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Home My WebLink AboutE2020-0156 - Permits (2)ry,N rxyf City of Newport Beach - Building Division IIIII III IIIIIIIIIIIIII�IIIIIIIIIIIIIIII II 0 d r J 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 2 0 0 1 5 6 Permit Counter Phone (949)644-3288 b Job Address: 9310 RESIDENCIA Bldg: 1 Floor: Suite: Description of Work: ELEC -DISCONNECTS for 60 A/C INSTALLATIONS (#9310-9439) Inspector Area: 4 Legal Description: N TR 15584 LOT 7 Owner: NEWPORT BLUFFS LLC Contractor: AMTECH HEATING & AIR INC Address: 550 NEWPORT CENTER DR Address: 20 TRUMAN SUITE 210 NEWPORT BEACH, CA 92660 IRVINE CA 92620 Phone: Phone: 800-882-3019 Con State Lic: 1003704 Issued Date: Lic Expire: 0413012021 Processed New Construction Multi -Family: 1-2 Family: Service 0-600V up to 20DA: 0 0-600V over 20OA: 0 Over600V or1000A: 0 O/H to U/G 0 TOTAL Bus Lic: BT30060143 Lic Exp Date: 08/3112020 Receptacle/Switch/Outlets -Receptacles/Outlets, $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: E2020-0156 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 r , FEES Motors/Transformers (HP/KVA) 0-to 11dP-IKW/KVA:--a $0:00 Temp -Underground: 0 Woo- 1 to 10 HP/KWIKVA: 0 $0.00 Sub Panel: 60$1,620.00 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/KWIKVA: 0 $0.00 Record Mgmt Fee: $0.00 Plan Check Fee: $0.00 Piggy Backrremp 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 : 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 AM" under penalty of perjury that I 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 he permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contraclors'State License Law (Chapter9 (commencing with Section 7000) of Division 3 of the Business and professions Code) or that he or she is exempt from Ifcensure 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 rot 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 far sale (Section 70", 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 mprovements are not Intended or offered for sale. If, however, the building or Improvement is sold within one year of completion, the Owner-Builderwill 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 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), LZ1 I am exempt from Ileensuro under the Contmetars' 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 @ has not been constructed in Its entirety by licensed contractors. I understand that a copy of the applicable law, Section 70" of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http:/Awww.leginfo.ca.gov/calaw.him1. 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 (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 Contractor 5ignatur WORKERS' COMPENSATION DECLARATION NARKING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWPIL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES ANO CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1a10D,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION alas OFTHE LABOR CODE, INTEREST, ANDATTORNET'S FEES. hereby affirm under penalty of perjury one of the following declarations: I tthhhhllrrr��p NE 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 in( ance of the work for which this permit is Issued. Policy No. have and will maintain workew' 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' Compensator ns Tance carderand policy numberare: of Agent Policy Number Expiration Date _. Phone 4_ 31 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 IONS of Califomia, and Agra( )at, if I should become subject to the)Oer ' o pens Allen provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions./2 n ignature of Applic oat e\ / KJ IECLARATION REG ING CONS'fRUCT10N LEND AG CY �� 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). Anders Name Lender's. Address �y my signature below, I certify to each of the following: 1 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 conacL. 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 enterth "fled rope or Inspection purposes. /J-/�-- ( YCICJ 2 U nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam Data ACTION DATE BY 71 DECLARAUONOFCOMPLIA CE TNCODEOF FORDFRCEUSEONLY FEDERAL REGULAT/0NSP4RT61OFT17LE40AND PERA11TEXPIRED AQMD RULE 1403. ❑ 15UBMITTEDASBEST40S N071FICATION TO: PERM/TCANCELLEO ❑ EPA PERMITDCMVDED 0 AQMD TO PERMITFINAL ( /ZQ oc q PROPOSEDDEMOUTI❑RON NONISN07APPt1CAELE CEiWIC4TEOF OCCUPANCYISSUED SIGNATURE: