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Home My WebLink AboutE2019-0598 - Permitst City of Newport Beach - Building Division 4 ' 100 Civic Center Drive, Newport Beach, CA 92660 w Permit Counter Phone (949)644-3288 Job Address: 614 BEGONIA AVE Bldg: 1 Floor: Suite: Description of Work: ELEC -O/H TO LUG, 2 200 AMP SERVICE, 2 SUBPANELS Inspector Area: Legal Description: CORONA DEL MAR BILK 630 LOT 16 Owner: GRAY THOMAS A Contractor: Address: 512 CARNATION AVE Address: CORONA DEL MAR, CA 92625 Phone: Phone: Con State Lie: Issued Date:08/26/2019 Lie Expire: Bus Lie: Processed By: Lie Exp Date: IIIIIIIIIIIIIIIIIIIIIIIIIIIllJilIIIIIIIIIIIIIIIIIIII II PectElectrical s57 zits E2019-0598 Inspection Requests Phone (949)644-3255 J P T CONSTRUCTION INC 409 62ND ST NEWPORT BEACH CA 92663 714-336-1966 879360 06/30/2020 BT30014788 01/31/2020 Code Edit: 2016 Worker's Compensation Insurance Carrier: WESCO Policy No: WWC3408624 Expire : 04/07/2020 - FEES 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 IQ HP/KW/KVA: 0 $0.00 Sub Panel 2 $54.00 1,2 Family: ``E 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 Verwce Signs Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: $0.00 b-GOON up to 200A: = 2 $90.00 Branch Circuit: 0 $0.00 Plan Check Fee: $0.00 b-`800�% over 20DA: 0 $0.00 Each Add Circuit: 0 $0.00 Piggy Back/Temp Power: 0 $0.00 Investigation Fee: $0.00 UvWr NOV or-1000A: 0 $0.00 Time Clocks: 0 $0.00 Temp Power Pale: 0 $0.00 Issuance Fee: $35.00 U`_°to= U/G O/H 4°°� 1 $45.00 Additional Fee: $0.00 Supplemental Fee: $0.00 TOTAL Fee: $224.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $224.00 • •. e ®• • • • • • • 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. °___ 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 (_) all of or U portions of the work, and the structure is not intended oroffered 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 legall, 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.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 Section 7000) of Division 3 of the Business and Professi s C nd my lice a is in full force and effect. �) 1p License Class License No Dat it (7 11 Contractor Signatur 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 H N RED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370E 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 Labor Code, for th ppAymance of the work for which this permit is issued. Policy No. RI hake 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' compensatioi Isura ce carrier and policy number are: 4Ker Policy Number Expiration Date " lame of Agent Phone # 71 certify that, in the performance of the work for w ich this s issue , shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre iat, if I should become subject to the workers' comp nsaf ovisions action 3700 of the Labor Code, I shall forthwith comply with those p�rovisi�ons. ) . °: ° °. ... ° � /761l� .. ° signature of Applicant DhtY .... IECLARATION REGA 1 CONST TIO ,IiKEN01"AGENCY +•••• • o ° °o hereby,affirm under penalty of perj th ere 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 Iy my signature below, I certify to each of the following: •' `. ; `° °, ° ° i am the property owner or authorized to act on the property owner's alf. ° ° •' , ° I have read this application and the information have provi ed is . .. • • • •• o I agree to comply with all applicable city and county ordinan nd laws relat g to building construction. I- I I authorize representatives of this city or county to enter o-identifie arty for inspection purposes. / o �6 ��— )° •Date �/ signature of Property Owner or Authorized Agent Print Property Owners or Authorized Agent's NameX t �- "! • ACTION DATE BY DECLARATION OF COMPLIANCE MTH CODE OF FOR OFFICE USEQO% FEDERAL REGULATIONS PART 61OFTfTLE40AND AQMDRULE 1403. + •: ... • P€RMITEXPIRED iSUBMITTEDASBESTOSNOTIFICAT(ONTO: ❑ EPA ❑ AQMD ❑ ASBESTOS M077RCA170MIS NOT APPLICABLE TO PROPOSED.DEMOLITION PERMITCANCELLED P€RMITEXT€NDED PERMIT FINAL — CERTIFLCATEOF OCCUPANCYfSSUED SIGNATURE: