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Home My WebLink AboutE2020-0592 - Permits�n City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIaIIIIIIIIIIIIIIIJIIIIIIIIIIIIIII Electrical Permit: E2020-0592 100 Civic Center Drive, Newport Beach, CA 92660 Project No iw' j n Permit Counter Phone (949)644-3288 " Inspection Requests Phone (949)644-3255 s 'r`lrrxa�" NO CONSTRUCTION NOISE Job Address: 204 42ND ST Bldg: 1 Floor: Suite: Description of Work: ELEC/OVERHEAD TO UNDERGROUND W/UPGRADE (E) SERVICE PANEL 100 AMP Inspector Area: Legal Description: CANAL SECTION BLK 141 LOT 3 Owner: REYNEN GREGGORY/DENISE Contractor: Address: 60 WEGIS AVE Address: BAKERSFIELD, CA 93314 Phone: Phone: Con State Lie: Issued Date:10/22/2020 Lie Expire: Bus Lie: Processed By: ° r Lic Exp Date: ON SATURDAYS 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: 1 $46.00 Branch Circuit: 0 $0.00 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Over600V or1000A: 0 $0.00 Time Clocks: 0 $0.00 O/H to U/G 1 $46.00 Additional Fee: $0.00 Code Edit: 2019 p� Lam' J Worker's Compensation Insurance Carrier: STATE FUND M Policy No: 9154910 Expire: 03/1512021 7 0 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 130 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Fridav 7.00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. ° • • • • ° co o c o o• o c o o ° • • o 0 0 ° • o 0 ao o a o 0 0 0 • • o •� ••e • o ae• ®o• 'NER-BUILDER DECLARATION I - 1 heren� affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) lindicated 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 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 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions usiness 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 0 nproved for the purpose of sale). 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 licensure under the Contractors' State License Law for the following reason: y 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 ignature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION hereby affirm under p nalty of perjury that I am licensed underjovisI s of C�i pter 9 (commencing with Section 7 nd effect �L l vl ll icense Class / - License No �./ / T J Date � VORKERS' COMPENSATION DECLARATION ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL 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 self -insure for workers' compensation, issued by the Dire erfopnance of the work for which this permit is issued. Policy No. and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for carrier andZp licy number alpt-) _ Ie of Agent 1Cx1 V certify that, in the performance of the rk for which t s pe Is issued, I shall not employ any person in any if I should become sub act to the rke mpen tto Islons of Section 3700 of the Labor Code, 1 shall iature of Applicant J(, hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for enders Name Lender's 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. I agree to comply with all applicable city and county ordinance an state laws relating to building construction. 1 authorize representatives of this city or county t�yeer (qAdentified property for inspection purposes. signature of Property Owner or Authorized Agent / �/ Print Property Owner's the work, and the structure is not intended or offered for sale (Section 7044, employees' or personal effort, builds or improves the property, provided that the pletion, 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). a year prior to completion of the improvements covered by this permit, I cannot understand that a copy of the applicable law, Section 7044 of the Business and Date of Division 3 of the Business and rofly de, d m se is in full force Contractor Signature !C /l GLTIES 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 performance of the work for which this permit is issued. My workers' Date so as to become subject to the workers' co pensation 1 s of California, and agre h comply with those vi Dpro, s.GG� this permit is issued (Section 3097, Civil Code). e AC77ON DATE BY DECLARATION OF COMPLIANCEiMTNCODEOF FORDFROPUSEONLY FEDERAL REG(AAllf WS P4PT 4l.OFT7TLE40AND • - PERMITEXPIRED ••4OixfUiZULE•-F*3. • 0 PStJgWJtEDQSBE1T4S310*lCAT1ON TO. . • .[} EPq • • • • • • • • • In AQA�D PEBMrTCANCELLED PERMIT EXTENDED ❑ ASBESTOS NORFFCADONIS NOT APPLICABLE TO PROPOSED.9EMOPTIOIj(. •.• ••e ••� • • w a • • s CAT w s PERMITFINAL CERTIRCATEOF OCCUPANCYISSOED '• • e• •• e a