HomeMy WebLinkAboutE2021-0636 - PermitsCity of Newport Beach -- Building Division IIIIIIII IIIII�IIIIIIII IIIII�IIII IIIIIIII� II
„S 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 2 1 0 6 3 6
+; Permit Counter Phone (949)644-3288
Job Address: 127 24TH ST Bldg: 1 Floor: Suite:
Description of Work: ELEC OVERHEAD TO UNDERGROUND AND 200 AMP PANEL UPGRADE
Inspector Area:
Legal Description: NEWPORT BEACH CITY BILK 24 LOT 22
Owner: REYES STEVE Contractor:
Address: 127 24TH ST Address:
NEWPORT BEACH, CA 92660
Phone:
Phone:
Con State Lic:
Issued Date:1 Oil3/2021 Lic Expire:
Bus Lic:
Processed By: Lic Exp Date:
CONTORELLI CONSTRUCTION INC
17686 METZLER LANE
HUNTINGTON BEACH CA 92647
949-290-4630
319552
08/31/2022
BT30065552
0113112622
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
$47.00
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
$47.00
Additional Fee :
$0.00
TOTAL Fee:
Electrical Permit: E2021-0636
Project No:
Inspection Requests Phone (949)644-3255
Code Edit: 2019
Worker's Compensation Insurance
Carrier: STATE FUND
Policy No: 9154910
Expire : 03/15/2022
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 BackfTemp Power: 0 $0.00
Temp Power Pole: 0 $0.00
Plan Check Fee :
Temp Underground:
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:
$38.00
Supplemental Fee:
$0.00
at Permit Issuance:
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
. aee
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DWNER-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)
(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
the 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 Iicensure 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
not more than five hundred dollars ($500).
Ll I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portiom
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, throe
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 7i
apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contn
❑ 1 am exempt from Iicensure 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 c
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://www.l
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70(
and effect.
License 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:
Pa
and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Dire,
a of the work for which this permit is issued. Policy No.
and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for
Is rance carrier and policy number are:
.arrier Policy Number
to of Agent
certify that, in the performance of"rk for which this permit is issued, I shall not employ any person in any
if I should become s` eject tq t elf w �ensatWn provisions of Section 3700 of the Labor Code, I shall
Iature of Applicant
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work foe
tinder's Name Lenders Address
ly my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owners behalf.
I have read this application and the information I have prgA is correct.
I agree to comply with all applicable city and county Inances nd state laws relating to building construction.
I authorize representatives of this city or county to nter th a-i ified property for inspection purposes.
of the work, and the structure is not intended or offered for sale (Section 7044,
gh employees' or personal effort, builds or improves the property, provided that the
)mpletion, 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).
e 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
of Division 3 of the Business and Pro slo e, and my license is in full force
Contractor Signature. /
.LTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), 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
so as to become subject to the workers' compensation laws of California, and agre
i comply with those provisions.
Date y 1�
i this permit is issued (Section 3097, Civil Code)
11signature of Property Owner or Authorized Agent Print Property Owners or Authorized Agent's Name,_i( L OT ��''IUcfL yv�ry(�1evL euv� - II
ACTION
DATE
BY
DECLARATION OF COMPLIANMC MTH CODE OF
FOR OFFICE USE ONLY
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n • I SVBMITTtDAftSTi3S NOTIFICATfflN TO:
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PERMIT EXPIRED
•
PERMIT CANCELLED
•
PERMfTEXTENDED
❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
. PIjOPOSED DEMOLITION.
PERMIT FINAL
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