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Home My WebLink AboutE2020-0717 - PermitsCity of Newport Beach - Building Division ��IIpIIINIII�IIINIIIdIIINIIINIIINIIIIIIII�IIINIIII +- 100 Civic Center Drive, Newport Beach, CA 92660 N III Permit counter Phone (949)644-3288 k xgNO CONSTRUC-rION WORK Job Address: 210 44TH ST Bldg: 1 Floor: Suite: Description of Work: ELEC OVERHEAD TO UNDERGROUND Inspector Area: 1 Legal Description: CANAL SECTION LOT 5 BILK 143 NELY 2.85 FT(AND ALL -EX NELY 4.42 FT - Owner: CASSESSO LOUIS Address: 304 35TH ST Contractor: NEWPORT BEACH, CA 92663 Address: Phone: Phone: Issued Date:12/15/2020 Con State Lic: Lic Expire: Processed By:_ Fecs Bus Lic: Lic Exp Date: CONTORELLI CONSTRUCTION INC 30832 MARILYN DR LAGUNA BEACH CA 92651 949-2904630 319552 08/31/2022 BT30065552 01/31/2021 New Construction Residential Receptacle/Switch/Outlets Multi -Family: 0 $0.00 Receptacles/Outlets: 0 $0.00 1-2 Family: 0 $0.00 Fixtures: Sep Circuits: 0 0 $0.00 $0.00 Service Low Voltage 0 $0.00 0-600V up to 20OA: 0-600V over 200A: p $0.00 Signs Branch Circuit: 0 $0.00 Over 600V or 1000A: 0 0 $0.00 $0.00 Each Add Circuit: 0 $0.00 O/H to U/G 1 $46.00 Time Clocks: Additional Fee: 0 $0.00 $0.00 Electrical Permit: E2020-0717/ Project No: Inspection Requests Phone (949)644-3255 Code Edit: 2019 ° • ° . Worker's Compensation Insurance ° ° ° •' ° ° Carrier: STATE FUND a ° ° u a°••• Policy No:9154910 �. •°°••° Expire: 0311512021 . ...... 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 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 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. JNER-BUILDER DECLARATIONreason(sO p applicable item(s) I hereby affirm u nesspand IPrbfesstns Code: Any c@y or county that requeres a ptenndito const uct Dotter improve, demolish,ior repair any structure, dorlt its issuance, also requires the applicant for action 7031.5, Bus 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 pusiness an afessions 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 i more than five hundred dollars ($500). £ n will do (_) r (� P ro all of oortions of,the work, and the structure is not intended or offered for le (Section 7044, that the I, as owner of the property, or my employees with wages as their sole compensa to , siness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, throng provements are not intended or offered for sale. If, however, the building or improvement is sold within one year of col proved for the purpose of sale). 11, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 70A ,ply to an oAgr6h operty who builds or improves thereon, and who contracts for the projects with a licensed Contrac Mann exempt fro"licensure under the Contractors' State License Law for the following reason: I my signatdtg pealow I acknowledge that, except for my personal residence in which I must have resided for at least on III A Structure that I gave built as an owner -builder if it has l notibeen cons submittd Orin its entirety by the following Webs a httpensed rac/w ors. I 'Qfessions Code, is available upon request when this app' igneture of opgUOwner or Authorized Agent 10ENSED CONTRACTOR'S DECLARATION ileceby affirlJlvnde�penalty of perjury that Jam licensed under provisions of Chapter 9 (commencing with Section / rAEffect. • .. D icense Class License No .. JO¢KERS'+COOIWENSATION DECLARATION eg NG: FAILURE TO.DECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT A AN TORMPL VER TO CRIMINAL PE OS�OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Agreby affift j u rider penalty of perjury one of the following declarations: 1 have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Direct( performance of the work for which this permit is issued. Policy No. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for th ns nce carrier and policy number are: Policy Number flame of Agent �I certify that, in the ormance of work for which this pennrt' Issu I shall not employ any person in any mar ghat. if I should becomeubject to e w rke con�en lot _ sionnction 3700 of the Labor Code, I shall fort Signature of Applicant DECLARATION REGA DIN Ott STRUCTION LE G GENCY I hereby affirm under p alty of perjury that there is a construction lending agency for Lenders Address of the work for Lenders Name By 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 h e provided is correct. I agree to comply with all applicable city and , n ordinance tat cos e 1 uilding inspection purposes. I authorize representatives of this city or county] nfer ab print Property Owners sinnature of Property Owner or Authorized Agent ACDON I LATE PERA41T CERTIFICATE OF OCCUPANCYISSUED ,mployees' or personal effort, builds or Improves e p p letion. the Owner -Builder will have the burden of proving that it was not built or Business and Professions Code: The ContractorsState 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 .a ...................... Date ision 3 of the Business d rof on Co e, y can is orce r Contractor Signature v AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE Industrial Relations as provided for by Section 3700 of the Labor Code, for of the work for which this permit is issued. My workers' Expiration Date Phone # so as to become subject to the rorkers' com nsatio aws of Califomis, and agree 1 comply with those provisi s Date S 6 h this permit is issued (Sectio 3097, ivil Code). 8Y 11 FFDE�REGULATIONSpA77F6?OFifTLE40ANu AQMO RULE 1403. ❑ISUBMITTEDASBESTOS NORFICATJONTO:. ❑ EPA ❑ AQMD ❑ ASBESTOS NOTIFICATION IS NOT APPLJCABLE TO PROPOSED DEMOLITION. SIGNATURE: