HomeMy WebLinkAboutE2020-0106 - Permits0
City of Newport Beach - Building Division IIII�IIIIIIII�IIIII�IIIIIIIIIIII�IIII II Electrical Permit: E2020-0106
100 Civic Center Drive; Newport Beach, CA 92660 E 2 0 2 0 0 1 0 6 Project No:
Permit Counter Phone (949)644-3288
JOD Haaress: LUS WASHING 1 UN ST Bldg: 1 Hoof: Suite:
Description of Work: ELEC - 100 AMP PANEL UPGRADE
Inspector Area: 1
Legal Description: BALBOA TR LOT 8 BLK 9(LOT 9 BILK 9
Owner: CITY OF NEWPORT BEACH
Contractor:
Address: PO BOX 1768
Address:
NEWPORT BEACH, CA 92658
Phone:
Phone:
Con State Lic:
Issued Date:02/20/2020
Lic Expire:
Bus Lic:
Processed By:
Lic Exp Date:
New Construction
Residential
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 or10o0A:
0
$0.00
O/H to U/G
0
$0.00
TOTAL
Fee:
$80.00
J P T CONSTRUCTION INC
409 62ND ST
NEWPORT BEACH CA 92663
714-336-1966
879360
06/30/2020
BT30014788
01/31/2021
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
Inspection Requests Phone (949)644-3255
CIT
Code Edit: 2019
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:
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
Fee Due at Permit Issuance:
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
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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 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 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, Section 7044 of the Business and
'.Professions Code, is available upon request when this application is submitted or at the following Web site:http://ww .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 7 0) of Division 3 of the Business and Professi ns Code, and lice 'n full force
and effect. -
License Class License No D Z 2`� Contractor Signatur
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOO NORED 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. -
I 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 thf
pwormahce 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:
IS of Agent
certify that, in the performance of the work
if I should become subject to the workers'
K lature of Applicant
Policy Number Expiration Date
i Phone #
I not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agref
3700 of the Labor Code, I shall forthwith comply with those provisions. ^7
D`� G f2d�'Zv
hereby affirm under penalty of per101-tttat 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
ly 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 1-have provided is corn
I agree to comply with all applicable city and county ordinan s state a
I authorize representatives of this city or county tq enter the a
ACTION
PERANTFINAL
CERTIFICATEOF
OCCUPANCYISSUED
DATE I f / BY
g to building construction.
for inspection purposes.
FEDERAL REGULATIONS PART 41.OF TL,T 40AND
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❑ EPA ••• •••
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PROPOSED DEMOLITION. .,. ••. .
SIGNATURE: o e o a o 0
Date