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Home My WebLink AboutE2020-0519 - PermitsCity of Newport Beach Beach,hildBuilding Division 1111111111111111111pp1111111Y111111 JillElectrical Permit: E2020-0519 CiviccD11111111 "q Permit Counter Phone (949)644-3288 PfOJECt NO cr +vrvts*s NO CONSTRUCTION NOISE Inspection Requests Phone (949)644-3255 Job Address: 205 41ST ST Bldg: 1 Floor: Suite: Description of Work: ELEC/OVERHEAD TO UNDERGROUND W/UPGRADE (E) SERVICE PANEL HIGH DENSITY AREA ON SATURDAYS Inspector Area: 1 a� Code Edit: 2019 Legal Description: CANAL SECTION BILK 141 LOT 12 Owner: THREE PEAT EQUITIES LLC Contractor: Address: 205 41 ST Address: NEWPORT BEACH CA 92663 Phone: Phone: Con State Lic: Issued Date:09/29/2020 Lic Expire: t Bus Lic: Processed By: A� Lic Exp Date: CONTORELLI CONSTRUCTION INC 30832 MARILYN DR LAGUNA BEACH CA 92651 949-290-4630 319552 08131/2022 BT30065552 01/3112021 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: 1 $46.00 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 Worker's Compensation Insurance Carrier: STATE FUND Policy No: 9154910 Expire: 0311512021 FEES 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 j,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 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday- FridayQ7:00 a.m. to 6:30 p.m and Saturday from 8:00 a.m, to 6:00 p.m. D ti L O G 'J D O D O D (1 O D O O D O f��J ® 0 OBB 00 VU O O O h G O O O O O O L D O O p O 600 DD D. D D fitl0 DB NER-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) otion 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 3of 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). - 1 L J 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, throu improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of c, improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7C apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contra ❑ 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 o sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. Professions Code, is available upon request when this application is submitted or at the following Web site:http:1Avww.11 Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 and effect. License Class License No Dat 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 ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Direl sg�pformance of the work for which this permit is issued. Policy No. JI have and w"aintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for isurance Garner ndfolicy num a are: ;artier I y Number Jame of Agen 3 :1I certify that, in the performance of the work for which this pemA Is issued, I shall not employ any person in any m; hat, if I should become\su?ect to the woorrow / Ks'/c/ Ipens on v Ions of Section 3700 of the Labor Code, I shall fo Signature of Applicant 1C :reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for 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 behalf4derty I have read this application and the information I have provided is rrect. I agree to comply with all applicable city and county ordinances n jd ateg to building construction. I authorize representatives of this city or county-to�r;nter th ve en for inspection purposes. Of _ Print Property Owner's the work, and the structure is not intended or offered for sale (Section 7044, 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). a year prior to completion of the improvements covered by this permit, I cannot understand that a copy of the applicable law, Section 7044 of the Business and Date rtrtrtrtrtrtyyyyyyJ///// of Division 3 of the Businesd Profde,��ense is in full force ' c— Contractor Signal AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,0001. IN ADDmON TO of Industrial Relations as provided for by Section 3700 of the Labor Code, for performance of the work for which this permit is issued. My workers' Date Phone # so as to become subject to the workers' co pensation aws of California, and agre I comply with those provisit yn I this permit is issued (Section 3 97, Civil Cl ACTION DATE BY DECLARATION OF COMPLIANCEWITH CODEOF FOR OFFICE USE ONLY FEIAER469EGUL4V0(4$PART 6.1.OF 771LE40AND An Mpp�140. NBMI¢77E�i76 •8€37D$..(jFdCAjfON TO: •u ••EPA •• e•• ••• ••• PERMtTIXPIREQ PERMITCANCELLED ❑ AOMD PERMITEXTENDED ❑ ASBESTOSN077RCA170NISNOTAPPLIC4BLETO PROPOS€"3EA10LITIDN, e e e e •• e e• a PERMIT FINAL CERRFfCATE OF e m SIGI .eliREae a ee me OCCUPANCYISSUED em o