HomeMy WebLinkAboutE2020-0482 - Permitst City of Newport Beach - Building Division 1111111111111111111111111111111111111111111111111111
a4 100 Civic CenterDrive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
¢ _ NO CONSTRUCTION NOISE
Job Address: 127 46TH ST Bldg: 1 Floor: Suite:
Description of Work: ELEC/OVERHEAD TO UNDERGROUND
Inspector Area: 3
Legal Description: RIVER SECTION LOT 11 BILK 46 ALL -INC POR OF SEC 29T 6 R 10
ADJ-
Owner: SHEPHERD ROBERT Contractor:
Address: 2160 MYRAN DR #B Address:
COSTA MESA CA 92627
Phone: Phone:
Con State Lic:
Issued Date:09/10/2020 Lic Expire:
Bus Lic:
Processed By: Lic Exp Date:
CONTORELLI CONSTRUCTION INC
30832 MARILYN DR
LAGUNA BEACH CA 92651
949-290-4630
319552
08/31/2022
BT30065552
01/31/2021
New Construction
Receptacle/Switch/Outlets
Residential
Receptacles/Outlets:
0
$0.00
Multi -Family:
0
$0.00
Fixtures:
0
$0.00
1-2 Family:
0
$0.00
Sep Circuits:
0
$0.00
Low Voltage
0
$0.00
Service
Signs
0-600V up to 20OA:
0
$0.00
Branch Circuit:
0
$0.00
0-600V over 20OA:
0
$0.00
Each Add Circuit:
0
$0.00
Over 600V or 1000A:
0
$0.00
Time Clocks:
0
$0.00
O/H to U/G
1
$46.00
Additional Fee:
$0.00
TOTAL
Fee:
$83.00
Plan
Electrical Permit: E2020-0482
Project No:
Inspection Requests Phone (949)644-3255
Code Edit: 2019
z
F,9
Worker's Compensation Insurance M
Carrier: STATE FUND
Policy No: 9154910 0
Expire : 03/15/2021
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 Back/Temp Power: 0 $0.00
Temp Power Pole: 0 $0.00
Temp Underground:
0 $0.00
Sub Panel:
0 $0.00
0 $0.00
0 $0.00
Record Mgmt Fee:
$0.00
Plan Check Fee:
$0.00
Investigation Fee:
$0.00
Issuance Fee:
$37.00
Supplemental Fee:
$0.00
Fee Due at Permit Issuance:
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.
a o c
• • •e ee e o o.,° d°
'NER-BUILDER DECLARATION
1 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)
coon 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 L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
iness 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
rovements 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
roved for the purpose of sale). I
J I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section
apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Con
7 lam exempt from licensure under the Contractors' State License Law for the following reason:
3y my signature below I acknowledge that, except for my personal residence in which 1 must have resided for at leas
ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractor
Irofessions Code, is available upon request when this application is submitted or at the following Web site:http://ww%
Signature of Property Owner or Authorized Agent
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7
Ind effect. r7
.icense Class License No � /^ , - 4 Date
PORKERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL
:DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to seff-insure for workers' compensation, issued by the Dire
7mance of the work for which this permit is issued. Policy No.
have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for
isurance carrier a(rd p fipy number aM:
ne of Agent �
certify that, in the performance of the work
if I should become subject to thP.w,orlieM
is issued, 1 shall not employ any person in any
,ions of Section 3700 of the Labor Code, I shall
ignature of Applicant
iECLARATION REGAR NG CONSTRUCTift LEN96616AGENCY
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for
ender's Name Lenders Address
y 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 I have provided is correct.
1 agree to comply with all applicable city and county ordinanP$syrfgl Stgte�lating to building construction.
I authorize representatives of this city or county to enter a ov -I t d operty for inspection purposes.
Business and Professions Code: The Contractors' State License Law does not
pursuant to the Contractors' State License Law).
ne year poor to completion of the improvements covered by this permit, I cannot
I understand that a copy of the applicable law, Section 7044 of the Business and
Date
m 3 of the Business and P�rofessio C ense is in full force
Contractor Signatur 1
AND CIVIL FINES UP TO
DOLLARS ($100,000), IN ADDITION TO
of Industrial Relations as provided for by Section 3700 of the Labor Code, for
performance of the work for which this permit is issued. My workers'
Date
so as to become subject to the workers' compensatio/11aw f California, and agre
I comply with those provisions.
I this permit is issued (Section 3097, Civil Code).
ACTION
DATE
BY
DECLARATION OF COMPLIANCEWITN CODEOF
FDR OFBCE USEONtY
FEDERAL REGULATIONS PART 61 OFTIILE40AND
AOMO RULE I403. ... e
❑ J%VB tTED ASBESTOS NOtffIC1LTI(NI TO.
CPA
?4,.D • • ' e
❑ ASBESTOS N077RCA170NIS NOT APPLICABLE TO
PROPOSED DEMOLITION
•o•
e e
• e e
PERMIT UPIRED
PERMITCANCELLED
PERMIT EXTENDED
PERMITFINAL
CERTfFICATEDF
L
OCCUPANCYlSSt{ED
o•e
SIGNATjif}:• • •
e e e e e e 0 0 e