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Home My WebLink AboutE2020-0431 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIII II Electrical Permit: E2020-0431 i4 G 100 Ch is Center Drive, Newport Beach, CA 92660 E 2 0 2 0 0 4 3 1 Project No: 1469-2020 Permit Counter Phone (949)644-3288 P°<ivar,�• Inspection Requests Phone (949)644-3255 Job Address: 21151 NEWPORT COAST DR Bldg: 1 Floor: Suite: Description of Work: COMM -CHANGE OUT ROOFTOP PACKAGE UNIT (MECHANICAL AND ELECTRICAL) Inspector Area: 7 o�e.;z6 `And or Legal Description: P EK 31 PG Owner: IRVINE COMPANY C fr I IF!?NI AL - to vjhom or er's Compensation Ins amS OF TH Address: 550 NEWPORT CE TER e; s_ 6'1�1., C T.. 865 PolicyrNoNWSA 049385 7 NEWPORT BEACH, CA 660 - 43 �p, Phone: 714-628-1308 �.,.. Expire : 07/01/2021 Con State Lic: 786760 y IssuedDate:08_/2_0/2020 c B'r Processed By:,�tolllaolldLa130/20 ^T® FEES aW New Construction e a I i O I M tors ransfo�¢►�r5 Qo ,"tamed) ,.., Residential ec t�t9: 0 0 to 1 HP/KW/KVA:' 0 $0.00 Temp Uncle gr ntl < 0 So.00 Multi -Family: 0 $o. Q 10.00 1 to 10 HP/KW/KVA: 0 $0.00 nel: s�' 0 $0.00 1-2 Family: 0 $o. Sep Ci(�f(j($Ty, Started /$7.00 10 to 50 HP/KW/KVA: � * 0 Low Voltage 0 $0.00 50 to 1 o qn n0. $0.00 Service Signs ver 100 HP/KW/KVA: 0 1 0 rlltlBlS• �rw1R m Fee. 0 $0.00 0-600V up to 200A: 0 $1.1 rr,,,, Era nch Ci $0.00 Plan Check Fee: $6.09 0-600V over 20OA: 0 $0.00 Notc Add Circuit: 0 $0. ggy Bac r: 0 $0.00 Investigation Fee: $0.00 Over 600V or 1000A: 0 $0.00 Time Clocks, $0.0 ower Pole: 0 $0.00 Issuance Fee: $37.00 O/H to U/G 0 $0.00 tonal Fe ,;,_ — .00 Supplemental Fee: $0.00 TOTAL Fee: $50.09 Plan Check Fee : $0.00 Fee Due at Permit Issuance : S5n_09 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. IWNER-BUILDER DECLARATION I hereby affirm undor 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 tie applicable item(s) Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, after, improve, demolish, or repair any structure, prior to its issuance, also r9quires the applicant for le permit to file a signet statemerd that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Divis:on 3 of the Business and 'rofessions Code) or that he or she is exempt from licensure and the basis farina alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the apr licant to a civil penalty of of more than five huntl:ed dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do U alf of or U portions of the work, and the structure is not intended oroffered for vale (Section 7044, 'usiness and Professions Code: The Contractors' State License Law does not apply to an owner of propertywho, through employees' or personal effort, builds or improves the pro )erty, provided that the nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of Lompletion, the Owner -Builder will have the burden of proving that It was not built or nproved for the purposa of sale). 1, 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 prcoerty 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 following 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 entirety by licensed contractors. i understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code, is av ailable upon request when this application is submitted or at the following Web site:httpJfwww.leginfo.ca.govfcalaw.html. 'ignature of Property Omer or Authorized Agent Date_ .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force nd effect. icense Class G20 License No 786760 Data 8/20/20 Contractor Signaturq,LE/�%� (/ IIORKERS' COMPE,4SATION DECLARATION 'ARNING: FAILURE TO SECLRE WORIOa2S' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYERTO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS S 100,000), IN ADDITION TO THE CST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 1 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 Labor Code, for IN Irr'iprmance of the work for which this permit is issued. Policy No. I have and will maintain workers' compensation insurance, as required by Section 370o of the Labor Code, for the performance of the work for which this permit is issued. My workers' dFance carrier and pclicy number are: Tier INSURANCE COMPANY OF THE WEST Policy Number WSA 504938500 Expiration Date 7/1/2021 me of Agent JACK WERRE Phone # 714-898-2300 1 certify that, in the pE rformance, of the work for which this permit is issued, I shall not employ �y person in any manner so as to become subject to the workers' compensation kws of California, and agrer t, if I should become subject to the work 'compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant\�,/ �1—at=0 Date\/ 8120/20 CLARATION REGAF:DING CONSTRU ON LENDING AGENCY areby affirm under penalty of perjury th there is a construction lending agency for the performance of the work for which this permit is Issued (Section 3097, Civil Code). )der's Name Lenders Address my signature below, '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 app:ication and the information I have provided is correct. I agree to comply w in all applicable city and county ordinances and state laws relating to building construction. I authorize represertatives of this city or county to of ter th bo entfieed roperty for inspection purposes. LUCA JASSO 8/20/20 nature of Pmnartv Owner or Authorized ADen*N/ / /./�A A.. 1' � Print Prooertv Owner's or Authorized Aoenrs Nam mate ACTION DATE BYv ucLc.Hrwrrun yr vnrrn u(Jucur FDK OFACE US: ONLY G-Z3'2 ( FEDERALREGULATIONSPARTSI OFTITLE40AND AQMDROLE1403. PERNTITEXPIRED ❑ I SUBS TEDAS13ESTOS NO77FfCATIONTO. ❑ EPA ❑ AQMD PERMfTCANCELLED PERACT EXTENDED - ❑ ASBESTOS U077RCA770HIS NOT APPLICABLE TO PROPOSEDDEMOUTION. PERA41TFfNAL CE477FfCA7E OF OCCUPANCYISSUEC SIGNATURE.