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Home My WebLink AboutE2021-0552 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIII II 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 2 1 0 5 5 2 Permit Counter Phone (949)644-3288 Jew Job Address: 117 26THST Bldg: IFloor: Suite: Description of Work: ELEC-OVERHEAD TO UNDERGROUND. 200 AMP PANEL UPGRADE Inspector Area: Legal Description: NEWPORT BEACH CITY BILK 26 LOT 27 Owner: SERRA BRIAN Contractor: Address: 117 26TH ST Address: NEWPORT BEACH, CA 92663 Phone: Phone: Con State Lic: Issued Date:09/03/2021 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 Electrical Permit: E2021-0552 Project No : Inspection Requests Phone (949)644-3255 Code Edit: 2019 Worker's Compensation Insurance Carrier: STATE FUND Policy No: 9154910 Expire : 0311512022 01/31/2022 ®. 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: 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 Back/Temp Power: 0 $0.00 Temp Power Pole: 0 $0.00 Plan Check Fee : $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: $38.00 Supplemental Fee: $0.00 Fee Due at Permit Issuance : $132.00 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. DECLARA 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) 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 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, throu( improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of cc improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 70, apply 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: By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least or sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.le 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 Sec on 7f OC and effect. License Class License No Date VORKERS'COMPENSATION DECLARATION / [/ IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER T CF '.OST 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: the work, and the structure is not intended or offered for sale (Section 7044, employees' or personal effort, builds or improves the property, provided that the oletion, 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). to completion of the improvements covered by this permit, I cannot that a copy of the applicable law, Section 7044 of the Business and Date Division 3 of the Business ' s Code, license is in full force Contractor Signature i ES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE 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 "air ae of the work for which this permit is issued. Policy No. IJe and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the nde carrier and policy number are: Policy Number of Agent JI certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any mans iat, if I should become subject to thew p�setin5�provisions of Section 3700 of the Labor Code, I shall forth Iignature of Applicant IECLARATION REGARDING 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 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 cou ty ordinances and state laws relating to building construction. 1 authorize representatives of this city or coutified property for inspection purposes. signature of Property Owner or Authorized Agennt n eobove-idenPrint Property Owner's or 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 provisio s. Date) I 'I this permit is issued (Section 3097, Civil Code). Name ACTION DATE BY DECLARATION OFCOMPLIANCE VOTHCODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONSPART Of OF TITLE40AND•- AQMD RULE 1403. PERMIT EXPfRED ❑ I SUBMITTEDASBESTOS NO77F,ICATION' TO:. ❑ EPA ❑ AQMD ""•' PERMIT CANCELLED PERMfTEXTENDED ❑ ASBESTOS NOTRCA77ON IS NOT APPLICABLE TO PROPOSED DEMOLITION. ' „ ,�" •, '. .. PERMIT FINAL ( CER77FIC4TE OF OCCUPANCYISSU€D SIGNATURE: V V u U ,J " •.' V'