HomeMy WebLinkAboutE2020-0590 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
µ ti. Permit Counter Phone (949)644-3288
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Job Address: 113 29TH ST Bldg: 1 Floor: Suite:
Description of Work: ELEC/REPLACE (E)100 AMP & (2) SUB PANELS
Inspector Area: 1
Legal Description: NEWPORT BEACH CITY BLK 29 LOT 29
Owner: MITCHELL PROPERTIES LLC
Contractor:
Address: 113 29TH STREET
Address:
NEWPORT BEACH CA 92663
Phone:
Phone:
Con State Lie:
Issued Date:110/22/2020
Lie Expire:
®
Bus Lie:
Processed By:
Lie Exp Date:
New Construction
Residential
Multi -Family:
0
$0.00
1-2 Family:
0
$0.00
Service
0-600V up to 20OA:
1
$46.00
0-600V over20OA:
0
$0.00
Over600V or1000A:
0
$0.00
O/H to U/G
0
$0.00
TOTAL Fee: $139.00
1111111111JIJill 111111111111111111111111111111Electrical Permit: E2020-0590
E 2 0 2 0 0 5 9 0 Project No:
Inspection Requests Phone (949)644-3255
NO CONSTRUCTION NOISE
ON SATURDAYS
CONTORELLI CONSTRUCTION INC
30832 MARILYN DR
LAGUNA BEACH CA 92651
949-290-4630
319552
08/31/2022
BT30065552
01/31/2021
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
Code Edit: 2020
z
Worker's Compensation Insurances
1,g
Carrier: STATE FUND
Policy No: 9154910
Expire: 0311512021
M
FEES
Motors/Transformers (HP/KVA)
0 to 1 HP/KW/KVA:
0
$0.00
Temp Underground:
0
$0.00
1 to 10 HP/KW/KVA:
0
$0.00
Sub Panel:
2
$56.00
10 to 50 HP/KW/KVA:
0
$0.00
0
$0.00
50 to 100 HP/KW/KVA:
0
$0.00
0
$0.00
Over 100 HP/KW/KVA:
0
$0.00
Record Mgmt Fee:
$0.00
Plan Check Fee:
$0.00
Piggy BackfFemp Power:
0
$0.00
Investigation Fee:
$0.00
Temp Power Pole:
0
$0.00
Issuance Fee:
$37.00
Supplemental Fee:
$0.00
' 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.
.0 008 °° • ° U
° 0 p
O° 090
O O O °O•
°
DWNER-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 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
the 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 -
Professions 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
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 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 to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
improvements 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 d 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 the projects with a licensed Contractor pursuant to the Contractors' State License Law).
❑ 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 year 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 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
Professions Code, 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 affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Seqtiony7000)/9f Division 3 of the Business and Profe 'o ode, d ense is in full force
and effect. v
License Class License No Dater -et / Contractor Signatt{$s?
WORKERS' COMPENSATION DECLARATION —�
NARNING: 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 I$100,0001, IN ADDITION TO THE
COST 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:
❑ 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 the
inance of the work for which this permit is issued. Policy No.
1 have 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 compensatior
'.nsurance carrier anqMclicy num.
Carrier I cAumber Expiration Date
Name of Agent I WAJ r Phone #
❑1 certify that, in the performance of th work for which this permit is issued, I shall not employ any person in any manner So as to become subject to the workers' comp anon Ia of California, and agree
that, if I should become subj tg.jFje w�sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant I!'_ D
DECLARATION REGAR NG CONSTRUCTION LENDING AGENCY
I hereby affimn 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 Lenders Address
By 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 correct. /
I agree to comply with all applicable city and county ordinances and s ate relating to building Construction.
I authorize representatives of this city or county to nter a ve ' e property for inspection purposes. ` (/�J J%Gp
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's NameX `— Q_4,�
ACDON
DATE
BY
DECLARATION OF COMPUANCEiMTH CODEOF
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FEDERAL REGULATIONS PARZ@f Q94-ITLE40AND
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