HomeMy WebLinkAboutE2020-0309 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Job Address: 2839 CASSIA ST Bldg: 1 Floor:
Description of Work: ELEC -PIGGY BACK METER
Inspector Area: 8
Legal Description: N TR 5018 LOT 90
Owner: BANSAL SHARAD/JHA APOORVA
Address: 2839 CASSIA ST
NEWPORT BEACH, CA 92660
Phone: 949-500-4604
Issued Date:06/24/2020 JA p
Processed By: Jl
New Construction
Residential
Multi -Family:
0
$0.00
1-2 Family:
0
$0.00
Service
949-673-1645
Con State Lic:
0-600V up to 20OA:
0
$0.00
0-600V over20OA:
0
$0.00
Over 600V or1000A:
0
$0.00
O/H to U/G
0
$0.00
TOTAL Fee:
Suite:
IIIIEIII ILII0ILII0 0�II3VIII0IIIIII
Contractor:
SHOWALTER CONST INC
Address:
1791 WHITIER AVE
0
COSTA MESA CA 92627
Phone:
949-673-1645
Con State Lic:
654380
Lic Expire:
02/28/2022
Bus Lic:
BT00006144
Lic Exp Date:
06/30/2021
Receptacle/Switch/Outlets
Receptacles/Outlets: 0 $0.00
Fixtures:
0
$0.00
Sep Circuits:
0
$0.00
Low Voltage
0
$0.00
Signs
0
$0.00
Branch Circuit:
0
$0.00
Each Add Circuit:
0
$0.00
Time Clocks:
0
$0.00
Additional Fee:
$0.00
Electrical Permit: E2020-0309
Project No : 0631-2018
Inspection Requests Phone (949)644-3255
Code Edit: 2019
Worker's Compensation Insurance
Carrier: STATE COMP
Policy No: 9220812
Expire: 11/02/2020
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: 1 $39.00
Temp Power Pole: 0 $0.00
Check Fee:
I PELT R
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:
$35.00
Supplemental Fee:
$0.00
e at Permit Issuance:
$74.00
PERMITS EXPIRE 980 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.
LLoe
Ouf
, GJO
L �
c°' meq c s ooa L�
oo� ,ca
DWNER-BUILDER DECLARATION y
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasorfk)) 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 ContractorELStat (cense-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. An violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally 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 (_) 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 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 legally
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, Sec'on 044 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.gov/calaw.htmi. D to
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secti n 7000 of Division 3 of the Business and P e sions Co I an my license is in f force
and effect. p t % Z4, Contractor Sig at
License Class License No
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 HUN EED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST 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:
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 th
P ormance of the work for which this permit is issued. Policy No.
ave 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' compensatiol
ns ance carrier and policy number are:
D
Tier P licy Number
Expiration ate
Phone #
rte of Agent
certify that, in the perform nc of the wor or h this permit is issued, I shall not employ any person in any manner so as to become subject to the wo kers' co pens ation laws of California, and agred
I, if I should become sub' t the wor s' ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. L
D'aV�Ovz</
nature of Applica
CLARATION R GC TRUC N LENDING AGENCY
)reby affirm u er 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).
Ider's Name
Lender's Address
my signature below, I certify to each of the following:
I am the property owner or authorized to act on the prop y owner' behalf.
I have read this application and the information I have ovi ed is c Tact.
I agree to comply with all applicable city and county or Ire ces and t
to r t e above -id 'e
relating to building construction.
property for inspection purposes. /.>���/ /1.
I authorize representatives of this city or count e
G «�
Agent's Nam !"•Coate
(nature of PropertyOwner or Authorized Agent
e y wner's or Authorized
DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USEONLY
ACTION DATE &Y
FEDERAL REGULATIONS PART 61 OF TITLE40AND , ++
AQMD.RULE 1403. + `• • + .•
PERMITEXPFR€D
+ •+ •
I SUBMfTTEDASBESTOS NOTIFICATION TO: , • • •
. +
PERMITLAtVCELLED
13 EPA . + •• • + +
❑ AQMD
PERMITEXTENDED
❑ ASBESTOS N01IFICA710NIS NOT APPLICABLE TO
PERMIT FINAL
PROPOSED DEMOLITION. _ . • • • +
CERTfFtCATE OF
"•• ••', " • • • ;,
SIGNATURE:
OCCUPANCY7SSOEO
+ • • "