HomeMy WebLinkAboutE2020-0713 - Permitsa
City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
JOD AUUress: 4'LUB RIVER AVE Bldg:1 Floor: Suite:
Description of Work: ELEC OVERHEAD TO UNDERGROUND
Inspector Area: 1
Legal Description: CANAL SECTION BILK 242 LOT 5
Owner: SUMMERFIELD SCOTT
Contractor:
Address: 4208 RIVER
Address:
NEWPORT BEACH, CA 92660
Phone:
Phone:
Con State Lie:
Issued Date:12/15/2020
Lie Expire:
Bus Lie:
Processed By: O
Lie Exp Date:
IIIIIIIIIIIIIIIIIIIQIIIIIIIIIIIIIIII��IIIIIIIIII II Electrical Permit: E2020-0713 .i
E 2 0 2 0 0 7 1 3 Project No:
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CONTORELLI CONSTRUCTION INC
30832 MARILYN DR
LAGUNA BEACH CA 92651
949-290-4630
319552
08/31/2022
BT30065552
01/31/2021
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:
0
$0.00
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
Inspection Requests Phone (949)644-3255
Code Edit: 2019
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Worker's Compensation Insurance
V.
°
•
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Carrier: STATE FUND
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Policy No: 9154910
0
•• ••�
°•
Expire: 0311512021
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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
Plan Check
Piggy Back/Temp Power: 0 $0.00
Temp Power Pole: 0 $0.00
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:
$37.00
Supplemental Fee:
$0.00
e at Permit Issuance:
$83.00
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.
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) 1 have placed next to the applicable item(s)
action 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
ifessions 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, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
;iness 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 that the
)rovements 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
)roved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
)ly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I am exempt from Iicensure under the Contractors' State License Law for the following reason:
my signature belowil acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally
I a structure Val i live built as an owner -builder if it has not been constructed in its entirety by licensed contractors', I understand that a copy of the applicable law, Section 7044 of the Business and
1%;;;Bpns CodQ, is available upon request when this application is submitted or at the following Web site:hftp://www.'leginfo.ca.gov/calaw.htmi.
[nature of Property Owner or Authorized Agent Date
TENSED CONTRACTOR'S DECLARATION
ropy affirm unr%r penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wit Section 7 0) o ivision 3 of the Business nd Pro 10 0 d Ali is in full force
ief(ect. ,;,,,;
ense•Class • License No Dat Contractor Signatu
Je,Q''uK�ERS' GO6IIPF,NSATION DECLARATION
'Yw . FAILURE TO ENURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PIENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADDmON TO THE
ST OF COMPENSATION, DAMAGES AS PROWDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNE S FEES.
jetiyaffirm under penalty of perjury one of the following declarations:
. .
l'aYe and WIII' mafitain 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 the
formonce of therwork for which this permit is issued. Policy No.
i
Lhave and wig Whtain 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' compensatiol
urance carrier and policy number are:
mer Policy Number Expiration Date
lame of Agent Pnone S
]I certify that, in the performance of the work for w ich this permit is is I shall not employ any person in any manner so as to become subj c o the workers' co pensa' n laws of California, and
iat, if I should become subject to the a om ens prov' io action 3700 of the Labor Code, I shall fo hwith comply with those p [Sion.
signature of Applicant D,
)ECLARATION REGA ING CONSTRUCTIONLE AGENCY
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for hich this permit is issued (Se Ion 30� , Civil Code).
ender's Name Lender's Address
Iy 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.
I have read this application and the information I have provided is correct. )
I agree to comply with all applicable city and c�t�nte
ordinance d slat s ng wlding construction.
I authorize representatives of this city or county, - `led r art hspection purposes.
tlnnnh Re of Pmnerty Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name ee
ACTION
GATE
BY _
- DECLARATION OF COMPLIANCE MTH CODE OF
FOR OFFICE USE GAI
FEDERAL REGULA TIONS PART 61 OF T1TILE 40 AND
AOMDRULE140,1
❑ ISUBMITFEDASBESTOS N017RCAT70N TO:
❑ EPA
❑ AQMU
PERMITEXPIRED
PERMITCANCELLED
PERMITEXTENDED
❑ ASBESTOS NOTIRCATION IS NOT APPLICABLE TO
PROPOSEDDEMOLITION
SIGNATURE:
PERMIT R1
CER77FICATEOF
OCCUPANCYfSSUED