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Home My WebLink AboutE2021-0683 - Permitswy City of Newport Beach - Building Division II IIIIIIIIIIIIIIIIIIIIIIIIIIIIII II Electrical Permit: E2021-0683 L, 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 2 1 0 6 8 3 project No 4 , ` v Permit Counter Phone (949)644-3288 t:, �'{E�Wi'1y.��0 0 Inspection Requests Phone (949)644-3255 Job Address'_ 27 27TH ST Bldg: 1 Floor: Suite, Description of Work: ELEC/OVERHEAD TO UNDEGROUND W/200 AMP SERVICE PANEL Inspector Area: 1 Code Edit: 2019 pp' A f� Legal Description: NEWPORT BEACH CITY BILK 27 LOT 24 Owner: HIGGINS ROBERT J Contractor: J P T CONSTRUCTION INC Worker's Compensation Insurance r—i 1 Address: 2143 VIA AGUILA #170 Address: 409 62ND ST Carrier: WESCO SAN CLEMENTE CA 92673 NEWPORT BEACH CA 92663 Policy No: WWC3520405 Phone: Phone: 714-336-1966 Expire : 04/07/2022 0 Con State Lic: 879360 Issued Date:10/07/2021 Lic Expire: 06130/2022 Bus Lic: BT30014788 Processed By: Lic Exp Date: 01/31/2022 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: 1 $47.00 Branch Circuit: 0 $0.00 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Over600V or1000A: 0 $0.00 Time Clocks: 0 $0.00 0/H to U/G 1 $47.00 Additional Fee : $0.00 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 Plan Check Fee : 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: $38.00 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. e. e e •YY •Y YY • Y YY• Y6 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). ❑ 1, 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, provi�d 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 Licenserl-aw 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). ❑ I 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.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 q00) of Division 3 of the Business and /Professions Co e, and jkdense is full force and effect. L 112 Z L Contractor SignatureJ� License Class License No Date "` "` 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 HUNDR OUSAND 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: 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 :e of the work for which this permit is issued. Policy No. and will ai Main workers' co nsation insurance, as r fired by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' carrier a policy number ary'} / ie of Agent (ZY&4-, -�-�J; certify that, in the perfojgPance of the work for which if I should becomky5ject to the workers' compew sture of ADDlican Date ploy any person in any manner so as to become subject to the workers' compensation laws of California, and agref of the Labor Code, I shall forthwith comply with those provis D1 s /Zr hereby affirm under penalty of perjury that6we"s 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 behalf. I have read this application and the information I have provided is orrect. I agree to comply with all applicable city and county o Inances a d Ste la relating to buI ing construction. I authorize representatives of this city or county'tae ter the abIrT d property for inspection purposes. of p ACTION DATE BY DECLARATION OF COMPLIANCE IMITH CODE OF FOR OFFICE USE ONLY FEDERAL REGLILATIONSPJ" BJ j7F TIRE gO AND AQMD RULE 1403, • • • s ❑ I SUBMITTED ASBESTOI NOitIC4TIOQf7O'. •• • s [I EPA • • s • • ❑ AQMD • • • " � • PERMITEJCP7RE3 PERMIT CANCELLED PERNiITFh7ENDED ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. ••• s e PERMIT FINA[ CERTPFICATE OF SIGNATURE.' a° o e e m e°•• OCCUPANCYISSUED • o e e• s e