HomeMy WebLinkAboutE2022-0028 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIII II
A 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 2 2 0 0 2 8
Permit Counter Phone (949)644-3288
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Job Address: 2210 OCEAN FRONT W Bldg: 1 Floor: Suite:
Description of Work: ELEC -OVERHEAD TO UNDERGROUND. 200 AMP SERVICE UPGRADE
Inspector Area:
Legal Description: NEWPORT BEACH CITY BILK 22 LOT 6
Owner: NISSON NICHOLAS
Contractor:
Address: 2210 W OCEAN FRONT
Address:
NEWPORT BEACH CA 92663
Phone:
Phone:
Con State Lic:
Issued Date:01/21/2022
Lic Expire:
Bus Lic:
Processed By:
Lic Exp Date:
Electrical Permit: E2022-0028
Project No :
Inspection Requests Phone (949)644-3255
NO CONS-rR1 1G.TIs N NOISEode Edit: 2019
J P T CONSTRUCTION INC rp��1�
409 62ND ST 1,� �^�loEKEt�eD
NEWPORT HTkj& r3'
714-336-1966
879360
06/30/2022
BT30014788
01/31/2022
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:
0
$0.00
Low Voltage
0
$0.00
Service
Signs
0-600V up to 20OA:
1
$47.00
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
$47.00
Additional Fee :
$0.00
32.00
Worker's Compensation Insurance
Carrier: WESCO
Policy No: WWC3520405
Expire : 04/07/2022
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
Plan Check
Piggy Backrremp Power: 0 $0.00
Temp Power Pole: 0 $0.00
Temp Underground:
0 $0.00
Sub Panel:
0 $0.00
0 $0.00
o $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 at Permit Issuance : $132.00
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
Construction Hours: Monday - Fr; y .':00 z..r.. to 6;30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m.
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:)W NER-BUILDER DECLARATION
i herebyaffum under penalty of perjury that I:am exempt from they Contractors' State License.Lawfor the reason($), Indicated below by the oheckmark(s) I have placed next to the applicable item(s)
;Section 7031.5, Business and Professions Code: Any: city orcounty that requires a_permit to construct,: alter, improve, demolish, or repair any structure, prior to its issuance, also requires She applicant for
the permit to file a signed statement that he or she is licensed pursuant to the. provisionsof the Contractors' State License Law (Chapter 9 (commencing with. Section 7000) of Division 3 ofthe Business and
Professions Code) or thathe Or she is exempt from Itcensure 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).
❑ -1, as owner of theproperty, 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,
Business and Professions Code: The Contractors' State, License Law does not apply toan owner ofproperty 'who, through employees' or personal effort, builds orimproves the property, provided that the
improvementsare not intended or offeredfor sale. If, however, the building or improvement Is sold within one year of completion, the-Owner-BUllder will have the burden ofprovingthat 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 owner of property who builds or Improves thereon, and who. contracts for they projects with a licensed Contractor pursuant to the Contractors' State License. Law).
❑ I am exempt from Iicensure underthe 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 leastOneyear 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 ithas not been constructed In its entirety bylicensed :'contractors. I understand that -a copy of the applicable law, Section 7044 of the Business and
Professions Lode, 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 affirmunder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profession Code, my rise is in full force
and effect.
License Class License No Datey ZZ 2'Z contractor Slgnatur
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN BMPLOYERTO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE FIUNDRED THOUSAND DOLLARS ($100,Ooa), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED: FOR IN SECTION'3709 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES.
I hereby: affirm' under penalty of perjury one of the following declarations:
❑ 1 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 thl
g` anoe of the. work forwhich this permitis.issued. Policy No.
e 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' compensator
anee carrier and policy number are:
Number
of Agent
Date
certify that, in the performance of the ark forwhich t ' permit islf suedrlAhall not employ any person in any manner so as to become subject to the workers' compensation' laws of California, and agrer
I, if I should become subject to thew rkers' comp ion provisi ,Ion 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature/zz IZz
CLAR of Applicant Dated
GLARATIDN REG R IN STRU LENDING AGENCY
Heby affirm under pen perjury that there is a construction lending agency for the performance of thework for which this permit is issued (Sebtion 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 provided is ca
I agree to comply with all applicable city and Countyordir)ances an5l to laws: Sting to building construction,
I authorize representatives of this city or county to en (the abovve.itl�ntiriec pr erty for inspection purposes. \ `
nature of Pmoartv Owner or Authorized Agent/ �%` Print Property Owner's or Authorized Agent's Nomad
AL770N I DATE I BY
IPERT1TEXTENDED I I I
CERTfFICATEOF
OCCUPANCYISSUt0
❑ JSUBMf'fTEDASBESTD� N017F.'CATf(INTO.
❑ EPA
❑ AQMD
❑ ASBESTOS N077FICA.7/QN1S NOTAPPLICABL.E iO
PROPOSED DEMOUTION.
SIGNATURE;