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 {
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• • •
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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