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Home My WebLink AboutE2019-0441 - PermitsUU',-o� City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 24 MORRO BAY DR Bldg: 1 Floor: Suite: Description of Work: ELEC -DISCONNECT FOR A/C INSTALLATION Inspector Area: 4 Legal Description: N TR 7386 LOT 63 Owner: TAFAZOLI AMIR Contractor: Address: 24 MORRO BAY DR Address: CORONA DEL MAR, CA 92625 Phone: Phone: Con State Lie: Issued Uate:06/25/2019 Lie Expire: Bus Lie: Processed By:_ Lie Exp Date: COMFORT CONTROL HVAC 6592 WESTPARK PL UNIT C WESTMINSTER CA 92683 714-273-3452 1024266 03/31/2020 BT30062516 03/31/2020 New Construction Receptacle/Switch/Outlets Residential Receptacles/Outlets: 0 Vuti-Famiry 0 $0.00 Fixtures: 0 1-2 Family: 0 $0.00 Sep Circuits: 0 Low Voltage 0 Service Signs 0-600V up to 20OA: 0 $0.00 Branch Circuit: 0 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 Over 600V or 1000A: 0 $0.00 Time Clocks: 0 O/H to U/G 0 $0.00 Additional Fee: TOTAL Fee: $61.00 Electrical Permit: E2019-0441 Project No: Inspection Requests Phone (949)644-3255 c Code Edit: 2016 Worker's Compensation Insurance Carrier: EXEMPT Policy No: NO EMPLOYEES Expire : Code Edit: 2016 Worker's Compensation Insurance Carrier: EXEMPT Policy No: NO EMPLOYEES Expire : FEES Motors/Transformers (HPIKVA) $0.00 0 to 1 HP/KW/KVA: 0 $0.00 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 Over 100 HP/KW/KVA: 0 $0.00 $0.00 $0.00 Piggy Back/temp Power: 0 $0.00 $0.00 Temp Power Pole: 0 $0.00 $0.00 Temp Underground: Sub Panel: Record Mgmt Fee: Plan Check Fee: Investigation Fee: Issuance Fee: Supplemental 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. $61.00 $0.00 $26.00 $0.00 $0.00 $0.00 $0.00 $0.00 $35.00 $0.00 OWNER -BUILDER DECLARATION I hereby affirm 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 the 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 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 permit subjects 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 L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business 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 improvements 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 improved for the purpose of sale). L_I 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 constructed 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:http://www.leginfo.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the BusinqHDRED sion o e, and my license is in full force and effect. t License Class License No Date l� Contractor Signa WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYE TO CRIMINAL PENALTIES AND CIVIL FINES UP TO HOUSAND DOLLARS ($110,000), IN ADDITION TO TF' COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 have 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 LatDr Code.. for !Ih performance of the work for which this permit is issued. Policy No. I 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-wod,6rs' compensat e insurance carder and policy number are: Ca er Policy Number - Expiration Date _ Nam of Agent Phone# ce 'fy that, in th4perfor nce of 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 or California, ar,d agrethat, if I hould becotot W rkers' com ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.re of Applica DDECLARATION RE RLENDING AGENCY I hereby affirm undeperjury that there is a construction 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 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 o finanVead state laws relating to building construction. I authorize representatives of this city or cou t e r e-fide fled property for inspection purposes. Signature of Proper Owner or Authorized Age �t Print Property Owner's or Authorized Agent's Nfune v tA, Date ACTION DATE DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE40AND AOMD RULE 1403. PERMIT EXPIRED ❑ ISUBMITTEDASDESTOSNOTIFICATION7'0: ❑ EPA ❑ AOMD PERMITCANCELLED PERMITEXTENDED ASBESTOS PROPOSED DEMOLITON.TLONI5 NOT APPLICABLE 70 PERMITRNAL %l1. 10 CERTIFICATEOF SIGNATURE: OCCUPANCYISSUED �- 5*N-60 frt of