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HomeMy WebLinkAboutE2020-0122 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 124 46THST Bldg:1 Floor: Suite: Description of Work: ELEC CHANGE OUT (2)100 AMP PANELS Inspector Area: 1 Legal Description: RIVER SECTION BLK 45 LOT 12 Owner: BACCARO MICHELLE Contractor: Address: 124 46TH ST Address: NEWPORT BEACH, CA 92660 Phone: Phone: Con State Lic: Issued Date:02/26/2020 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: 2 $90.00 0-600V over20OA: 0 $0.00 Over 600V or I 0 $0.00 O/H to U/G 0 $0.00 TOTAL Fee: NO CONSTRUCTION NOISE ON SATURDAYS CONTORELLI CONSTRUCTION INC 30832 MARILYN DR LAGUNA BEACH CA 92651 949-290-4630 319552 08/31 /2020 BT30065552 0113112021 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 Electrical Permit: E2020-0122 Project No: Inspection Requests Phone (949)644-3255° Code Edit: 2019 Worker's Compensation Insurance Carrier: STATE FUND ° n Policy No: 9164910 Expire : 03/15/2020 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 �Pe�VP'EC fl V 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: $35.00 Supplemental Fee: $0.00 Fee Due at 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. R-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 7031.5, 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 Codeli nr.tllat 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 iot morn than five hundred dollars ($500). J I, ab owner of fhe 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, B,tsincss 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 �mpmvements 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 puroose 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 owne. n prnperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). J 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 cell a structure that I t.s✓e 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 a1'ailable upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.html. Sig,,6tuia of Property Owner or Authorized Agent Date LIZ:ENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chap 9 (commencing wi Section 7 0) of9tVision 3 of the Busiam nd Profe s' ns Code, d y lice se in full force and effect. License Class lY License No ��1 r / Dat Contractor Sign NORKERS' COMPENSATION DECLARATION NARNING: 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 37H OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 3 1 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/formance 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' compensatio Insur nce carder and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # ❑I certify that, in the performs ce work for whi h ' p mit is' sued I all not employ any person in any manner so as to become subject to th workers' co pensati laws of California, and agre that, if I should become subje t e orke co ati rovi " ns o ion 3700 of the Labor Code, I shall forthwith comply with those prowslo S. Signature of Applicant Dat DECLARATION REGARD] G NSTRUCTION L AGENCY I hereby affirm under pens perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county o Inan state w��rel building construction. I authorize representatives of this city or county toe er! J a e '� d�¢r pf or inspection purposes. Signature of Property Owner or Authorized Agent J0/� Print Property Owners or Authorized Agent's Name 17 � to L AC71ON DATE BY DECLARATION OF COMPLIANCE MTH CODEOF FOR OFFICE USE LY FEDERAL REGULATIONSPART 61 OF TITLE40AND AQMD RULE 1403. PERMITEXPIRED ❑ I SUBMITTED ASBESTOS NORFICATION T0: ❑ EPA ❑ AQMD PERMITCANCELLED PERMIT EXTENDED ❑ ASBESTOS NOTIRCA DONIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL — ' CERTIFICATE OF OCCUPANCYISSUED SIGNATURE: