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Home My WebLink AboutE2020-0481 - Permitsta, City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 209 42ND ST Bidg: 1 Floor: Description of Work: ELEC/OVERHEAD TO I Inspector Area: 1 Legal Description: CANAL SECTION BILK 142 LOT 10 Owner: AXELSON Contractor: Address: 5164 ANDREWS DR Address: LOVELAND CO 80537 Phone: Phone: Con State Lic: Issued Date:09/10/2020 Lic Expire: '' Bus Lic: Processed By:_ ` Lic Exp Date: ��llll��ldl�ll�II Project Electrical Permit: E2020-0481- NO CONSTRUCTION NOISE Inspection Requests Phone (949)644-3255 ON THE WEEKEND CONTORELLI CONSTRUCTION INC 30832 MARILYN DR LAGUNA BEACH CA 92651 949-290-4630 319552 0813112022 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 10o0A: 0 $0.00 Time Clocks: 0 $0.00 O/H to U/G 1 $46.00 Additional Fee: $0.00 TOTAL Fee: $83.00 Plan Code Edit: 2019 Workers Compensation Insurance Carrier: STATE FUND Policy No: 9154910 Expire : 03/15/2021 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 Fee s 0 4 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 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 ®e• Ga• ° •o• ° 6 0 00 ® • e • • o a O O O Le O J a O O O 0 o a • o 0 0 ° 0 0 ao °V • • a oa • o 00o cn •o" ° �, o 0 o 'NER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the mason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) lion 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 LJ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portior Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, thn improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section apojy3,a an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Cant Tr exempt from licensure under the Contractors' State License Law for the following reason: signature below I acknowledge that, except for my personal residence in which I must have resided for at least �Iructure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractor,, ,ofessions Code, is available upon request when this application is submitted or at the following Web site:http://www 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 Section 7C and effect. Imo/ ,�/ License Class 74 License No �/ (�( Date 7� WORKERS' COMPENSATION DECLARATION T of the work, and the structure is not intended or offered for sale (Section 7044, 3h employees' or personal effort, builds or improves the property, provided that the ,mpletion, 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' Stale License Law). ne year prior to completion of the Improvements coverea oy tnls permit, I cannot I understand that a copy of the applicable law, Section 7044 of the Business and Date 3n 3 of the Business and Profess) 1s_., - e, d / icerise is in full force Contractor Signal WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINEs up TO ONE HUNDRED THOUSAND DOLLARS I$100,000), 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: 111 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 th p ormance of the work for which this permit is issued. Policy No. have and will 4'ntanyworkers' compensation insumnce, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatioinsurance carrier annumber Carrier I Policyb f Expiration Dale Name of Agent Phone # I certify that, in the performance of the%rrmhich tryjs p is issued, I shalt not employ any person in any manner so as to become subject to the workers'compens lion laws of California, and ogrehat, if I should become subject to the pen do 'al of Section 3700 of the Labor Code, I shall forthwith comply with those provisions Signature of Applicant Dat 6 DECLARATION REGARDI CONSTRUCTION LENDING AGENCY I hereby 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, Gil Lender's Name Lender's Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners behJating I have read this application and the information I have provided is core f agree to comply with all applicable city and county ordinan es slat to building construction. I authorize representatives of this city or county t enter ov -Ide y for inspection purposes. Signature of Property Owner or Authorized Agent _ Print Property Owner's or Authorized Agent's Name e ACTION DATE BY DECLARATION OF COMPLIANCEWITH CODEOF FOROFFICEUSEONLY FEDERAL REGULATIONS PART 61 OF TITLE40AND AOMO RULE 1403. PERMITEXPIRED ❑ ! i18PVTED�6E�'!'bS NOTIFICATIpiV TO: :Lh NPA 00 •, 0 PERMITCANCELLED • : •CY •AQMh • • 00 PERMITEXTENDED P PROPOSED DEMOUTION. ASBESTOS RONIS NOT APPLfCABL.E TO e e eee PERMITFINAL 1 CERTIFICATEOF ee SIGNAlffi o o e o e s OCCLIPANCYISSUED f! e• 0 o a o 0 • e o ee eee ,.. eee • o oe