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Home My WebLink AboutE2019-0852 - PermitsCity of Newport Beach - Building Division a 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 �"caatzss�'`_ Job Address: 1501 OCEAN FRONT W Bldg: 1 Floor: Suite: Description of Work: ELEC/SUB-PANEL 100 AMP PIER RESTROOM 15 STREET RESTROOM Inspector Area: 'l 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 Lie: Issued Date:12/11/2019 Lie Expire: Bus Lie: Processed By: Lic Exp Date: IIP�E Ilul 0I��I 1�II� III 0�I�I I�I�I 5III� 1 III J P T CONSTRUCTION INC 409 62ND ST NEWPORT BEACH CA 92663 714-336-1966 879360 06/3012020 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 1000A: 0 $0.00 Time Clocks: 0 $0.00 O/H to U/G 0 $0.00 Additional Fee: $0.00 TOTAL Electrical Permit: E2019-0852 Project No : Inspection Requests Phone (949)644-3255 «y Code Edit: 2016 >t-� -n 0 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 Backrremp Power: 0 $0.00 Temp Power Pole: 0 $0.00 Plan Check Fee : 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 160 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 °Gi °G° 00 • Y tlG° °° 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 Q. 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 Iicensure 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://w .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 70 0) of Division 3 of the Business and Profession Code, in Icense is In V rce and effect. License Class License No Da `2 �� 1� Contractor Signature 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. 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 p6nance 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' compensa trance carrier a p cy number are: ,�//t ^ �- ` rier ) — 11 /F71 ! Polix:ZAer i % I Expiration Date of Agent certify that, in the performance of the work for whi Is pe s of employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre( t, if I should become supX�dt.�to the workers' comp n anon visions of Section 3700 of the Labor Code, I shall forthwith comply with those prov ions. // C nature of Applicant / — Date 12 1 (I 17 CLARATION REGARDING CONSTRU1211-0bKENDIAG AGENCY Ireby affirm under penalty of perjury & re 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 owners beC I have read this application and the information I have prov" d is c ec I agree to comply with all applicable city and county ordinance a d to laws ating to building construction. 1 authorize representatives of this city or county to enter the entifie party for inspection purposes. ACTION DATE BY DECLARATION OF COMPLIANCE INITN CODE OF FOR OFFICE USE ONLY .. . FEDERAL.RFiGLI&VIONS PART 61 OFT17LE40AND ACFDRULF� ee e• PERMITEXPIRED • ❑• 1 SUBMITTE&ASBESTOS M071FICATIO14 TO: • - •❑ •EFA o ❑ AOMD PERMIT CANCELLED • PERMIT EXTENDED ❑ ASBESTOS NOIIRCA710NIS NOT APPLICABLE TO RROPt? E&PEMOLITION. • e PERMITFINAL `Z.f G .. ••• CERTIF{GATE OF • e e . SIQNAT&V: OCCUPANCYISSUED i i o• oe o00