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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 (r d Worker's Compensation Insurance Carrier: STATE FUND ��� 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 191!W444REG"TRM$PAL7 -M OI: TITL€40AND AQMDRULE1403.- •• PERMITEXPIRED E] :/ S!i✓ ftT1D.+1SktTbS JCCU NTION TO: • • -EPA ❑ AQMO PERMIT CANCELLED PERMITEXTENDED ❑ ASBESTOS M07IRCATION IS NOT APPLICABLE TO PR0P91SEPV4II1 UTVN. : • • : • • • • • • • e i SIGNA • e PERMIT FINAL CERTIFICATEOF OCCUPANCYISSU€D •T'W& • • • •