HomeMy WebLinkAboutE2021-0174 - PermitsCity of Newport Beach - Building Division II�IIIIIII�IIIIIIIIIIII�11I�IIIIIII�III�IIIII111 Electrical Permit: E2021-0174
- 100 Civic Center Drive, Newport Beach, CA 92660 Project No:
�y Permit Counter Phone (949)644-3288
NO CONSTRUCTION N01n1 Ss E Requests Phone (949)644-3255
Job Address: 129 38TH ST Bldg: 1 Floor: Suite:
Description of Work: ELEC/INSTALL ELEC.FOR VEHICLE CHARGING, CHANGE OUT (2) (E) SUB -PANELS, REPLACE (E) SERVICE PANEL W/200 AMP, OVERHEAD TO ,
UNDERGROUND ON SATU DAy
Inspector Area:
Legal Description: RIVER SECTION BLK 38 LOT 17
Owner: HARKER SUSAN
Contractor:
Address: 1954 MONROVIA AVE
Address:
COSTA MESA, CA 92627
Phone:
Phone:
Con State Lic:
Issued Date:03/09/2021
Lic Expire:
Bus Lic:
Processed By:
Lic Exp Date:
CONTORELLI CONSTRUCTION INC
17686 METZLER LANE
HUNTINGTON BEACH CA 92647
949-290-4630
319552
08131 /2022
BT30065552
01/31/2022
Code Edit: 2019
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Worker's Compensation Insurance
Carrier: STATE FUND
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Policy No: 9154910
Expire : 03/15/2022
0
FEES
New Construction
Receptacle/Switch/Outlets
Motors/Transformers (HP/KVA)
Residential
Receptacles/Outlets:
0
$0.00
0 to 1 HP/KW/KVA:
0
$0.00
Temp Underground:
0
$0.00
Multi -Family:
0
$0.00
Fixtures:
0
$0.00
1 to 10 HP/KW/KVA:
0
$0.00
Sub Panel:
1
$28.00
1-2 Family:
0
$0.00
Sep Circuits:
0
$0.00
10 to 50 HP/KW/KVA:
0
$0.00
0
$0.00
Low Voltage
0
$0.00
50 to 100 HP/KW/KVA:
0
$0.00
0
$0.00
Service
Signs
Over 100 HP/KW/KVA:
0
$0.00
Record Mgmt Fee:
$0.00
0-600V up to 20OA:
1
$46.00
Branch Circuit:
0
$0.00
Plan Check Fee:
$0.00
0-600V over 20OA:
0
$0.00
Each Add Circuit:
0
$0.00
Piggy Back/Temp Power:
0
$0.00
Investigation Fee:
$0.00
Over 600V or 1000A:
0
$0.00
Time Clocks:
0
$0.00
Temp Power Pole:
0
$0.00
Issuance Fee:
$37.00
O/H to U/G
1
$46.00
Additional Fee:
$0.00
Supplemental Fee:
$0.00
TOTAL Fee:
$157.00
Plan Check Fee: $0.00
Fee Due at Permit Issuance:
$157.00
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LJST VALID INSPECTION
Construction Hours: Monday - 9reday 7Z0 a.m. to 6:80 p.m. and Saturday from 8:00 a.m. to 6:00 p.m.
. . . °
. . . ... .
0
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)
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
is 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
Irofessions 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 per lty of
of more than five hundred dollars ($500). l
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 70y/4,
Usiness 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 chat the
nprovements 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
nproved for the purpose of sale).
I, 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:
sy 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.
Irofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.k
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 Sectiorlhoo
nd effect. �j'
.icense Class License No Date
COMPENSATION DECLARATION
DARNING: 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:
Business and Professions Code: The Contractors' State License Law does not
pursuant to the Contractors' State License Law).
year prior to completion of the improvements covered by this permit, I cannot
nderstand that a copy of the applicable law, Section 7044 of the Business and
Date
)n 3 of the Business and PpafRsion od a my license is in full force
Contractor Signal r!
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($i(10,000(, IN ADDITION TO
J I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
e,01brinance of the work for which this permit is issued. Policy No.
It have and will mVi Tn aLn workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensai
Isurance carrier and olic -number are;-
is of Agent r—iiX,
certify that, in the performance of the work for which th' ,permit is issued, I shall not employ any person in any
if I should become subiect to the-workm' co e� Provisions of Section 3700 of the Labor Code, I shall
nature of Applicant c_�
CLARATION REG DI G CONSTRUCTION LENDING AGENCY
3mby affirm under penalty of perjury that there is a construction lending agency for the performance of the work f
Ider's Name Lender's Address
my signature below, I certify to each of the fallowing:
I am the property owner or authorized to act on the property owner's behalf.
I have read this application and the information I have provided is correct. ///JJJ//////
I agree to comply with all applicable city and county ordinances and state la�grsg to building construction.
1 authorize representatives of this city or county toenf�r thPyaaa�bvu�lentif y for inspection purposes.
of Property Owner or Authorized
Date
Phone #
so as to become subject to the workers' comppnsatio laws of California, and agree
h comply with those provisions.
Date
i this permit is issued (Section 3097, Civil Co
ACDON
DATE
BY
DECLARATION OF COMPLIANCE KITH CODE OF
FOROFFICEUSEONLY
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PERMIT FINAL
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