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HomeMy WebLinkAboutE2022-0297 - Permitsrwl•ryA City of Newport Beach - Building Division *E2022-0297* i- 100 Civic Center Drive, Newport Beach, CA 92660 H, 3 Permit Counter Phone (949)644-3288 Job Address: 524 REDLANDS AVE Bldg: 1 Floor: Suite: Description of Work: ELEC: INSTALL DICONNECTS FOR A/C UNITS. (H2O22-0242) Inspector Area: 3 Legal Description: FIRST ADD TO NEWPORT HEIGHTS BLK 34 LOT 7 Owner: HEANEY ADAM Contractor: ALISO AIR INC Address: 524 REDLANDS AVE Address: 29736 AVE DE LAS BANDERAS NEWPORT BEACH, CA 92663 RSM CA 92688 Phone: 949-293-2552 - Phone: 949-589-2021 Con State Lic: 526420 Issued Date:05/09/2022 Lic Expire: 03/31/2024 Bus Lic: BT30019236 Processed By: Lic Exp Date: 02/2812023 New Construction Residential Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Service 0-600V up to 20OA: 0 $0.00 0-600V over20DA: 0 $0.00 Over 600V or 1000A: 0 $0.00 O/H to U/G 0 $0.00 TOTAL Fee: Rec eptac I e/Switch/Outlets Receptacles/Outlets: 0 $0.00 Fixtures: 0 $0.00 Sep Circuits: 2 $14.00 Low Voltage 0 $0.00 Signs Branch Circuit: 0 $0.00 Each Add Circuit: 0 $0.00 Time Clocks: 0 $0.00 Additional Fee : $0.00 Electrical Permit: E2022-0297 Project No: Inspection Requests Phone (949)644-3255 Code Edit: 2019 Worker's Compensation Insurance - • - - Carrier: LIBERTY MUTUAL Policy No: WC2Z61036218091 Expire : 07/01/2022 FEES Motors/Transformers (HP/KVA) 0 to 1 HP/KW/KVA: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 Over 100 HP/KW/KVA: 0 $0.00 Piggy Back/Temp Power: 0 $0.00 Temp Power Pole: 0 $0.00 Temp Underground: 0 $0.00 Sub Panel: 0 $0.00 0 $0.00 0 $0.00 Record Mgmt Fee: $0.00 Plan Check Fee: $0.00 Investigation Fee: $0.00 Issuance Fee: $38.00 Supplemental Fee: $0.00 Fee Due at Permit Issuance: f. 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. DWNER-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 U 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). ❑ I, as owner of the pr9perty, 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). I am exemp• trem li^.ensure 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) salt a stricture 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 Evailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Sigpature of Property, Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I ;io,aaj affirm wide) penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Cod license is in full force End 3`f�ct. L" License Class License No Daterx Sl f /Vi_ Contractor Signature WORKERS' comrENSATION DECLARATION NIRVI."(7:'AILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,000), IN ADDITION TO THE CJST OF COMPENSATION, JHMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm um;ar penalty of perjury one of the following declarations: ❑ I 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 performance 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 insurance carrier and policy number are: Policy Number Date ne of Agent Phone V 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 agre if I should become s}ubblect to t9h-e workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. iature of Applicant / 6/ Date IECLARATION REGARDING ING CONSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ender's Name Lender's Address y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners 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 count' ente ab I Ified property for inspection purposes. x� / �. ignature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name (,6 t "J^S x ACTION DATE BY DECLARATION OFCOMPLIANCEMTHCODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE40 AND AQMORULE 1403. ❑ I SUBMITTED ASBESTOS N077FICATION TO: ❑ EPA [I AQO PERMIT EXPIRED PERMITCANCELLED PERfvIl7 EXTEPFDEO PROPOSEDASBESTOSIS NOT APPLICABLE TO DEMOLITION. SIGNATURE: PERMIT FNIAL /j r2 CERTI,14CATEOF OCCUPANCYISSUED