HomeMy WebLinkAboutE2022-0345 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�III II
100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 2 2 0 3 4 5
Permit Counter Phone (949)644-3288
Job Address: 207 33RD ST Bldg: 1 Floor: Suite:
Description of Work: ELEC -OVERHEAD TO UNDERGROUND & 200 AMP SERVICE UPGRADE
Inspector Area: 1
Legal Description: LAKE TR BLK 133 LOT 21
Owner: HAMMOND-MC KINLEY LLC
Address: 180 S LAKE AVE #540
PASADENA,CA
Phone:
Issued Date:06/06/2022
��l
Processed By:
New Construction
Residential
Multi -Family:
0
$0.00
1-2 Family:
0
$0.00
Service
0-600V up to 20DA:
1
$47.00
0-600V over 20OA:
0
$0.00
Over 600V or 1000A:
0
$0.00
O/H to U/G
1
$47.00
TOTAL
Fee:
$132.00
Contractor:
CONTORELLI CONSTRUCTION INC
Address:
17686 METZLER LANE
HUNTINGTON BEACH CA 92647
Phone:
949-290-4630
Con State Lic:
319552
Lic Expire:
08/3112022
Bus Lic:
BT30065552
Lic Exp Date:
01/31/2023
Receptacle/Switch/0 u tl ets
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
Electrical Permit: E2022-0345
Project No:
Inspection Requests Phone (949)644-3255
Code Edit: 2019
Worker's Compensation Insurance
Carrier: NO EMPLOYEES
Policy No:
Expire :
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: $0.00
Temp Underground:
Sub Panel:
Record Mgmt Fee:
Plan Check Fee:
Investigation Fee:
Issuance Fee:
Supplemental Fee:
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.
0 $J.00
0 $0.00
0 $0§GO
0 $0.00
$0`.GO
$o GG
$0t00
$38:GG
$0.00
S1.32.00
DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) 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, priorto 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 (_) 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).
❑ I, 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 legall)
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 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 S17,fi n 70 0) of Division 3 of the Business and Pr s o 9-,-and my license is in full force
and effect. '
License Class License No
Date Contractor Signatel��,
WORKERS' COMPENSATION DECLARATION
NANNING: 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 THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
IIhereby � affirm under penalty of perjury one of the following declarations:
WVe 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 th
o ce of the Work for which this permit is issued. Policy No.
e and wile 012 Lain 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' compensatioi
�e carrier 3 c policy number are:
Policy Number Expiration Date
f Agent Phone #
ify that, in the performance e wo whic err lit is issued, I shall not employ any person in any manner so as to become subject to the workers' com ensa on laws of California, and agre
1should hecolne subject he a ' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those orovissii[ons.
re of Applicant - Date /\
)ECLARATION REGAr3biION LENDING AGENCY
"-&y affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
end-r'F Name - Lender's Address
iy lay signature Lelow, I certify to each of the following:
I am the propa,ty owner or authorized to act on the property owners behalf.
I have read this application and the information I have d i rect.
I agree to comrrly w;th all applicable city and cou ordi sand (�e laws relating to building construction. �w C
I authorize representatives of this city or counjeo erKr the above -identified property for inspection purposes.
of Prooertv Owner or Authorized
Owner's or Authorized ADent's Name
Date
AC710N
DATE
RY
DECLARATION OF COMPUANCE WI I H CODt OF
,/ FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 51 OF TIRE 40 AND
AQMD RULE 1403.
PERMIT EXPI RED
❑ I SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
PERMITCANCELLED
PERMITEXTENDED
❑ ASBESTOS N07IRCA77ON IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMITFINAL
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CERTIFICATEOF
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