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Home My WebLink AboutE2020-0482 - Permitst City of Newport Beach - Building Division 1111111111111111111111111111111111111111111111111111 a4 100 Civic CenterDrive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 ¢ _ NO CONSTRUCTION NOISE Job Address: 127 46TH ST Bldg: 1 Floor: Suite: Description of Work: ELEC/OVERHEAD TO UNDERGROUND Inspector Area: 3 Legal Description: RIVER SECTION LOT 11 BILK 46 ALL -INC POR OF SEC 29T 6 R 10 ADJ- Owner: SHEPHERD ROBERT Contractor: Address: 2160 MYRAN DR #B Address: COSTA MESA CA 92627 Phone: Phone: Con State Lic: Issued Date:09/10/2020 Lic Expire: Bus Lic: Processed By: Lic Exp Date: CONTORELLI CONSTRUCTION INC 30832 MARILYN DR LAGUNA BEACH CA 92651 949-290-4630 319552 08/31/2022 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 1000A: 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 Electrical Permit: E2020-0482 Project No: Inspection Requests Phone (949)644-3255 Code Edit: 2019 z F,9 Worker's Compensation Insurance M Carrier: STATE FUND Policy No: 9154910 0 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 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 Fee Due at Permit Issuance: 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. a o c • • •e ee e o o.,° d° 'NER-BUILDER DECLARATION 1 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) coon 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). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, iness 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 rovements 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 roved for the purpose of sale). I J I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Con 7 lam exempt from licensure under the Contractors' State License Law for the following reason: 3y my signature below I acknowledge that, except for my personal residence in which 1 must have resided for at leas ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractor Irofessions Code, is available upon request when this application is submitted or at the following Web site:http://ww% Signature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 Ind effect. r7 .icense Class License No � /^ , - 4 Date PORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SMALL 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: I have and will maintain a certificate of consent to seff-insure for workers' compensation, issued by the Dire 7mance of the work for which this permit is issued. Policy No. have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for isurance carrier a(rd p fipy number aM: ne of Agent � certify that, in the performance of the work if I should become subject to thP.w,orlieM is issued, 1 shall not employ any person in any ,ions of Section 3700 of the Labor Code, I shall ignature of Applicant iECLARATION REGAR NG CONSTRUCTift LEN96616AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for ender's Name Lenders Address y 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 provided is correct. 1 agree to comply with all applicable city and county ordinanP$syrfgl Stgte�lating to building construction. I authorize representatives of this city or county to enter a ov -I t d operty for inspection purposes. Business and Professions Code: The Contractors' State License Law does not pursuant to the Contractors' State License Law). ne year poor to completion of the improvements covered by this permit, I cannot I understand that a copy of the applicable law, Section 7044 of the Business and Date m 3 of the Business and P�rofessio C ense is in full force Contractor Signatur 1 AND CIVIL FINES UP TO DOLLARS ($100,000), IN ADDITION TO of Industrial Relations as provided for by Section 3700 of the Labor Code, for performance of the work for which this permit is issued. My workers' Date so as to become subject to the workers' compensatio/11aw f California, and agre I comply with those provisions. I this permit is issued (Section 3097, Civil Code). ACTION DATE BY DECLARATION OF COMPLIANCEWITN CODEOF FDR OFBCE USEONtY FEDERAL REGULATIONS PART 61 OFTIILE40AND AOMO RULE I403. ... e ❑ J%VB tTED ASBESTOS NOtffIC1LTI(NI TO. CPA ?4,.D • • ' e ❑ ASBESTOS N077RCA170NIS NOT APPLICABLE TO PROPOSED DEMOLITION •o• e e • e e PERMIT UPIRED PERMITCANCELLED PERMIT EXTENDED PERMITFINAL CERTfFICATEDF L OCCUPANCYlSSt{ED o•e SIGNATjif}:• • • e e e e e e 0 0 e