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Home My WebLink AboutE2021-0018 - Permitshn„�� City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II Electrical Permit: E2021-0018 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 2 1 0 0 1 a Project No Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 ^�. Job Address: 2301 COAST HWY E Bldg: 1 Floor: Suite: Description of Work: ELEC COMM PANEL UPGRADE 200 AMPS ON SATURDAYS Inspector Area: 7 Code Edit:2019 Legal Description: TR 470 LOT 1 BILK A ALL -EX HWY- Owner: LOUGE DAN Contractor: Address: 2301 E COAST HWY Address: NEWPORT BEACH, CA 92660 Phone: Phone: Con State Lic: Issued Date:01/08/2021 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 $46.00 0-600V over 20OA: 0 $0.00 Over600V or1000A: 0 $0.00 O/H to U/G 0 $0.00 J P T CONSTRUCTION INC Worker's Compensation Insurance 409 62ND ST Carrier : WESCO NEWPORT BEACH CA 92663 Policy No: WWC3462916 714-336-1966 Expire : 04107/2021 879360 ' 06/30/2022 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 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 BackfTemp 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: $37.00 Supplemental Fee: $0.00 Fee Due at Permit Issuance: $83.00 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. v•' 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 L) 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 purposs 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 sn owner oforooerty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). Q 1 am exempt from licensure under the Contractors' State License Law for the following reason: Fy m" 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 thut 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 Pro'sssions Code, :s evailable 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 CUN TRACTOR'S DECLARATION I hereby0) affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing it Section 00of Division 3 of the Business a rofessi ITS Co a and y lice a is in full force End cF'z�t. r/�L }/ License Class License No Da v ` Contractor Signatu lVC PK,2RS' COMPENSATION DECLARATION w,RY:N3: FAILURC'f PE:'JRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HI E D THOUSAND DOLLARS ($1N,000), IN ADDITION TO THE COST OF COMPENSATION, LAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS 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 th Ddrformance of the work for which this permit is issued. Policy No. have and will maintain workers' compensation insuran e, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation JrrI ce carrier and policy number are: Tier P Icy Numb r Expiration Date Ye of Agent Phone # certify that, in the performance of the wor for whit - ' ' ' esued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree t, if I should beco s ject to the work nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provi ions \ nature of Applican Date CLARATION REG I UCTION LENDING AGENCY �reby affirm under pen erjury that there is a construction lending agency for the performance of the work for which this permit is issued (S' ti 3097, Civil Code). lder's Name Lender's Address my signature b , 1 certify to each of the following: I am the property owner or authorized to act on the property owner's behal I have read this application and the information I have provided is CO I agree to comply with all applicable city and countyrdinances stat a sting to building construction.' this or county nter the -I ntified roperty for inspection purposes. [ I authorize representatives of city Name Dat Inature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's ACTION DATE BY DECLARATION OF COMPLIANCE tb'ITN CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE40 AND AQMDRULE 1401 ❑ 1SUBMITIEDASBESTOS NOTIFICATION TO: _ ❑ EPA [I AQMO PERMIT EXPfREO PERMIT CANCELLED PERMIT EXTENflEfl ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED