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Home My WebLink AboutE2020-0407 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 ` Permit Counter Phone (949)644-3288 .. �,4'ii1Ci51'h Job Address: 127 45TH ST Bldg: 1 Floor: Suite: Description of Work: ELEC/OVERHEAD TO UNDERGROUND Inspector Area: 1 Legal Description: RIVER SECTION BILK 45 LOT 20 Owner: SCHLOCKER Contractor: Address: 10947 VIVARACHO WAY Address: SAN DIEJO CA 92124 Phone: Phone: Con State Lie: Issued Date:08/11/2020 t Lie Expire: Bus Lie: Processed By: -Lie Exp Date: Il�lE lll� ll�l 0�� llll 0�u 0��l 4l�l 0�ul7 II CONTORELLI CONSTRUCTION INC 30832 MARILYN DR LAGUNA BEACH CA 92651 949-290-4630 319552 08/31/2020 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 Electrical Permit: E2020-0407 / Project No: Inspection Requests Phone (949)644-3255 z Code Edit: 2019 �v Worker's Compensation Insurance t 1 ' 1 Carrier: STATE FUND Policy No: 9154910 Expire: 03/1512021 X 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: 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 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. 0 O 6 B ° ° • ° ° b 4 E b 0•• °o° e aoe e• a eb o 0 EeU o 0 INER-BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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) 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.pivicsion 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 1, 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, throu nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of C, nproved for the purpose of sale). 1 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7C pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contra I am exempt from licensum 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 o ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://Www.ii lignature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of rjury that I am licensed under provisions of Chapter 9 (commencing with SediQn 0 and effect. 0 .icense Class License No y V Date j VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PE :DST 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: work, and the structure is not intended or offered for sale (Section 7044, ployees' 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 that a copy of the applicable law, Section 7044 of the Business and Date I Division 3 of the Business and Professi siL`�,de, dknse is in full force v Contractor Signature IVY CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100,000), IN ADDITION J I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Directo of Industrial Relations as provided for by Section 3700 of the Labor Code, for erjonnance 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 ie of Agent certify that, in the performance of th work for which this pe It is issued, I shall not employ any person in any , if 1 should become subject to the workers' comj*sa0fh prrisigo,#f Section 3700 of the Labor Code, I shall nature of Applicant CLARATION REGVDIING CONSTRUCTION LENDING AGENCY areby affirm under fenalty of perjury that there is a construction lending agency for the performance of the work for ider's Name Lender's Address 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 co t. I agree to comply with all applicable city and county or ina ces n e laws relating to building construction. I authorize representatives of this city or county if o r a y tified property for inspection purposes. of Property Owner or Authorized performance of the work for which this permit is issued. My workers' Expiration Date Phone # so as to become subject to the �kerl' c m en / tion laws of California, and agree h comply with those provisions. / �� Da� � 1 this permit is issued (Section 3097, Civil Code) 11 ACTION DATE BY DECLARATION OF COMPLIANCE VATN CODEOF FOR OFREE USE ONLY FEDEW REGSILATIONS PART fit OF TITLE40AND AQtALMDL 3. ... ... ❑ I SUPi WEO{ISBFSTOJ NORAC6T[W-0. EN PERMITEXPIRED PERAMTCANC€LLEO ❑ AQMD PERMIT EXTENDED ❑ ASBESTOS M017FTC4170MIS NOT APPLICABLE TO PROPOSFPQEqOLIT/ON. •• s e s e• e° ° SIGNAT&j PERMITFINA.! C0 CERTfFtCATEOF OCCUPANCYISSUED e e e • ° • e s • e • ° • a