANCE ITHCODEOF FEDERAL REGULATIONSPARTIif OFT17LE40AND FOROFRCEUSEONLY AQMDRULE'1403. ❑ 1SLMMITTEDASBESTOSNO77FIGITlON7O: PERMITFXPIRED PERMRG4NCELLD 0 EPA ❑ AQMD P❑ROPOSEDDEMOLMON.ASBESTOS nONIS NOTAPPLICARLE TO PERMITEXTEYDED PERMIT FINAL OC 06/76 ec oce lA;I I I SIGNATURE: