HomeMy WebLinkAboutE2022-0082 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II
100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 2 2 0 0 8 2
Permit Counter Phone (949)644-3288
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Job Address: 3505 BALBOA BLVD W Bldg: 1 Floor: Suite:
Description of Work: ELEC -OVERHEAD TO UNDERGROUND. 200 AMP SERVICE UPGRADE
Inspector Area: 1
Legal Description:
Owner: BARNARD STEPHANIE
Address: 3505 W BALBOA BLVD
NEWPORT BEACH CA 92663
Phone:
Issued Date:02/10/2022
Processed Bv:
New Construction
Residential
Contractor:
J P T CONSTRUCTION INC
Address:
409 62ND ST
NEWPORT BEACH CA 92663
Phone:
714-336-1966
Con State Lic:
879360
Lic Expire:
06/30/2022
Bus Lic:
BT30014788
Lic Exp Date:
01131/2023
Electrical Permit : E2022-0082
Project No
Inspection Requests Phone (949)644-3255
Code Edit: 2019
Worker's Compensation Insurance
Carrier: WESCO
Policy No: WWC3520405
Expire : 04/07/2022
' 011
io
Multi -Family:
0
$0.00
1-2 Family:
0
$0.00
Service
0-600V up to 20OA:
1
$47.00
0-600V over 20OA:
0
$0.00
Over 600V or 1000A:
0
$0.00
O/H to U/G
1
$47.00
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
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
Piggy Backfremp Power: 0 $0.00
Temp Power Pole: 0 $0.00
Temp Undergro�r
' 0
$0.00
Sub Panel:
0
$0.00
0
$0.00
0
$0.00
Record Mgmt Fee:
$0.00
Plan Check Feb:
$0.00
Investigation Fee:
$0.00
Issuance Fee:
$38.00
Supplemental Fee:
$0.00
Fee : $132.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $132.00
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.
ER -BUILDER DECLARA
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indi
(Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, dem
the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License L
Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Secti
not 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 (_) portions of tl
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through e
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of comp
improved for the purpose of sale).
❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044,
apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor
❑ 1 am exempt from licensure under the 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 at least one y
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I un'
Professions Code, is available upon request when this application is submitted or at the following Web site:http://w .legini
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of
and effect.
License Class License No Date Z I J J
COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL'
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 have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of
sormance of the work for which this permit is issued. Policy No.
]I ave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the pe
Isur nce carrier and policy number are:
er Policy Number
lame of Agent
certify that, in the performance of the
if I should become subject to the we
Led, I shall not employ any person in any manner
of Section 3700 of the Labor Code, I shall forthwit
ignature of Applicant
IECLARATION REGARDI G CO CT N LENDING AGENCY
hereby affirm under penalty ury that there is a construction lending agency for the performance of the work for
Ender's Name Lender's Address
y 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 correc .
I agree to comply with all applicable city and county ordinances and slate�a We relatin to building construction.
I authorize representatives of this city or county to enter thV above-id�nhfied pr for inspection purposes.
of Property Owner or Authorized
Owner's or
ad below by the checkmark(s) I have placed next to the applicable item(s)
h, or repair any structure, prior to its issuance, also requires the applicant for
(Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
work, and the structure is not intended or offered for sale (Section 7044,
Dloyees' or personal effort, builds or improves the property, provided that the
on, the Owner -Builder will have the burden of proving that it was not built or
and Professions Code: The Contractors' State License Law does not
to the Contractors' State License Law).
to completion of the improvements covered by this permit, I cannot leg;
that a copy of the applicable law, Section 7044 of the Business and
'calaw.html.
Date
3 of the Business and Professions �',odeland my -Kent in full force
Contractor Signature
AND CIVIL FINES UP TO ONE HUNDR?y.TROUSAND DOLLARS ($100,000), IN ADDITION TO THE
Relations as provided for by Section 3700 of the Labor Code, for
of the work for which this permit is issued. My workers'
Date
as to become subject to the workers' compensation laws of California, and
Imply with those provisions. %
Date f (y l2Z
is permit is issued (Section 3097, Civil Code).
Name / J �` t" `wN Date -7)t,/Zt
ACTION
DATE
BY
DECLARATIONOF COMPLIANCE WITH
CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 61 OF
AQMD RULE 1403.
TITLE 40 AND
PERMIT EXPIRED
❑ SUBMITTEDEPA58ESTOS NOTIFfTIOM
❑ AQMD
TO:
PERMITCANCELLED
--
PERMIT EXTENDED
❑ ASBESTOS NO77FICA170NISNOI
PROPOSED DEMOLITION.
APPLICABLE TO
PERMIT FINAL
CERTIFICATE OF
SIGNATURE:
OCCUPANCYISSUED