The URL can be used to link to this page

Home My WebLink AboutE2020-0448 - PermitsW City Qf_KPwport Beach - Building Division 11111111111111111111111111111111111111111111111111111 01` s 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 2 0 0 4 4 8 Permit Counter Phone (949)644-3288 u Job Address: 212 43RD ST Bldg: 1 Floor: Suite: Description of Work: ELELC/OVERHEAD TO UNDERGROUND WI(E) SEVICE UPGRADE 200 AMP Inspector Area: 1 Legal Description: CANAL SECTION BILK 142 LOT 7 Owner: BAY ISLAND CLUB Contractor: Address: 18 BAY ISLAND Address: NEWPORT BEACH, CA 92661 Phone: Phone: Con State Lic: Issued Date:08/28/2020 Lic Expire: us Lic: Processed By: p Date: 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: 1 $46.00 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: E2020-0448 l Project No: Inspection Requests Phone (949)644-3255 0_1 Code Edit: 2019 � M Worker's Compensation Insurance Carrier: STATE FUND ` J 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 Plan Check Fee: my 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. o � o • o u o c o 0 0 u o 0 0 0 o PP ® P PPP 'GP PP P P PbP PC rNER-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) 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 Division 3 of the Business and ressions 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 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portiom lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, throe 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 7 pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contr. I am exempt from licensure 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 r 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.l signature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury at I am licensed under provisions of Chapter 9 (commencing with Section ( nit effect. ��'% icense Class - License No L- Date PORKERS' COMPENSATION DECLARATION / IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL P 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: I have and will maintain a certificate of Consent to self -insure for workers' compensation, issued by the Direct erfo,rmance of the work for which this permit is issued. Policy No. of k, and the structure is not intended or offered for sale (Section 7044, ass' or personal effort, builds or improves the property, provided that the 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). e year prior to completion of the improvements covered by this permit, I cannot legally understand that a copy of the applicable law, Section 7044 of the Business and Date of Division 3 of the Business and Profes ' , and ' e6inq1rc a klontractor Signature IALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE of Industrial Relations as provided for by Section 3700 of the Labor Code, for and wqrniSintain workers' 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' carrier n policy numb q[p: ' ''s Icy ,�,�� r Expiration Date aoent 62 L) I Phone # certify that, in the performance of thLwork for which this permit is issued, I sh t employ any person in any , if I should become subjecyto tit ork rs' cpmpensatigrr)}pvisions;6f SegN> CVof the Labor Code, I shall of Applicant hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work f ender's Name Lenders Address ly 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 correct. I agree to comply with all applicable city and county ordinancesand state laws _ g tr bud construction. I authorize representatives of this city or county toPenter tit Ab e-id�fi op 1 tion purposes. so as to become subject to the workers' compensation I s of California, and agref 'I comply with those Dat I IeJC / �� 7� i this permit is issued (Section 3097-Civil Code or Authorized ACTION DATE BY DECLARATION OF COMPLIANCEWITN CODE OF FOROFFICEUSEDNtY o FEAFfdAL R EGR!l.ATfONS P(1, RT 61 OF TITLE40AND -ADM# RULE 1105._. . . . o PERMITEXPIR€D Z3.1 suBAhfEORSt3F.S1'QS.i4priCAnoN To: o• .XI �A•o• •o• •s• ❑ AOMD PERMtTCANCELLED PERMITEXT€NDED ASBESP€RMDTFINAL QTDOEMVLITIQ NOURCAIIQN/S NOT APPLICABLE TO 0 0 0 0 0 a. 0 0 ee 6/6NAZt'dR�: 1,4113JWWoQS CERTiFICATEOF OCCUPANCY(SSOED e e o 0 o o e e e e e o