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HomeMy WebLinkAboutE2019-0529 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 618 BEGONIA AVE Bldg: 1 Floor: Suite: Description of Work: ELEC -OVERHEAD TO UNDERGROUND & (2) 200 AMP METERS Inspector Area: 5 Legal Description: CORONA DEL MAR BLK 630 LOT 20 Owner: O'CONNOR MARGO Contractor: Address: 618 BEGONIA AV Address: CDM CA 92625 Phone: Issued Date:08/01/2019 Processed By: New Construction Residential Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Service 0-600V up to 20OA: 2 $86.00 0-600V over20OA: 0 $0.00 Over 600V or 1000A: 0 $0.00 O/H to U/G 1 $43.00 TOTAL Fee: Phone Con State Lie: Lie Expire: Bus Lie: —Lie Exp Date: II�IEIV���II0II�I�IIV0II�l5lulll�l�� II J P T CONSTRUCTION INC 409 62ND ST NEWPORT BEACH CA 92663 714-336-1966 879360 06/30/2020 BT30014788 01/31/2020 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 Electrical Permit: E2019-0529 o Project No : Inspection Requests Phone (949)644-3255 Code Edit:2016 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 Temp Underground: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 0 $0.00 50 to 100 HP/KW/KVA: A $0.00 0 $0.00 Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: $0.00 Plan Check Fee: $0.00 Piggy Back/Temp Power: 0 $0.00 Investigation Fee: $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $35.00 Supplemental Fee: $0.00 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,¢:00 p.m. 00 © u c c € o e o e o0 o m o 0 0 0 000 0 0 0 0 � G mo 000 0 0 0 000 0 0 o w o 0 • c c c o oo cc a c. e e 0 0 0 o c co 0 •• o•• • • coc w coo LDER 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 ie 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). 1 1, 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, 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 n roved 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 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 Iicensure under the Contractors' State License Law for the following reason: ly 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.html. signature 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 Prole sI s Co , and my Ii nse is in full force nd effect. icense Class License No Date Contractor Signatu e VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUa3ECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HU RED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR 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 erformance 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' rance carrier and policy number are: Policy Number Date me of Agent rnone IF - certify that, in the performance of the work Ifooriw1hch ith' ermit' II 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 subject to the workers'pen ion s of Section 3 Labor Code, I shall forthwith comply with those provi¢ylons. ry t I nature of Applicant D ita'4 �, L CLARATION REGARDING NSTRUw1w1m LENDING AGENCY :rebyaffirm under penalty of perjury t there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 lder'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 ordinance nd s relating ilding construction. I authorize representatives of this city or county tgenter tt e.9 Ted pppperty-i pection purposes. ^tl nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Ni DECLARATION OF COMPLIANCE WI TH CODE OF ACTION OATE ...... • • FEDERAL REGULATIONS PART &I OF TITLE40AIVD AQMDRULE'l403. PERMITEXPIRED : . • • • • : : • • : • •Q i SUBMITTED ASBESTOS NDRFICATION TO: PERMITCANCELLED • • • •: '•' © EPA PERMIT EXTENDED AQMD ASBESTOS NORTICARONIS NOT APPLICABLE TO PERMITFiNAL • ••• PROPOSED DEMOLITION. CERTIFICATE OE : • • • : : • SIGNATURE: OCCUPANCYISSUED ___ •__ •__ Civil Code). 21 rwnnfe &A 1 l,%