HomeMy WebLinkAboutE2020-0391 - Permitsar.Nrr, - City of Newport Beach - Building Division
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100 Civic Center Drive. Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
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Job Address: 121 46TH ST Bldg: 1 Floor: Suite:
Description of Work: ELECIOVERHEAD TO UNDERGROUND
Inspector Area: 1
Legal Description: RIVER SECTION BILK 46 LOT 14
Owner: FROELICH DONALD
Contractor:
Address: 24602 CHARLTON DR
Address:
LAGUNA HILLS, CA 92653
Phone:
Phone:
Con State Lie:
Issued Date:08/05/2020
Lie Expire:
Bus Lic:
Processed By:
Lic Exp Date:
CONTORELLI CONSTRUCTION INC
30832 MARILYN DR
LAGUNA BEACH CA 92651
949-290-4630
319552
08131/2020
BT30065552
01131/2021
Electrical Permit : E2020-0391
Project No :
Inspection Requests Phone (949)644-3255
Z
Code Edit: 2019
1 "
Worker's Compensation Insurance
Carrier : STATE FUND
Policy No: 9154910
Expire : 03/15/2021
0
FEES
New Construction
Receptacle/Switch/Outlets
Motors/Transformers (HP/KVA)
Residential
Receptacles/Outlets:
0
$0.00
0 to 1 HP/KW/KVA:
0
$0.00
Temp Underground:
0
$0.00
Multi -Family:
0
$0.00
Fixtures:
0
$0.00
1 to 10 HP/KW/KVA:
0
$0.00
Sub Panel:
0
$0.00
1-2 Family:
0
$0.00
Sep Circuits:
0
$0.00
10 to 50 HP/KW/KVA:
0
$0.00
a
0
$0.00
Low Voltage
0
$0.00
50 to 100 HP/KW/KVA:
0
$0.00
0
$0.00
Service
Signs
Over 100 HP/KW/KVA:
0
$0.00
Record Mgmt Fee:
$0.00
0-600V up to 20OA:
0
$0.00
Branch Circuit:
0
$0.00
Plan Check Fee:
$0.00
0-600V over 20OA:
0
$0.00
Each Add Circuit:
0
$0.00
Piggy Back/Temp Power:
0
$0.00
Investigation Fee:
$0.00
Over 600V or 1000A:
0
$0.00
Time Clocks:
0
$0.00
Temp Power Pole:
0
$0.00
Issuance Fee:
$35.00
O/H to U/G
2
$90.00
Additional Fee :
$0.00
Supplemental Fee:
$0.00
TOTAL Fee
: $125.00
Plan Check Fee: $0.00
Fee Due at Permit Issuance :
$125.00
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 .. '
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)
(Section 7031.6, 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).
111, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Cade: 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 legally
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.html.
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 Section 7000) of ivision 3 of the Business and Professions COO , y I' a in full force
and effect. / J✓/
License Class License No ( ��� Date Contractor Signature
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 t$100,000t, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PRONGED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
PI have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the •Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
performance of the work for which this permit is issued. Policy No.
have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
rance carrier and DeRmnumber are: L^
Date
lame of Agent W Phone #
]I certify that, in the performance of the work for whi h this permi s 1 1 shall not employ any person in any manner so as to become subject to the workers' compensatio aws of California, and agre
iat, if I should become s ject to t or s' sa ion pr is' action 3700 of the Labor Code, I shall forthwith comply with those provisions. ' 1
lignature of Applicant Dat �v
IECLARATION REGAPNG CONS UCTION LENDINd AGENCY
hereby affirm under natty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, 11 Co e).
Ender's Name Lender's Address
ly my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owners behalf. 4
I have read this application and the information I have provided is correct. ,/ G�
I agree to comply with all applicable city and county ordinances- and stat 4 wS tin o uilding construction.
to
I authorize representatives of this city I counnt he Ov 'ad f ' spection purposes.
lignature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name _
ACTION
DATE
BY
DECLARATION OF COMPLIANCE$MTH CODE OF
FOR OFRCE USE ONLY
FEDEILIC REGUSATICNS PART 61 Of T1ILE40 AND
AQMD RULE 1403.
7 f 5UBMtTFEDASSESTJS hOIIFICAT70N TO:
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❑ AQMD
❑ ASBESTOS NO77RCAIIONIS NOT APPLICABLE TO
PROPOS= DEMOLITION.
PERMITEXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMITFINAI,
CERTIFICATEOF
SIGNATURE.
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