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HomeMy WebLinkAboutE2020-0716 - Permits (3)" City of Newport Beach - Building Division IIIIYIIIIIIIIYIIIIIIIIYIIIYIIIYIiIIYlll�lllq Electrical Permit: E2020-0716 100 Civic Center Drive,N �$ ¢ vic ener Newport Beach, CA 92660 E 2 0 2 0 0 7 1 6 >6 Project No Permit Counter Phone (949)443288 9V. +ay��+ Inspection Requests Phone (949)644-3255 Job Address: 208 44TH ST Bldg: 1 Floor: Suite: Description of Work: ELEC/UPGRADE (E) SERVICE PANEL, ADD SUB PANEL & OVERHEAD TO UNDERGROUND *REVISED 0110512021 Inspector Area: 1 Code Edit: 2019 �e Legal Description: CANAL SECTION LOT 4 BILK 143 FOR OF LOT AND POR L0T5 BILK 143 V n Owner: STEWART FRANCES C Contractor: CONTORELLI CONSTRUCTION INC Worker's Compensation Insurance Address: 428 OLD NEWPORT BLVD Address: 30832 MARILYN DR Carrier: STATE FUND ' e NEWPORT BEACH, CA 92663 LAGUNA BEACH CA 92651 Policy No: 9154910 0 Phone: Phone: 949-290-4630 Expire : 03/15/2021 Con State Lie: 319552 Issued Date:12/1512020 Lie Expire: 08/31/2022 + 1 Bus Lie: BT30065552 Processed By: Lie Exp Date: 01/31/2021 Di FEES New Construction Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) Residential Receptacles/Outlets: 0 $0.00 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: 0 $0.00 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: 1 $28.00 1-2 Family: 0 $0.00 Sep Circuits: 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 0 $0.00 Low Voltage 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 0 $0.00 Service Signs Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: $0.00 0-600V up to 20DA: 1 $46.00 Branch Circuit: 0 $0.00 Plan Check Fee: $0.00 0-600V over 200A: 0 $0.00 Each Add Circuit: 0 $0.00 Piggy Backrremp Power: 0 $0.00 Investigation Fee: $0.00 Over 600V or 1oo0A: 0 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $37.00 O/H to U/G 1 $46.00 Additional Fee: $0.00 Supplemental Fee: $0.00 TOTAL Fee: $157.00 Plan Check Fee: $129.00 Fee Due at Permit Issuance: $28.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - FridayJ:OQ aim. to ¢:30 4).m. and Satu day from 8:00 a.m. to 6:00 p.m. a eee • • • ••• ce a e e a• a o• ° a o e,� •ae °ea aae a a aaa ea OWNER -BUILDER DECLARATION 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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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.il understand 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://www.leginfo.ca.gov/calaw.htmi. 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 7901 ) of ivision 3 of the Business and Profe n ode n license is in full force li and effect. .License Class License No Date "� Contractor Signature 1 (WORKERS' COMPENSATION DECLARATION ry ARNING: 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 ($100,000), IN ADDITION TO THE (COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNErS FEES. hereby affirm under penalty of perjury one of the following declarations: have and will maintain a certificate of consent to self -insure for workers' compensation, mane of the work for which this permit is issued. Policy No. issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for have and will main (aigworkers' 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' rance carrier and pTy`pumber aF67 1 < A i ne of Agent % e" V F V certify that, in the performance of the wo ffp r w h this permit is Is e1 shall not employ any person in any , if I should become subject to the w;4Rery'co e0n6 pm4 o Section 3700 of the Labor Code, I shall nature of Applicant CLARATION REGillAING CONSTRUCTION LENDING AGENCY :reby affirm under penalty 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 is co�Pm I agree to comply with all applicable city and county ordinance nd construction. I authorize representatives of this city or county tkjnter the ova ction purposes. Owner or Authorized Date so as to become subject to the workers' co pen tion laws of California, and agrer I comply with those provisions. Dat jcon/ tG'l I this permit is issued (Section 3097, Civil Code). ACTION DATE BY DECLARATION OF COMPLIANCEIMTN CODE OF FOROFRCEUSEONLY • F RAt�gLVIONSeAK8%OFTITLE40AND A D E9400. e ❑ i SP/BA &E:31i.S&Sit16 4 AFtCATFON TO: • ❑ EPA ❑ AOMD ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO • pRtOPjIS,DQLIjRyY. SiJa'NRT�A: a e o e e PERMITEXPIRED PERMIT G4NCELLED PERMIT EXTENDED PFRMFT FINAL CER77FICATEOF OCCUPANCYISSUED ee e s eo oe ee