HomeMy WebLinkAboutE2020-0011 - Permitst=, City of Newport Beach - Building Division II�III�III�IIIIIIIIIIIIIIIIIflIIIIIIII�IIIIIIIII II o iu 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Job Address: 205 40TH ST Bldg: 1 Floor: Suite:
Description of Work: ELEC/SERVICE UPGRADE
Inspector Area: 1
Legal Description: CANAL SECTION BILK 140 LOT 12
Owner: ESCHER DIAI
Address: 20 OTH
EWPIR�
Phone: 949-205-5948
Issued D to_0110312020
Processed
New Construction
Residential
CA 92663
Multi -Family:
0
$0.00
1-2 Family:
0
$0.00
Service
0-600V up to 20OA:
1
$45.00
0-600V over20OA:
0
$0.00
Over600V or1000A:
0
$0.00
O/H to U/G
0
$0.00
TOTAL Fee:
Contractor:
J P T CONSTRUCTION INC
Address:
409 62ND ST
NEWPORT BEACH CA 92663
Phone:
714-336-1966
Con State Lic:
879360
Lic Expire:
06/30/2020
Bus Lic:
BT30014788
Lic Exp Date:
01/31/2020
Receptacle/Switch/Outlets
Receptacles/Outlets: 0 $0.00
Fixtures:
0
$0.00
Sep Circuits:
0
$0.00
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: E2020-0011
Project No :
Inspection Requests Phone (949)644-3255
Code Edit: 20161
Worker's Compensation Insurance
Carrier: WESCO
Policy No: WWC3408624
Expire : 04/07/2020
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:
Sub Panel:
Record Mgmt Fee:
Plan Check Fee:
Investigation Fee:
Issuance Fee:
Supplemental Fee:
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.
M
M
M
N T'r%rE WEEKEND
t'
A
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$35.00
$0.00
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 Diviswn'3 of fne 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).
111, 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 pylgorse of sale).
Q I, as owner of.NQ property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
"e,an owne�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 V exempi TrVil;ensure under the Contractors' State License Law for the following reason:
Fy?V, 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 legalli
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
P%fe%ons Code, 11gyailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
SigrMure of Prof &If Owner or Authorized Agent Date
L'll €i�SED CONTRACTOR'S DECLARATION
I4". ,sby affir0dhdespenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professio s ode, a py li ense i II force
a xt,Bfject.�
License Class . License No Date \ �z 1 Contractor Signature
IKORKERS' G®MRENSATION DECLARATION
ryM$aIAG: FAILURE.TG$ECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUN HOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMP%S%TIOM, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
I 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 th
TeRbgnance of the work for which this permit is issued. Policy No.
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'
carrier and policy number are:
Policy Numbers Expiration Date
of Agent
I certify that, in the performance of the work for hic emus issued, I sha t employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree
t, if I should become subject to the workers' io provisions of Sectio Labor Code, I shall forthwith comply with those provisions
:nature of Applicant Date
CLARATION RE ' NG C CTION LENDING AGENCY
:reby affirm under enalty p ry 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 property 4 wne hat
I have read this application and the information I have prov' a corr
I agree to comply with all applicable city and county ordipdnces a d st atin to building construction.
I authorize representatives of this city or county nt a - e y for inspection purposes. <\^ .�,�ry�
(nature of Property Owner or Authorized Age Print Property Owner's or Authorized Agent's Name It 1� �� <,`-' I` �-—Date'
ACTION
DATE
BY
DECLARATION OFCOMPLIANCEMTN CODEOF
FOROFRCEUSEONLY
FEDERAL REGULATIONS PART 61 OF TITLE WAND
AQMD RULE 1603.
PERMIT EXPIRED
❑ I SUBMITTED ASBESTOS NOTIFICATION TO.
❑ EPA
❑ AQMD
PERMITCANCELtED
PERMIT EXTENDED
❑ ASBESTOS NORFICATIONIS NOTAPPLICABLE TO
PROPOSED DEMOLITION.
PERMIT FINAL
q
CERTIFICATEOF
SIGNATURE.
OCCUPANCYISSUED