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HomeMy WebLinkAboutE2022-0160 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIII Electrical Permit: E2022-0160 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 2 2 0 1 6 0 Project No : 0224-2021 Permit Counter Phone (949)644-3288 (9) Inspection Requests Phone (949)644-3255 Job Address: 808 BAY FRONT S Bldg: 1 Floor: Suite: L. L. Description of Work: ELEC/INSTALL (2) ROOF DECK AIC UNITS (H2O22-0139) (. Inspector Area: 2 Code Edit: 2019P" 1 Legal Description: BALBOA ISLAND SEC 2 ELK 3 LOT 5� Owner: HUESTON JOHN/MABELLE Contractor: JS CONSTRUCTION Worker's Compensation Insurance's Address: PO BOX 264 Address: 469 POPLAR STREET Carrier, EXEMPTs� NEWPORT BEACH, CA 92662 LAGUNA BEACH CA 92651 Policy No: NO EMPLOYEES Phone: Phone: Expire Con State Lic: 324099 Issued Date:03/15/2022 Lic Expire: 03/31/2023 Bus Lic: BT3007590075929 Processed By:— / Lic Exp Date: 07/3112022 New Construction Residential Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Service 0-600V up to 20OA: 0 $0.00 0-600V over 20OA: 0 $0.00 Over 600V or 1000A: 0 $0.00 O/H to JIG 0 $0.00 Receptacle/Switch/Outlets Receptacles/Outlets: 0 $0.00 Fixtures: 0 $0.00 Sep Circuits: 2 $14.00 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: $38.00 Supplemental Fee: $0.00 Fee Due 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. IWNER-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 to 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 'rofessions 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 of more than five hundred dollars ($500). I, 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, lusiness 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 nprovements 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 nproved for the purpose of sale). 1 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 pply 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). 7 I am exempt from licensure under the Contractors' State License Law for the following reason: ,y 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 legall, ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htm]. ignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION - 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 Professions Code, 91dwi4cense is in full force nd effect. ,�j icense Class License No �` l0"t — l Date 7� °1"Z Contractor Signatur�\� JORKERS' COMPENSATION DECLARATION Of ARNING: 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 DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LA13OR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I 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 edormance of the work for which this permit is issued. Policy No. ]I have 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' compensatioi isurance carrier and policy number are: Policy Number of Agent Date certify that, in the performance of the work forwhich this permit is issued, I shall not 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\su/bl'¢Et tot{p�e work fry compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. —Lf nature of Applicant �C [J (/7�/ - Da� � Q� CLARATION REGARDING CONSTRUCTION LENDING AGENCY areby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). rder'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 provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or courty to enter he bove-identified property for inspection purposes. l r r nature of Property Owner or Authorized Agent uA Print Property Ownerme/� s or Authorized Agent's Na�+"ay 7�i UiZAC7 D AC77ON DATE BY DECLARATION OFCOMPUANCE IMTH CODE OF FOR OFFICE USE ONLY FEDERAL RECULATIONSPART 61 OF TITLE40AND AQMD RULE 1463. - - PERMITEXPMED ❑ I SUBMITTED ASBESTOS NOTIFCATIOV TO: ❑ EPA ❑ AQMD PERMIT CANCELLED PERMIT EXTENDED ElASBESTOS NOTIRCA770N IS NOTAPPLICABLE TO PROPOSEDDENOt fTIOIV. PERMIT FINAL CERTfFfCATEOF SIGNATURE: OCCUPANCYISSUED