HomeMy WebLinkAboutE2019-0481 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIII IIIIIIIII IIIIIIIIIIIIIIIII IIElectrical Permit: E2019-0481
100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 1 9 0 4 8 1 Project No
a
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Job Address: 438 BEGONIA AVE Bldg:1 Floor: Suite:
Description of Work: ELEC SUB PANEL C/O 100 AMPS
Inspector Area: 5
Legal Description: CORONA DEL MAR BLK 430 LOT 14
Owner: MARSHALL JASON
Contractor:
Address: 438 BEGONIA AVE
Address:
CORONA DEL MAR, CA 92625
Phone:
Phone:
Con State Lic:
Issued Date:07/16/2019
Lic Expire:
Receptacle/Switch/Outlets
Bus Lic:
Processed By: 50" " \
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
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FEES
Code Edit: 2016y
New Construction
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Receptacle/Switch/Outlets
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0
Worker's Compensation Insurance
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Carrier: WESCO
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Policy No:WWC3408624
$0.00
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Expire :04/07/2020
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Multi -Family:
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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,
FEES
New Construction
Receptacle/Switch/Outlets
Motors/Transformers (HP/KVA)
Residential
Receptacles/Outlets:
0
$0.00
0 to 1 HP/KW/KVA:
0
$0.00
Temp Underground:
0
$0.00
Multi -Family:
0
$0.00
Fixtures:
0
$0.00
1 to 10 HP/KW/KVA:
0
$0.00
Sub Panel:
1
$26.00
1-2 Family:
0
$0.00
Sep Circuits:
0
$0.00
10 to 50 HP/KW/KVA:
0
$0.00
0
$0.00
Low Voltage
0
$0.00
50 to 100 HP/KW/KVA:
0
$0.00
0
$0.00
Service
Signs
Over 100 HP/KW/KVA:
0
$0.00
Record Mgmt Fee:
$0.00
0-600V up to 20OA:
0
$0.00
Branch Circuit:
0
$0.00
Plan Check Fee:
$0.00
0-600V over 200A:
0
$0.00
Each Add Circuit:
0
$0.00
Piggy Back/Temp Power:
0
$0.00
Investigation Fee:
$0.00
Over 600V or 1000A:
0
$0.00
Time Clocks:
0
$0.00
Temp Power Pole:
0
$0.00
Issuance Fee:
$35.00
O/H to U/G
0
$0.00
Additional Fee :
$0.00
Supplemental Fee:
$0.00
TOTAL Fee:
$61.00
Plan Check Fee : $0.00
Fee Due at Permit Issuance:
$61.00
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,
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 permitsubjects the applicant to a civil penally of
not more than five hundred dollars ($500). t
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) 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). -
❑ 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 ownerpfptoperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
❑ I am exemplicerc Acensure under the Contractors' State License Law for the following reason:
Fiy r9I1 sonatura6beloA Lacknowledge 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
still a structuret�IBM 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.htmi.
E igria(yA of PropeRy Owner or Authorized Agent Date
LIFEIJSED CQN..T&VTOR'S DECLARATION
I,7Ie?gby-affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wit Sectio 7000) of Division 3 of the Business a d Profess! o s Cce a icense is in full force
and effect. L cense Glass : • • •' License No Date 9 gnatu
1 1�. Contractor Si
AfUgIZERS' COMPENSATION DECLARATION
......
pARNING.FAILURE 10 SECYRE WORKERS' COMPENSATION COVERAGE le UNLAWFUL, AND SHALL SUBJECT AN EMPL VER TO CRIMINAL PENALTIES AND CIVIL FINES UP T .ONE HUN ED THOUSAND DOLLARS (§700,000), IN ADDITION TO THE
COST OF COMPENSANION,�MAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
"tabyPffirm under penalty of perjury one of the following declarations:
i Lave and wAl. ivintain 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 th1
6rformance of the work for which this permit is issued. Policy No.
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' compensatior
nsurance carrier and policy number are:
Policy
Date
Tie of Agent vnone F
certify that, in the perf Tmance of the work for which his erlrrrj���lit is ssued, of employ any person in any manner so as to become subject t the workers' compensation laws of California, and agree
I. if I should become bject to the workers' compe Ion pro1)[i ons of Sectio 0 of the Labor Code, I shall forthwith comply with those prov' ions.' ) ��
nature of Applicant ,} D e
CLARATION REG RDING CONSTRUCTIPA VINDING AGENCY
;reby affirm under enalty of perjury that a 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 I ed -i r -
I agree to comply with all applicable city and co ty ordi nc state laws relating to building construction.
I authorize representatives of this city or count to ent r -t ove-id tified property for inspection purposes.
nature of Property Owner or Authorized Agent � Print Property Owner's or Authorized Agent's Name 1 ate
ACTION DATE BY
DECLARATION OF COMPLIANCE KITH CODEOF
fOROFRCEUSEO LY
FEDERAL REGULATIONS PART 61 OFTITLE40AND
AQMD RULE 1403.
-
PERMITEYPIRED
❑ I SUBM17TEDASBESTOS NOTIFICATION TO:.
❑ EPA
❑ AQMD
PERMITCANCELLED
PERMITEXTEND€D
❑ ASBESTOS M017FICA7I0NIS NOT APPLICABLE TO
PERN7ITFINAL
04
POSEDDEMOLIT/ON.
CERITFICAT€OF
SIGNATURE:
OCCUPANCY[SSUED