HomeMy WebLinkAboute2020-0536 - Permitsw City of Newport Beach - Building Division IIIIIIIYIIIIIIII�IIIIIIII�'II�III�IIIUIII�IIIu III
100 Civic Center Drive, Newport Beach, CA 92660 9
P:nnit Counter Phone (949)644-3288
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Job Address: 216 20TH ST Bldg: 1 Floor: Suite:
Description of Work: ELEC OVERHEAD TO UNDERGROUND & (2) SERVICE AMP CHANGE OUTS
Inspector Area: 1
Legal Description: R BK 60 PG 16 PAR B
Owner: ERIC SPITZ
Contractor:
J P T CONSTRUCTION INC
Address: PO BOX 241426
Address:
409 62ND ST
LOS ANGELES CA 90024
NEWPORT BEACH CA 92663
Phone:
Phone:
714336-1966
Con State Lie:
879360
Issued Date:10/06/2020
Lie Expire:
06/30/2022
Bus Lie:
BT30014788
Processed By:
Lie Exp Date:
01/31/2021
Electrical Permit: E2020-0536
Project No : 0344-2020
Inspection Requests Phone (949)644-3255
Code Edit: 2019
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Worker's Compensation Insurance
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Carrier:WESCO
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Policy No: VVWC3462916
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Expire: 04107/2021
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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:
0
$0.00
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 200A:
2
$92.00
Branch Circuit:
0
$0.00
Plan Check Fee:
$0.00
0-600V over 20OA:
0
$0.00
Each Add Circuit:
0
$0.00
Piggy Backrfemp 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:
$37.00
O/H to U/G
1
$46.00
Additional Fee:
$0.00
Supplemental Fee:
$0.00
TOTAL Fee:
$175.00
Plan Check Fee: $0.00
Fee Due at Permit Issuance:
$175.00
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.
NO CONSTRUCTION NOISE
ON SATURDAYS
✓NER-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 items)
action 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 U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
riness 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
movements 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
moved 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 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).
I am exempt from licensure under the Contractors' State License Law for the following reason: -
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 legalli
a structure �fi asl Ijave 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 Co3(0, is available upon request when this application is submitted or at the following Web site:hftp:l✓www.leginfo.ca.gov/calaw.htmi.
gq;0re of PrgpeCy Owner or Authorized Agent Date
SENSED CQpIaFtACTOR'S DECLARATION
rebyy affirm Unger penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with ection 7000) of Division 3 of the Business and Profession Code nd�licen in full force
I affect.
sng�e/�,C�lass . . License No Date is ( f' 2� Contractor Signature
5RJLERS' COMPENSATION DECLARATION
....
a OPG FAILURE TO SEOUREDAM WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDR THOUSAND DOLLARS (E700,088), IN ADDITION TO THE
iT OPCOMPENSATIOIf, DAMAGES AS PROVIDED FOR IN SECTION 5708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
eb
��y�affirm under penalty of perjury one of the following declarations:
1 hike andwvIl sNntain 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
[ojglance of tRe'woA for which this permit is issued. Policy No.
.have and will maidtain 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
stance carrier and policy number are:
Policy Number
of Agent
Date
I certify that, in the performance of the work for whi this e t is issued, I shall note ploy any person in any manner so as to become subject to he workers' compensation laws of California, and agre
at, if I should become u ject to the workers' cam p Islon8 of Sec' of the Labor Code, I shall forthwith comply with those pro Is ns. %
Signature of Applicant Datey L-75 ` ZJ
DECLARATION REG DING -CONUPZCTION LENDING AGENCY I r
I hereby 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).
Lender's Name Lender's Address
By my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property o ners
I have read this application and the information I have provid i c ct
I agree to comply with all applicable city and coon ordin ce state I e Sting to building construction.
1 authorize representatives of this city or cou ty ant e,ab -ide led property for inspection purposes.
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name �� �( rLJ �Date
ACT70Iy
DATE
By
DECLARATION OF COMPUANC€iMTHCODEOF
FDROFHCEOSEONLY
FEDERAL REGULATIONS PART fiT OF IITLE40AND
AQMO.RULE 1403.
PERMITEXPIRED
❑ ISUBMtTTEDASBESTOSNDIIFfCATIONTO.
❑ EPA
❑ AQMD
PERMITCANCELLED
PERMIT EXTENDED
❑ ASBESTOS M017RC4170MIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERRAIT FINAL
CER7IFICATE OF
SIGNATURE.
DCCUPANCYISSUED