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Home My WebLink AboutE2020-0419 - Permits"��r City of Newport Beach - Building Division II�IIIIIIIUIIIIIIII�IIIIIIII�IIIIIIIIQI�lllllgllll Project Electrical Permit: E2020-0419 r P ' 100 Civic Center Drive, Newport Beach, CA 92660 's Permit Counter Phone (949)644-3288 0 NO CONSTRUCTION NOISE Inspection Requests Phone (949)644-3255 Job Address: 204 43RD ST Bldg: 0 Floor: 1 Suite: B Description of Work: ELEC/OVERHEAD TO UNDERGROUND ON SATURDAYS Inspector Area: Legal Descrip0on: P M 176-13 PAR 1 UNIT 2 OF PROJECT LOCATED ON AP 423-296-13 TOGETHER Owner: HERBERT JERRY Contractor: Address: 204 43RD ST #2 Address: NEWPORT BEACH, CA 92663 Phone: Phone: Con State Lie: Issued Date: Lie Expire: d 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: 'LO\q �d Worker's Compensation Insurance Carrier: STATE FUND Policy No: 9154910 �A Expire : 03/15/2021 1..1 J 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: 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: 0 $0.00 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 IOOOA: 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 Plan Check Fee: PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday „Friday 7:00Ea m. to 6:3Qp'm•5®d Saturday from 8:00 a.m. to 6:00 p.m. • e ® e • . o p G D O O O O 0•• O D O O O • S O u6 V GJV C O pOB JO O vV0 O O O J U O O( O G D O 00 Cf D O C • Y D �+ ao� se s• • • ••• •• OWNER -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 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 not more than five hundred dollars ($500). - J I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, throut nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of co nproved for the purpose of sale). 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 70, pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contrac I 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 or ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.le lignature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under proyjsiogs oj�f76pt`,�r79nmencing with Section 70911 is effect. e�p'// L�YL'/'7 1-L L .icense Class License No Dale VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO C IMINAL PEP DST OF COMPENSATION, DAMAGES AS PRWDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: work, and the structure is not intended or offered for sale (Section 7044, Dloyees' or personal effort, builds or improves the property, provided that the on, 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). year prior to completion of the improvements cover, nderstand that a copy of the applicable law, Section and Date rision 3 of the Business and Pr ssio Co I y 'Y'n'I force Contractor Signature AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE J I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director) of Industrial Relations as provided for by Section 3700 of the Labor Code, for erjormance of the work for which this permit is issued. Policy No. have and will mntain workers' compensation insurance, as required by Section 3700 of the Labor Code, for rance carrier add adlicy number afn _ IS of Agent r ./ certify that, in the performance of the work for hich s p is issu , 1 a employ any person in any if I should become subjbct to the �r ;s' pe pro sions Se 00 of the Labor Code, I shall signature of Applicant `'�' l�y-T/G>' IECLARATION REGA ING CONSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for Ender's Name Lender's Address :y my signature below, I certify to each of the following: 1 am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordina and at r bu' conslmction. I authorize representatives of this city or county to Qrltero - d prpp�rt ion purposes. of the work for which this permit is issued. My workers' Expiration Date Phone # so as to become subject to the works c99 pens Ion laws of California, and agre I comply with those provi ig ons�. /�J/%�� I this permit is issue ACTION DATE By DECLARATION OF COMPLIANCE WITH CODEOF FOR OFFICE USE ONLY FEDELZAL REGULATIONS PART 61 OF 7ITLE40AND QM�L•Ct403. *00 aSBSEP NO-Qrj$!DTO: •••••e• e ❑a p I � ??&CI6 IbOG tFCGPtiV ,0, `S PT% � � PERMITEXPIRED PERMlTCANCE!!ED e• AMD • . e PERMIT EXTENDED ❑ ASBESTOS M017RC4710MIS NOT APPLICABLE TO PROPgIEDDEMOUTION. e • •w: °°• •°° • ees PERMIT FINAL CERTIRCATEOF OCCUPANCYISSUED SIGNArDOE:°: : •• •e° a