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Home My WebLink AboutE2020-0437 - PermitsCity of Newport Beach - Building Division III�III�IIIIIIIIIII�III�IIIIIIIIIIII�IIElectrical Permit: E2020-0437 100 Civic Center Drive, Newport Beach, CA 92660 Project No (9, Permit Counter Phone (949)644-3288 N®. CONSTRUCTION NOISE Inspection Requests Phone (949)644-3255 Job Address: 211 38TH ST Bldg: 1. Floor: Suite: ,,gyt�p�'' T�yyJ1�� Description of Work: ELEC/OVERHEAD TO UNDERGROUND WI(E) SERVICE PAGgrpMCm END Inspector Area: Legal Description: RIVER SECTION BLK 138 LOT 19 Owner: BEISTLE ROGER Contractor: Address: 1261 GROSSMONT DR Address: RIVERSIDE, CA 92506 Phone: Phone: Con State Lie: Issued Date:08/25/2020 Lie Expire: Bus Lie: Processed By: Lie Exp Date: CONTORELLI CONSTRUCTION INC 30832 MARILYN DR LAGUNA BEACH CA 92651 949-290-4630 319552 08/31/2020 BT30065552 01/31/2021 Code Edit: 2019 Worker's Compensation Insurance �0 Carrier: STATE FUND Policy No: 9154910 Expire : 03/15/2021 FEES New Construction Receptacle/Switch/Outlets Motorsrrransformers (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: 0 $0.00 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: $129.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $129.00 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 e� °m e e •ai ° ® a e6 � a ®• r a ••� •a0 • O•• Ba •P� oP FINER -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) ction 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 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). J 1, as owner of the property, or my employees with wages as their sole compensation, Will do (_) all of or U portiol ;usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, thn nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of nproved for the purpose of sale). - I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Cont 7 I am exempt from licensure under the Contractors' State License Law for the following reason: ly my signature below I acknowledge that, except for my personal residence in which I must have resided for at least ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractor: 'rofessions Code, is available upon request when this application is submitted or at the following Web site:hftp://wwM lignature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of pury that I am licensed under provisions of Chapter 9 (commencing with edorl nd effect. icense Class License No VORKERS' 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: k, and the structure is not intended or offered for sale (Section 7044, ass' or personal effort, builds or improves the property, provided that the 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 VDivision 3 of the Business and Prgfe'arts C de, , y c se is in full force Contractor Signatu /v TIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE 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 erff ormance of the work for which this permit is issued. Policy No. 3I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for th� performance of the work for which this permit is issued. My workers' compensa Isurance carrier and DUFF_ 4lumber are: k N �,. is of Agent certify that, in the performance o or r w s pyrov's ed, 1 shall not employ any person in any if I should become sLIN a wo ' co ens tior Section 3700 of the Labor Code, I shall lature of Applicant hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for Ender's Name Lender's Address ly 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 county ordinarige,S and at r at" to building construction. I authorize representatives of this city or county So enter t po d p �p for inspection purposes. of Print Property Owner's Date Phone # so as to become subject to the workers' c pens ion laws of California, and agre 9 comply with those provisions. Date i this permit is issued (Section 3097, Civil Code) Authorized ACTION DATE BY DECLARATION OF COMPLIANCE TN CODEOF FOROFFICEUSEONLY FEDERAL REGULATLONSPARF OFTITLE40AND I QM MU3f PERM/TCxP1RED [:C I:5(. fTTE0A§BES?0S NVTf1VI1ON TO: ••❑ • OP o . • • •'• • c ❑ •AQMD• • • PERMITCANCELLED PERVITEXTENDED ❑ ASBESTOS M01717CAIIONIS NOT APPLICABLE TO PROfIPSED DEMOLITION. •"• '•" PERMfTFINAL La Z CER77RCATEOP S/GI ATjI"�p� o° o o '•" 'o OCCUPANCYISSUED o • a • c o