HomeMy WebLinkAboutE2021-0632 - PermitsCity of Newport Beach - Building Division 111111111111111111111111111111111111111111111111 Jill
L 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 2 1 0 6 3 2
Permit Counter Phone (949)644-3288
u
ri 9
�L�8iD14'•Dx.
Job Address: 107 26TH ST Bldg: 1 Floor: Suite:
Description of Work: ELEC OVERHEAD TO UNDERGROUND AND 200 AMP PANEL UPGRADE
Inspector Area:
Legal Description: NEWPORT BEACH CITY BILK 26 LOT 32
Owner: THOR TONY
Contractor:
Address: 107 26TH ST
Address:
NEWPORT BEACH, CA 92660
Phone:
Phone:
Con State Lie:
Issued Date:10/13/2021
Lie Expire:
Bus Lie:
Processed By: oALie
Exp Date:
New Construction
Residential
Multi -Family:
1-2 Family:
Service
0-600V up to 20OA: 1
0-600V over20OA: 0
Over 600V or 1000A: 0
O/H to U/G 1
AL Fee:
CONTORELLI CONSTRUCTION INC
17686 METZLER LANE
HUNTINGTON BEACH CA 92647
949-290-4630
319552
08/31/2022
BT30065552
01/31/2022
Electrical Permit: E2021-0632
Project No :
Inspection Requests Phone (949)644-3255
Code Edit: 2019
Worker's Compensation Insurance
Carrier: STATE FUND
Policy No: 9154910
Expire : 03/15/2022
FEES
Receptacle/Switch/Outlets
Motors/Transformers (HP/KVA)
y :
Receptacles/Outlets:
0
$0.00
0 to 1 HP/KW/KVA:
0
$0.00
Temp Underground:
0
$0.00
$0.00
Fixtures:
0
$0.00
1 to 10 HP/KW/KVA:
0
$0.00
Sub Panel:
0
$0.00
$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
Signs
Over 100 HP/KW/KVA:
0
$0.00
Record Mgmt Fee:
$0.00
$47.00
Branch Circuit:
0
$0.00
Plan Check Fee:
$0.00
$0.00
Each Add Circuit:
0
$0.00
Piggy Back/Temp Power:
0
$0.00
Investigation Fee:
$0.00
$0.00
Time Clocks:
0
$0.00
Temp Power Pole:
0
$0.00
Issuance Fee:
$38.00
$47.00
Additional Fee ;
$0.00
Supplemental Fee:
$0.00
Plan Check
Fee Due at Permit Issuance: $132.00
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
Construction Hours, gpr1day - 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)
(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 (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 704,
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 it was not built or
improved 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
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://w .leginfo.ca.gov/calaw.htmi.
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 Secti_ orb 7000) of Division 3 of the Business and Profe Code, and my license is in full force
and effect. )Q �_
License Class License No Date Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: 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 ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
❑ I 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 tha
p a ce of the work for which this permit is issued. Policy No.
nd 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
I
Rce carrier and policy number are:
ier Policy Number Expiration Date
is of Agent Phone #
certify that, in the performEcMich 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 agree
if I should become s;(pbje= ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.lature of Applicant/ \ Date
areby 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
ider'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 owners behalf.
I have read this application and the information 1 have praabove-ide
re L.
I agree to comply with all applicable city and coun rdi tate I ws relating to building construction.
I authorize representatives of this city or county en r thed property for inspection purposes.
mature of Prooertv Owner or Authorized AgenkI Print Property Owner's or Authorized Agent's Namey. (Av
ACTION I DATE
PERMIT
OCCUPANCYISSUEO
By vcuxrvanvn yr 1. 1.1.111 1x1 w. v , v,
FEDERAL REG"TMSPARF 61 OF JITLEW%MT•'
AQMDRULE940f : • :
❑ /SUBhRTTWAr9„ TVS.V77FUTbkT* .:
❑ EPA •••
❑ AQMD
❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSEDDEMOI MIV. • • • • • • • • : • • : • •
SIGNATURE: •• e . :.
Civil Code).
Vl
FOR OFFICE USE