HomeMy WebLinkAboutE2020-0406 - PermitsCity of Newport Beach - Building Division 11111111111111p11111111JillJJJlll1p1111111p111Jil
100 Civic Center Drive, Newpon Beach, CA 92660 E 2 0 2 0 0 4 0 6
Permit CounterPhorie (949)644-3288
(9)
11 Electrical Permit: E2020-0406
Project No
Inspection Requests Phone (949)644-3255
Job Address: 118 47TH ST Bldg: 1 Floor: Suite:
Description of Work: ELECIOVERHEAD TO UNDERGOUND
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HIGH DENSITY AREA
Inspector Area: 1
Code Edit: 2019
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Legal Description: RIVER SECTION LOT 7 BILK 46 50 FT LOT IN
LOT(AND 50FT LOT IN
LOTS 8
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Owner: SCHLOCKER KENNETH Contractor:
CONTORELLI CONSTRUCTION INC
Worker's Compensation Insurance
Address: 10947 VIVARCHO WAY Address:
30832 MARILYN DR
Carrier: STATE FUND
SAN DIEJO CA 92124
LAGUNA BEACH CA 92651
Policy No: 9154910
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Phone: Phone:
949-290-4630
Expire : 03/1512021
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Con State Lic:
319552
Issued Date:08/11/2020 Lic Expire:
08/3112020
Bus Lic:
BT30065552
Processed By: - Lic Exp Date:
01131/2021
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 over20OA:
0
$0.00
Over600V or1000A:
0
$0.00
O/H to U/G
1
$46.00
TOTAL Fee:
Rece pta c I e/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
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 BackrFemp Power: 0 $0.00
Temp Power Pole: 0 $0.00
Plan Check Fee :
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 7:0C a.ra. to 6.55 p.ni.,and Saturday from 8:00 a.m. to 6:00 p.m.
IWNER-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 p!acod nRxt 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
ie 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
'rofessions 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
of 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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
nprovements 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
nproved for the purpose of sale).
1 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
pply 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).
7 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 one year prior to completion of the improvements covered by this permit, I cannot legally
ell 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
lignature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under pe0alty of perjury that I am licensed under provisions Ch pter(commencing with Section 700 ) of ivision 3 of the Business and Pro s ions C de, y license is in full force
nd effect. �YIC\7" l ig�� 5
icense Class License No V Y Date Contractor Signature
VORKERS' COMPENSATION DECLARATION
IARNING: 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
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penally 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 Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
e¢ormance of the work for which this permit is issued. Policy No.
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' compensatiol
trance carrier(n) policy num e:
Tier C-AoiicyA r Expiration Date
me of Agent Phone #
certify that, in =pedurythat
t e wo for. ch this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' comggAnsatio laws of California, and agre
t, if I should beorke ' co nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 1�
nature of AppliDatP�/
CLARATION RT UCTION LENDING AGENCY
:reby affirm anthat there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
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 owners behalf.
I have read this application and the information I have provided is correct.KI agree tocomply with all applicable city and county ordinanc s and to ting to building construction.I authorize representatives of this city or countto/�n b a ove-i tlrty for inspection purposes.
nature of Property Owner or Authorized Agent Y " Print PropertyOwner's or Authorized Agent's Nam�62 e
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF
FOROMCEUSEONLY
FEDERAL REGULATIONS PART 61 OFTITLE40AND
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PERMITEXPIRED
❑ ISUBMIT) ED ASBESTOS NOTIFICATION rO:
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❑ AQMD
PERMIT CANCELLED
PERMITEXTENDED
❑ ASBESTOS NOTIRCADONIS NOT APPLICABLE TO
PROPOSF.DDEMOLITION.
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