HomeMy WebLinkAboutE2021-0091 - PermitsCity of Newport Beach - Building Division 111111111111111111111111111111111111111111111111111111
100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 2 1 0 0 9 1
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Permit Counter Phone (949)644-3288
Job Address:-133 44TH ST Bldg: 1 Floor: Suite:
Description of Work: ELEC - 200 AMP SERVICE. (2) 100 AMP SUBPANELS. OVERHEAD TO UNDERGROUND
Inspector Area: 1
Legal Description: RIVER SECTION BLK 44 LOT 16
Owner: DAHER ALBERT
Contractor:
Address: 133 44TH ST
Address:
NEWPORT BEACH CA 92663
Phone:
Phone:
Con State Lie:
Issued Date:02/16/2021
Lie Expire:
AA
Bus Lie:
Processed By:
Lie Exp Date:
New Construction
Residential
Multi -Family:
1-2 Family:
Service
0-600V up to 20OA: 1
0-600V over20OA: 0
Over600V or1000A: 0
O/H to U/G 1
TOTAL Fee:
$0.00
$0.00
$46.00
$0.00
$0.00
$46.00
$185.00
CONTORELLI CONSTRUCTION INC
17686 METZLER LANE
HUNTINGTON BEACH CA 92647
949-290-4630
319552
08/31/2022
BT30065552
01/31/2022
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
Electrical Permit: E2021-0091 f
Project No:
Inspection Requests Phone (949)644-3255 \®\�
Code Edit: 2019
Worker's Compensation Insurance
Carrier: STATE FUND
Policy No: 9154910
Expire: 03/1512021
FEES
Motorsrrransformers (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 Backrremp Power: 0 $0.00
Temp Power Pole: 0 $0.00
Plan Check Fee:
Temp Underground:
0
$0.00
Sub Panel:
2
$56.00
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: $185.00
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.
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INER-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)
ction 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 penally of
more than five hundred dollars ($500).
J I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions
:usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, throu
nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of a
nproved for the purpose of sale).
1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7C
pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contra
I am exempt from licensure under the Contractors' State License Law for the following reason:
ly my signature below I acknowledge that, except for my personal residence in which I must have resided for at least o
ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors.
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.l(
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
is effect.
ic,. lb
ense Class License No Date
COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
DST 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:
I hav of will maintain a certificate of consent to self -insure for workers' compensation, issued by the Dire
o nce of the work for which this permit is issued. Policy No.
- f ave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for
Is once carrier and policy number are:
Policy Number
work, and the structure is not intended or offered for sale (Section 7044,
ployees' or personal effort, builds or improves the property, provided that the
on, the Owner -Builder will have the burden of proving that it was not built or
Business and Professions Code: The Contractors' State License�_aw does not
pursuant to the Contractors' State License Law).
year prior to completion of the improvements covered by this permit, I cannot
nderstand that copy of the applicable law, Section 7044 of the Business and
Date
f Division 3 of the Business and Pr f ions C e, a license is in full force
LContractor Signatu
TIES 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
of the work for which this permit is issued. My workers'
Date
ne of Agent ! Phone #
certify that, in the performance of the work for which this pe is issued, I shall not employ any person in any manner so as to become subject to the workers' c4pen tion laws of California, and agre
t, if I should become subject to the orke ' compe olio isions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
i
nature of Applicant Date ZI
CLARATION REGA G CONSTRUCTION LENDING AGENCY -
Ireby affirm under pe alty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 97, Civil ode).
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 owner's behalf. ���
1 have read this application and the information I have provided is correct. ✓
I agree to comply with all applicable city and county ordinances nd s e laws ref n uilding construction.
I authorize representatives of this city or county to e e a ve-i n ' r e in,
purposes.
nature of Property Owner or Authorized Agen Print Property Owner's or Authorized Agent's Na 7J6""Date
ACUON
DATE
BY
DECLARATION OF COMPLIANC€WTH CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATRINSPART 61 OF T17L€40 AND
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