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HomeMy WebLinkAboutE2020-0716 - PermitsCity Newport Beach _ Building Division IIuIIIYIIIUIIIYIII�IIIYIIIYIIIYIiI�IIIVIIih III Electrical Permit: E2020-071 sr � 700 Civicis Center Drive, Newport Beach, CA 92660 . Permit Counter Phone (949)644-3288 Project No: 0v. Inspection Requests Phone (949)644-3255 Job Address: 208 44TH ST Bldg: 1 Floor. Suite: d� Description of Work: ELEC PANEL UPGRADE &OVER HEAD TO UNDERGROUND Inspector Area: 1 ON SATURDAYSCode Edit: 2019 Legal Description: CANAL SECTION LOT 4 BILK 143 FOR OF LOT AND FOR LOT5 BLK 143 Owner: STEWART FRANCES C Address: 428 OLD NEWPORT BLVD Contractor: Address: CONTORELLI CONSTRUCTION INC Worker's Compensation Insurance ° • ° • ° a ° ° ®°: NEWPORT BEACH, CA 92663 30832 MARILYN DR LAGUNA BEACH CA 92651 Carrier: STATE FUND ° Phone: Phone: 949-290-4630 Policy 54910 Issued Date:12/15/2020 Con State Lie: 319552 Expire: 03/15/2021 ° V • • ` Lie Expire: 08/31/2022 ° ° Processed By _ /�J� Bus Lie: Lie Exp Date: BT30065552 r 01/31/2021 Y { ,fig �. y t V ' • • • "°•' "° " V g�- ,a New Construction Residential FEES Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) Multi -Family: 0 $0.00 Receptacles/Outlets: Fixtures: 0 $0.0o 0 to 1 HP/KW/KVA: 0 0 $0.00 $0.00 Temp Underground: 0 $0.00 1-2 Family: 0 $0.00 Sep Circuits: 1 to 10 HP/KW/KVA: 0 p $0.00 10 to 50 HP/KW/KVA: $0.00 Sub Panel: 0 $0.00 Service Low Voltage 0 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 $0.00 0 $0.00 0-600V up to 20OA: 1 $46.00 Signs Branch Circuit: Over 100 HP/KW/KVA: 0 0 $0.00 $0.00 Record Mgmt Fee: 0 $0.00 $0.00 0-600V over 200A: 0 $0.00 Over 600V or 1000A: 0 $0.00 Each Add Circuit: Time Clocks: 0 $0.00 Piggy Backrremp Power: 0 Plan Check Fee: $0.00 Investigation Fee: $0.00 O/H to U/G 1 $46.00 Additional Fee: 0 $0.00 Temp Power Pole: p $0.00 $0.00 Issuance Fee: $0.00 $37.00 Supplemental Fee: $0.00 TOTAL Fee : $129.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $129.00 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. )WNER-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 applicgble 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 :he 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 lot more than five hundred dollars ($500). rt' 'the work and the structure is not intended or offered for sale (Section 7044, ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or C� po IonsBusiness and Pr Code: The Contractors' property who, thi; improvements ere not inte ded or offered for sae. State If, howeevapply ofessions er, the buiild ng or mpro ement snsoldfwithin one year ofco Im roved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 70, apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contrac ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below acknowledge that, except for my personal residence in which I must have resided for at least or sell a structure {hag Pfi 5re built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I Qr JWJ)ns Code, is §mailable upon request when this application is submitted or at the following Web site:http://www.le SignatuFa of Properly Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION Yhersby affirm unr%r penalty of perjury that I am licensed under provisions of Chapter 9 (commencingtY i Section 70 ;scansaQd -Cl •;,,,; Date Dice ,s�'Class • License No UKERS' (;014MNSATION DECLARATION W41INIV. FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PE COST OF COMPENSATON, DAMAGES AS PROVIDED FOR IN SECTION 7706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. VENg affirm ureter ponaity of perjury one of the following declarations: J JLg a and ufiff maintain a certificate of consent to self -insure for workers' compensation, issued by the Directc erf Darlene oftba week 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 th insurance carrier and policy number are: Policy Number 1e of Agent certify that, in the performance . if I should becom)kspbject to I not employ any person in any 3700 of the Labor Code, I shall nature of Applicant ' CLARATION REG DING C NS R N LE G A NCY )reby affirm under penalty of perjury that there is a construction lending agency fo Lenedees Arddress mance of the work i Ider's Name my signature below, I certify to each of the following: 1 am the property owner or authorized to act on the property owner's behalf. 4re', I have read this application and the information I have provide co ct.1 agree to comply with all applicable city and�nty ordinan s nd ate ding construction. I authorize representatives of this city or coun to enter th ov Ide7 iespection purposes. / PAnf Prnnnrfv Owne employees' or personal effort, builds or improves the property, provided that the oletion. the Owner -Builder will have the burden of proving that it was not built or Business and Professions Code: The Contractors' State License Law does not pursuant to the Contractors' State License Law). year prior to completion of the improvementcovered by this permit, I cannot lderstand that a copy of the applicable law, Section 7044 of the Business and Date ,ision 3 of the Busines nd Pro si s o an ansifull force 3 Contractor Signatu AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000). IN ADDITION TO THE 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 Phone # o as to become subject to the workers' cc pensatio ,laws of California, and agree comply with those pro, ns. / 4.,- Date this permit is issued (Section 3 97, Civil Cod ). ACTION DATE o BY FEDERAL REGULAi&SPART61OFTITL€40AND AQMD RULE 1403. ❑ ISUBMITTEDASBESTOS MOTiFiCATiON TO: ❑ EPA EXPLLiED CANCELLED ❑ AQMO ❑ ASBESTOS NOTIFICATtONISNOT APPUCABLETo PROPOSED DEMOLITION. EXTENDED FINAL SIGNATURE: :ATE OF OCCUPANCyISSUED