HomeMy WebLinkAboutE2020-0390 - PermitsUty--of Newport Beach - Building Division
100 Civic Center Drive. Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Job Address: 117 46TH ST Bldg:1 Floor: Suite:
Description of Work: ELEC/OVERHEAD TO UNDERGROUND
Inspector Area: 1
Legal Description: RIVER SECTION BLK 46 LOT 16
Owner: 117 ETHAN LLC
Contractor:
Address: 117 46TH ST
Address:
NEWPORT BEACH, CA 92663
Phone:
Phone:
Con State Lic:
Issued Date:08/0512020
Lic Expire:
`
Bus Lic:
Processed By:
Lic Exp Date:
New Construction
Residential
Multi -Family:
0
$0.00
1-2 Family:
0
$0.00
Service
0-600V up to 20OA:
0
$0.00
0-600V over 20DA:
0
$0.00
Over600V or1000A:
0
$0.00
O/H to U/G
2
$90.00
TOTAL Fee : $125.00
111111111111111111111111Jill111JI111111111111111111 Electrical Permit: E2020-0390
Project No :
CONTORELLI CONSTRUCTION INC
30832 MARILYN DR
LAGUNA BEACH CA 92651
949-290-4630
319552
08/31/2020
BT30065552
01/31/2021
Receptacle/Switch/Outlets
Receptacles/Outlets: 0 $0.00
Fixtures:
0
$0.00
Sep Circuits:
0
$0.00
Low Voltage
0
$0.00
Signs
Branch Circuit:
0
$0.00
Each Add Circuit:
0
$0.00
Time Clocks:
0
$0.00
Additional Fee :
$0.00
Inspection Requests Phone (949)644-3255
Code Edit: 2019
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Worker's Compensation Insurance
Carrier: STATE FUND
Policy No: 9154910
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Expire : 03/15/2021
FEES
Motors/Transformers (HPIKVA)
0 to 1 HP/KW/KVA:
0
$0.00
Temp Underground:
0
$0.00
1 to 10 HP/KW/KVA:
0
$0.00
Sub Panel:
0
$0.00
10 to 50 HP/KW/KVA:
0
$0.00
0
$0.00
50 to 100 HP/KW/KVA:
0
$0.00
0
$0.00
Over 100 HP/KW/KVA:
0
$0.00
Record Mgmt Fee:
$0.00
Plan Check Fee:
$0.00
Piggy Back/Temp Power:
0
$0.00
Investigation Fee:
$0.00
Temp Power Pole:
0
$0.00
Issuance Fee:
$35.00
Supplemental Fee:
$0.00
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.
OWNER -BUILDER DECLARATION
1 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).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) 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).
111, 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 legal
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Busin s 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 Jury that I am licensed under pr Isions of Chapter 9 (commencing with Section 7000) of Ivi n 3 of the Business and Prof sions m ' e I ull force
and effect. „�e 4��f
License Class License No C Date 3 Contractor Signa�
WORKERS' COMPENSATION DECLARATION
WARNING: 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 I$100,0001, IN ADDITION TO TH'
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
111 have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for tl
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 the performance of the work for which this permit is issued. My workers' compensatio
insurance carrier and o y number are: �^
Carrier �,, n i Poll
dutfJbe36 /1 Expiration Date
Name of Agent [U�-!V Phone #
I certify that, in the performance of thew k for which this permiffiss hall not employ any person in any manner so as to become subject to the workers' compensation wsofCalifornia, and ogrehat, if I should become a N t to th rk mp fis prov'gn 3700 of the Labor Code, I shall forthwith comply with those provisi s.
Signature of Applicant Dat v �O
DECLARATION REGAIRONMICONSIrRUCTION LENDING AGENCY
I hereby affirm underperfalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued Section 3097, Cod
Lenders Name Lender's Address
By my signature below, I certify to each of the following:
1 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. y_
I agree to comply with all applicable city and county ordinan s an sta aws e n ilding construction.
I authorize representatives of this city or county to
er t tifi�d pr Inspection purposes.
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name , I
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF
FOR OFRCE USE ONLY
FEDERAL REGU'ATLCNS PART fit or TITLE40 AND
AQ,WD RULE 1403.
PERMIT EXPI RED
'J I5UB fTTEDAS8EeTOS NORFICATION TO:
❑. EPA
❑ AQMD
PERMIT CANCELLED
PERMIT EXTENDED
❑ ASBESTOS N077FICA170NIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMIT FINAL
CERTIFICATEOF
SIGNATURE.
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