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Home My WebLink AboutE2021-0635 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Yry b ��dYillk� II�IE 2 0I065�� II Job Address: 119 26TH 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 26 LOT 26 Owner: HICKS CINDY Contractor: Address: 119 26TH ST Address: NEWPORT BEACH, CA 92660 Phone: Issued Date:10/13/2021 Processed By: _ New Construction Residential Multi -Family: 1-2 Family: Service 0-600V up to 20OA: 1 0-600V over 20OA: 0 Over600V or1000A: 0 O/H to U/G 1 TOTAL Phone: Con State Lic: Lic Expire: Bus Lic: Lic Exp Date: CONTORELLI CONSTRUCTION INC 17686 METZLER LANE HUNTINGTON BEACH CA 92647 949-290-4630 319552 08/31 /2022 BT30065552 01/31/2022 Receptacle/Switch/Outle Receptacles/0 utlets: 0 $0.00 Fixtures: 0 $0.00 Sep Circuits: 0 Low Voltage 0 Signs $47.00 Branch Circuit: 0 $0.00 Each Add Circuit: 0 $0.00 Time Clocks: 0 $47.00 Additional Fee: Electrical Permit: E2021-0635 Project No: Inspection Requests Phone (949)644-3255 Code Edit: 2019 Worker's Compensation Insurance Carrier: STATE FUND Policy No: 9164910 Expire : 03/15/2022 is FEES Motors/Transformers (HP/KVA) $0.00 0 to 1 HP/KW/KVA: 0 $0.00 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 Over 100 HP/KW/KVA: 0 $0.00 $0.00 $0.00 Piggy Back/Temp Power: 0 $0.00 $0.00 Temp Power Pole: 0 $0.00 $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 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday ;friday7:OO.a.my to, 6:30 y.m, arad Saturday from 8:00 a.m. to 6:00 p.m. a o a o e a a9 w a a o w s a a ea e a wo o • w awe 0 0 0 0 0 0 0 mW o�� o o ao �o owo Issuance: $132.00 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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business 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 improvements 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 improved for the purpose of sale). ❑ 1, 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 apply 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). ❑ 1 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 one year prior to completion of the improvements covered by this permit, I cannot legally sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. Iunderstand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and ofessi s Cofe; and my license is in full force and effect. 2 License Class License No Da `� Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,00(I), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: ve 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 thf o a re of the work for which this permit is issued. Policy No. 49 e and will maintain 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' compensatior 'rance carrier and policy number are: Tier Policy Number Expiration Date ne of Agent Phone # certify that, in the performanc f the ork for w " permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree t, if I should become subjBe o th rs cc atio provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. I�i-,, nature of Applicant DatI�1/ f 4n CLARATION REGA NG CONSTRUCTION LENDING AGENCY :reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ider's Name Lenders Address 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 ad " Ct. I agree to comply with all applicable city and county, rdin s and st a lames relating to building construction. I authorize representatives of this city or county enter abov = entifie roperty for inspection purposes. mature of Property Owner or Authorized AgerRX Print Property Owner's or Authorized Agent's Name i Vim/ Livia e ACTION DATE J BY DECLARATION OF COMPLIANCE MTH CODE OF FOR OFFICE USE ONLY FEDERAL REGULAVOINS P4RT litef TMV40 AND AQMLSRU%E UO3. • PERMITEXPJRED ❑ j�UB�tPfEb.,A�STD$NbTjFItrAId7NT0:. [3 EPA ❑ AQMD [3 ASBESTOS AIOHRCA170M IS NOT APPUCABLE TO PROP0SEVVFiMQLtJ10E- �' • e i e • .s • • s e SIGNATURE: • e e e s • • • • • e PERMIT CANCELLED PERMITEXTENDED PERMtT FENAC (� i ,� CER77FICATEOF OCCUPANCYtSSUED s•• s• •• • s ee• ••