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HomeMy WebLinkAboutE2020-0081 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIElectrical Permit: E2020-0081 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 2 0 0 0 8 1 Permit Counter Phone (949)644-3288 Project No �"crxrs Inspection Requests Phone (949)644-3255 Job Address: 2304 PACIFIC DR Bldg: 1 Floor: Suite: Description of Work: ELEC OVERHEAD TO UNDERGROUND & (2) METER CHANGE OUTS 200 AMPS �. Inspector Area: 5 Legal Description: CORONA DEL MAR BLK 329 LOT 7 Owner: MANN MICHAEL C Contractor: Address: 2304 PACIFIC DR Address: CORONA DEL MAR, CA 92625 0 to 1 HP/KW/KVA: Phone: Phone: 0 Con State Lic: Issued Date:02/11/2020 Lic Expire: 40962ND ST Bus Lic: Processed By: inJE3��� Lic Exp Date: New Construction - 4O ('1 $0.00 meom• Code Edit: 2079 � ° • • ° ° Residential 0 to 1 HP/KW/KVA: 0 Receptacles/Outlets: 0 oo J P T CONSTRUCTION INC �� e o n Worker's Compensation Insurance FO 40962ND ST eAL- Carrier:WESCO NEWPORT BEACH CA 92663 e° Policy No: WWC3408624 ° • `° ° 714-336-1966 Expire :04/07/2020 879360 Sep Circuits: 06/30/2020 • e e BT30014788 -NOZ NS� ° m`"1 �� Investigation Fee: e01/31/2021 m 6Sn0 7 m New Construction 0 $0.00 Receptacle/Switch/Outlets Residential 0 to 1 HP/KW/KVA: 0 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 $0.00 Investigation Fee: Low Voltage 0 $0.00 Service $35.00 Signs Supplemental Fee: 0-600V up to 20OA: 2 $90.00 Branch Circuit: 0 $0.00 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Over 600V orIOOOA: 0 $0.00 Time Clocks: 0 $0.00 O/H to U/G 1 $45.00 Additional Fee : $0.00 FEES 0 $0.00 Motors/Transformers (HP/KVA) Sub Panel: 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 Backrremp 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: $35.00 Supplemental Fee: $0.00 Fee Due at Permit Issuance : $170.00 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. ,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) ction 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 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 fessions 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 more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Iiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or roved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not ly to an oweer of p[operty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). .... I am exempt from licensure under the Contractors' State License Law for the following reason: 'At eignaturebebwrl acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally a structure tRA I h5ve built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and fessions Codepis available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. ittUre of Property Owner or Authorized Agent Date jEN$ED Ct9tQ' AACTOR'S DECLARATION retry affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Ylcton 7000) of Division 3 of the Business an rofessions ode, my lic se ' full force �ofiect •.,...� kk "SelClass License No Date Z " Contractor Signature kRKERS' COMP�ISATION DECLARATION &ING.FAILURBTO 9ECQ RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ON NDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE T OFF COMPENSASIGN, 0tMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. r*eobyeffirm ur62r pEpalty of perjuryone of the following declarations: .. I have and wTl.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 the ormance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number of Agent Date I certify that, in the performance of the work for hich this er ' is issue II 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 become s bject to the workers' c pensati r ' io 00 of the Labor Code, I shall forthwith comply with those provision nature of Applicant Date 2 7c CLARATION REGA DING C CTION DING AGENCY :reby affirm under p nal ry that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). tder'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 beha I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county orjmantes d s?K I authorize representatives of this city or county to a the abo -id njifi nature of ProDertv Owner or Authorized Aaent // s ori 7TOT,Tl f+•T iY�V—�3I PERMIT EXPIRED I I I PERMITC4NCEtLEO _ PERMIT EXTENDED I �� OCCUPANCYISSUED building construction. inspection purposes. I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD ❑ ASBESTOS NOTIFICARONIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: :,1