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HomeMy WebLinkAboutE2019-0159 - Permitsi City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 415 BEGONIA AVE Bldg:1 Floor: Suite: Description of Work: ELEC/OVERHEAD TO UNDERGROUND Inspector Area: 5 Legal Description: CORONA DEL MAR BILK 329 LOT 9 Owner: BUCKEYE PROPERTIES Contractor: Address: 3050 PULLMAN ST Address: COSTA MESA CA 92626 Phone: Phone: Con State Lic: Issued Date:03/18/2019 Lic Expire: 7`7.. Bus Lic: Processed By: Lic Exp Date: IIT III I��II VIII IIT III 0IIII II�� 9II II CONTORELLI CONSTRUCTION INC 30832 MARILYN DR LAGUNA BEACH CA 92651 949-290-4630 319552 08/31/2020 BT30065552 01/31/2020 Electrical Permit: E2019-0159 Project No: Inspection Requests Phone (949)644-3255 Code Edit: 2016 Worker's Compensation Insurance Carrier: STATE FUND Policy No: 9154910 Expire : 03/15/2020 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Friday 7:00 a.m. to 6:30 V.m,,and SatVr4i%y from 8:00 a.m. to 6:00 p.m. o m d ea a• o� m m ou• • • o c•v ca co e e u o0o co woe ® o coo •u 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 20OA: 0 $0.00 Branch Circuit: 0 $0.00 Plan Check Fee: $0.00', 0-600V over 200A: 0 $0.00 Each Add Circuit: 0 $0.00 Piggy Backfremp 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: $35.001 0/H to U/G 1 $43.00 Additional Fee: $0.00 Supplemental Fee: $0.00 TOTAL Fee: $78.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $78.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Friday 7:00 a.m. to 6:30 V.m,,and SatVr4i%y from 8:00 a.m. to 6:00 p.m. o m d ea a• o� m m ou• • • o c•v ca co e e u o0o co woe ® o coo •u 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 ffif tuSini ss 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). 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, 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 nproved 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 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 1 am exempt from licensure under the Contractors' State License Law for the following reason: iy 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 legally 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.htmi. signature of Property Owner or Authorized Agent D .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secti 70 0) of Division 3 of the Business an rofessi s Code, an my license is,jafu11 force License No Date Contractor Signatur nd effect. - .icense Class r�FJ V ` YORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN AD ION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I ye qd will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th anc of the work for which this permit is issued. Policy No. and willppL����''yy��i�ntain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' carriergh policy nuff bar are: _ Policy Number Date lame of Agentt Lr+/ -.IV %k _ rousse n 71 certify that, in the performance a which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre iat, if I should become s ject the ers' co pensation prov>�sions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. si'g/� ',ignature of Applicant Date_ IECLARATION REG*DNGZMTRUCTION LENDING AGENCY hereby affirm under fenalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ender's Name Lender's Address ly',my signature below, I certify to each of the following: 1i I am the property owner or authorized to act on the property owner's behalf. 1 1 have read this application and the information I have pr is rrect. I agree to comply with all applicable city and county o nances an st gqting to building construction. 17? `Y I authorize representatives of this city or county¢o 9� eREifiedpwy€rty..forltf5gedion purposes. . //1C.7i rhi 1�+Jd�'v.l Print ACTION I DAT££$Y I VCL,LAr f Iv V air vvArruislri.c VVI f n a.v & of •• •FED€RAL f�GULATMSPART6I OFTITLE40A, :. :—,.IdRQLE 1403. xnitfFO ; Lj. f $HBMfNf€D'ASBESTPS- O7fFJCATfONTOr aArrcff Fn . I �1 • • 1"1• Fns ... ❑ AQMD ❑ ASBESTOS M017RAC4170NIS NOT APPLICABLE TO ' • FF0PqSQ0QEMBLT1Q1: e ' S?(;N4T4RE:0. ' • •