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Home My WebLink AboutE2019-0851 - Permitswt City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 fl"ixf!}titrh Job Address: 72 NEWPORT PIER Bldg: 1 Floor: Suite: Description of Work: ELEC/SUB-PANEL 100 AMP PIER RESTROOM NEWPORT PIER RESTROOM Inspector Area: Legal Description: Owner: CITY OF NEWPORT BEACH Contractor: Address: 100 CIVIC CENTER DR Address: NEWPORT BEACH, CA 92660 Phone: 949-644-3347 Phone: Con State Lic: Issued Date:12/11/2019 Lic Expire: 41�Bus Lic: Processed By: Lic Exp Date: J P T CONSTRUCTION INC 409 62ND ST NEWPORT BEACH CA 92663 714-336-1966 879360 06/30/2020 BT30014788 01/31/2020 New Construction Receptacle/Switch/Outlets Residential Receptacles/Outlets: 0 $0.00 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1-2 Family: 0 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Service Signs 0-600V up to 20OA: 0 $0.00 Branch Circuit: 0 $0.00 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Over 600V or 1 OOOA: 0 $0.00 Time Clocks: 0 $0.00 O/H to U/G 0 $0.00 Additional Fee: $0.00 TOTAL Fee: Electrical Permit: E2019-0851 Project No: Inspection Requests Phone (949)644-3255 s Code Edit: 2016 Worker's Compensation Insurance Carrier: WESCO �q 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: 1 $27.00 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 O 3 U O a• O O • • • O O � O O 00 • • OO (i0 0 O O O O J O O V V O V J O •, a0 J J O a O J O aaa ea a• • a Sao s• 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 (_) 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). ❑ 1, 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://www.leginfo.ca.gov/calaw.htmi. 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. Professio y li In full force and effect. License Class License No Date 1'l \L 1 Contractor Signet re 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 HUNDRED 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. Ihereby affirm under penalty of perjury one of the following declarations: 6 Ih� 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 thi pgdrmance of the work for which this permit is issued. Policy No. have and will tain 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' rance carrier al\d p0 Cy number are: ;,,--j ie of Agent �—i{—� (i N \ certify that, in the performance of the work for , if I should becomes subject to the workers' co iature of Applicant,/ Date this rmit i ,sued. I shall n employ any person in any manner so as to become subject to the workers' compensation laws of California, and a Ions o m.3700 of the Labor Code, I shall forthwith comply with those provisions. \2 l/�l 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 y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's be I have read this application and the information I have provided I agree to comply with all applicable city and county ordinanc ng to building construction. I authorize representatives of this city or county to ove= entified property for inspection purposes. ignature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name ACTION DATE &Y DECLARATION OF COMPLIANCE WITH CODEOF FOR OFFICE USE ONLY •• ••• •.FE05RAL R&QUkAWONSPART61 OFTf7LE40AND i AQQID RULF�t403.� - •• e PERMITEXP#RED • • • • ❑•I SLIBlfgED O4 BESTOS A1077FICATION TO: ie iI EPA ❑ AQMD PERMITCANCELLED • �� PERMIT EXTENDED [3ASBESTOS N07IFICA7IONIS NOT APPLICABLE TO PROPO5EDOEMOUTION. PERMtT FiNAt '3 0 fit t✓ • • e e e CERTdAC47E OF es 1VJT1JRo' e OCCUPANCYtSSDED i e i :SI e ee •o cos