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Home My WebLink AboutE2019-0666 - PermitsU City of Newport Beach -Building DivisionElectrical Permit: E2019-0666 100 Civic Center Drive, New ort Beach, CA 92660 E 2 0 1 9 0 6 6 6 6 Project NoPermit Counter Phone (949)644-3288 Inspection Requests Phone (949)e44-3255 10,11 Job Address: 2305 COAST HWY E Bldg: 0 Floor. Suite: 114, "..31 f Description of Work: ELEC -OVERHEAD TO UNDERGROUND. (2) J-BOXES FOR 200 AMP & 400 AMP. Inspector Area: Legal Description: TR 470 LOT 1 BLK A ALL -EX HWY- Owner: MANGOLD MARTIN A Contractor: Address: 192 E RADCLIFFE DR Address: CLAREMONT, CA 91711 Phone: Phone: Con State Lic: Issued Date: Lic Expire: 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: 2 $14.00 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 1 $45.00 Additional Fee : $0.00 TOTAL Fee: Code Edit: N I'd lip 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 Check Fee : 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: $35.00 Supplemental Fee: $0.00 PERMITS EXPIRE 130 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. DWNER-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 rive hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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 ap ly 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 7000) of Division 3 of the Business and Professio Cod'yny is is in full force and effect. License Class License No Date L� Contractor Signature z 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 (SiDD,0D01, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37DS OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: p❑ 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 thI pe Wmance 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 Number ie-df Agent certify that, in the performance of the work for whigIn this , if I should become bject to the workers' comp nsatio Date not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree of [he Labor Code, I shall forthwith comply with those provisions. nature of Applicant �Da - (JZ1 Z6 CLARATION REGARDING CONSTRUC LENDI G AGENCY �tS'/ :reby affirm under penalty of perjury t ere 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 owner's behalf. I have read this application and the information I have pr is corr I agree to comply with all applicable city and county ordinances an sta s relab building construction. n I authorize representatives of this city or count to enter the entifed pro or inspection purposes. i !t h nature of Property Owner or Authorized Age, Print Property Owner's or Authorized Agent's Name13. 1 1y \? Date AC77ON DATE BY DECLARATION OF COMPLIANCE WITH CODEOF FOR OFFICE USE ONLY ----- FEI)ERAr_ REGULATIONS PART Si OF TITLE40 AND ACMD RULE 1403. PERMIT EXPIRED ❑ ISUB.AITTEDASBESTOS NOTIFICATION TO. ❑ EPA ❑ AQMD PERMITCANCELLED PERMITEXTENDED ❑ ASBESTOS U017RCATIONIS NOT APPLICABLE TO D40PCISED DEMOLITION. PERMIT FINAL CERTIFICATE OF ; S'CNATUF'E: OCCDPANCYISSUED