HomeMy WebLinkAboutE2019-0280 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
'' III
IIII Electrical Permit: E2019-0280
100 Civic Center Drive, Newport Beach, CA 92660
E 2 0 1 9
0 2 8 0
., Permit Counter Phone (949)644-3288
9°
Project No
)
Residential
��uk7arai�Y 9
0
Inspection Requests Phone (949)644-3255
Job Address: 438 BEGONIA AVE Bldg: 1 Floor: Suite:
0
$0.00
Description of Work: ELEC -OVERHEAD TO UNDERGROUND & 200 AMP (2) METER PANEL
„
$0.00
Multi -Family:
0
Inspector Area ° ° m °5
Fixtures:
Code Edit: 2016
LegabDeAcription: ® CORONA DEL MAR ELK 430 LOT 14
1 to 10 HP/KW/KVA:
0
00fteln MARSHALL JASON Contractor:
Addtesse
J P T CONSTRUCTION INC
Worker's Compensation Insurance
438 BEGONIA AVE Address:
oo COAbNA DEL MAR, CA 92625
409 62ND ST
Carrier: WESCO
$0.00
NEWPORT BEACH CA 92663
Policy No: WWC3408624
Phu nex , Phone:
m a Joao
714-336-1966
Expire : 04/07/2020
° Con State Lie:
879360
0
Issued, ate:05/07/2019 Lie Expire:
C O O °
06/30/2020
Bus Lie:
ST30014788
0
ProeessecA. By: _ Lie Exp Date:
01/31/2020
0
6 0
0
New Construction
Receptacle/Switch/Outlets
Motors/Transformers (HP/KVA)
Residential
Receptacles/Outlets:
0
$0.00
0 to 1 HP/KW/KVA:
0
$0.00
Temp Underground:
0
$0.00
Multi -Family:
0
$0.00
Fixtures:
0
$0.00
1 to 10 HP/KW/KVA:
0
$0.00
Sub Panel:
0
$0.00
1-2 Family:
0
$0.00
Sep Circuits:
0
$0.00
10 to 50 HP/KW/KVA:
0
$0.00
0
$0.00
Low Voltage
0
$0.00
50 to 100 HP/KW/KVA:
0
$0.00
0
$0.00
Service
Signs
Over 100 HP/KW/KVA:
0
$0.00
Record Mgmt Fee:
$0.00
0-600V up to 20OA:
1
$43.00
Branch Circuit:
0
$0.00
Plan Check Fee:
$0.00
0-600V over 20OA:
0
$0.00
Each Add Circuit:
0
$0.00
Piggy Backrremp Power:
0
$0.00
Investigation Fee:
$0.00
Over 600V or 1000A:
0
$0.00
Time Clocks:
0
$0.00
Temp Power Pole:
0
$0.00
Issuance Fee:
$35.00
O/H to U/G
1
$43.00
Additional Fee:
$0.00
Supplemental Fee:
$0.00
TOTAL Fee: $121.00
Plan Check Fee • $0.00
Fee Due at Permit Issuance:
$121.00
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 fort
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 (_) all of or (_) 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
im roved 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).
111 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 tills perpAt, I canraMcgall)
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. 1 understand that a copy of the applicable law, Section 7044 of the Business ema
Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw. 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 Sec' 700 19) of Division 3 of the Business and Profess! s C Ic ensp is in fnlofo roe
aLicense Class nd effect. lam'
License No Date t Contractor Signature
• • o ,.
WORKERS' COMPENSATION DECLARATION ..•.
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRI INAL PENALTIES AND CIVIL FINES UP TO ON HUNDRED THOUSAND DOLLARS ($100,090), IN ADDITWTP T',s
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: • • • • • ° •"
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 oft491abor Cdde, forth
perfo ance of the work for which this permit is issued. Policy No.
[3hav j - aintain 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' compensatioi
in1sur c carrier and policy number are:
C9rriet Policy Number Expiration Date
he -df Agent ..._.._ ..
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' comp�rnsation,laws of California, and agre,
if I should become subject to the work is. compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ..���� 11
nature of Applicant Date j
CLARATIOt, REGARD G C S UCTION LENDING AGENCY
:rebyaffirm under penaltyof er' that there is a construction lending agency for the performance of the work for which this permit is issue (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 property own is behalf.
I have read this application and the information I have provided s correct.
I agree to comply with all applicable city and countyordi�c and ate laws relating to building construction.
I authorize representatives of this city or county t rifer lh ove-Iden 'ed property for inspection purposes.
nature of ProDertV Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name i t [J Date
ACf10N DATE BY
UZULRr1H1nl1V yr wmrs_sww�. 1.11- ..+..,--
FEDERAL REGULATIONS PART 01 OFTITLE40AND
AQMD RULE 140,3.
❑ f SUBMfTTED ASBESTOS NOTIFICATION TO.
❑ EPA
❑ AQMD
❑ ASBESTOS NORF/CADON/S NOT APPLICABLE TO
PROPOSEDDEMOLITION,
SIGNATURE:
PERMtTEXPIRED
PERMITCANCELLED
PERMITEXTENDED
PERMIT FINAL
CERTIRCATEOF
OCCUPANCYISSUED
N C
7 �
Eo
wC, o�
G
L
� C
CL
m �
V �
L O
U -t
m
0 Q
m �
=
,�O 3
O E
w
C.) w
CL
a .o
v
E
c
to
�c
0
U
m
N
w
O
Z
C
2
`01
a) a
j N
a (D
m _
m
N C
CD
0.
c a)
o L)
N
L>
i "0i
.y J
m
E
C
O
m
t
00
W
0
M
N
C
V
LU
a
�
o
Z
W00
r
m
zLO
V
U
N
c
N
C
�v
N
H
d
a c)
W
U
w
7
N
o
0
Q NL
0
m
10
W
CD
ZF3
U)
Z
Z
Z
o°
W
O
LL
3:
12
O
Omz
O
c
d
cm
Z0
CD
L0
CL
o
zQ
V
X
0
19
)
o
y
0
a
Ot
,n
W
G
Z'
N C
7 �
Eo
wC, o�
G
L
� C
CL
m �
V �
L O
U -t
m
0 Q
m �
=
,�O 3
O E
w
C.) w
CL
a .o
v
E
c
to
�c
0
U
m
N
w
O
Z
C
2
`01
a) a
j N
a (D
m _
m
N C
CD
0.
c a)
o L)
N
L>
i "0i
.y J
C
O
t3
CD CD
C �•
o c
L0
m O
m a>
-O'a
c C
O
a�
� v=
O) N
A�
m >
£ m
U N
O
o w
a) fE
m
E
C
m
t
0
0
C
V
-o
C
�
o
U
m
m
�
U
V
c
N
C
wL
(D
�O
U
U
w
7
N
o
0
o
m
:
m
U
�
C
E
o
G
0
�.
n
cm
U
O
c
G
�
cm
CD
L0
CL
o
a)
U
a
o
)
N
y
0
m
rn
,n
C
O
t3
CD CD
C �•
o c
L0
m O
m a>
-O'a
c C
O
a�
� v=
O) N
A�
m >
£ m
U N
O
o w
a) fE