HomeMy WebLinkAboutE2020-0132 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIi1111//
+ 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 2 0 0 1 3 2
h ' Permit Counter Phone (949)644-3288
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NO CONSTRUCTION NOISE
Electrical Permit: E2O20-0132
Project No: 1457-2018
Inspection Requests Phone (949)644-3255
Job Address: 204 EMERALD AVE Bldg: 1 Floor:
Suite:
Description of Work: ELEC PIGGY BACK
-ee•e°
•••°
ON SATURDAYS
INSPECTOR
Area: 2
Receptacle/Switch/Outlets
Motors/Transformers (HP/KVA)
Code Edit: 2016
Legal Description: BALBOA ISLAND RESUB SEC 1 BILK 4 LOT 20
....
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Owner: FRINZI THOMAS
Contractor:
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ome•
VITARELLI CONSTRUCTION INC Worker's Compensation Insurance
Address: 204 EMERALD AVE
Address:
140 S BAY FRONT
Carrier: STATE COMP INS FUND °ee•e® o°°"°;;
BALBOA ISLAND CA 92662
Temp Underground:
NEWPORT BEACH CA 92662
Policy No: 0783123
Phone:
Phone:
949-677.1872
Expire : 10/01/2020 0 •.. °
0
Con State Lie:
485418
°, • .
IssuedDate:03/04/2020
Lie Expire:
02/28/2021
e e ° °
•°•°
1-2 Family:
Bus Lie:
BTOOD11199
®,•e
,°;° •e°°
Processed By:
Lie Exp Date:
08/31/2020
a ®®•° °
$0.00
0
$0.00
Low Voltage
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.
FEES
-ee•e°
•••°
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
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 200A:
0
$0.00
Branch Circuit:
0
$0.00
Plan Check Fee:
$0.00
0 -BOON over 200A:
0
$0.00
Each Add Circuit:
0
$0.00
Piggy Backrremp Power:
1
$39.00
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
0
$0.00
Additional Fee :
$0.00
Supplemental Fee:
$0.00
TOTAL
Fee:
$74.00
Plan Check Fee: $0.00
Fee Due at Permit Issuance :
$74.00
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.
INER-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)
ction 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
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
fessions 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
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,
:iness 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
Irovements 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
(roved for the purpose of sale).
I, as owner of the property4m exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
fly 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).
Iamexempt from licensure under the Contractors' State License Law for the following reason:
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
a structurg "i 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
fessions CQrje•, j?available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
nature of PropeVy Owner or Authorized Agent Date
:EISEDZGNTRACTOR'S DECLARATION
Irby affirm un der penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with action 7000) of Division 3 of the Business no Pr slons Code, anr6v license is in full force
effect 2 LA - Z3. -J g l 111
I effect.
Class • • • • License No Date 7 Contractor Si nat a ""����3� v ✓4✓ ..XXnn
AKERS COMPENSATION DECLARATION
MING: FAILURe TQ SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLO ER TO CRIMINAL PENALTIES AND CIVIL FINES UP T ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
146E COMPENS/LTMPDAMAGES AS PROVIDED FOR IN SECTION 5708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
�feby affirm under penalty of perjury one of the following declarations:
i Rave and will•rh4intain 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 IN
fgeenge of the wotk for which this permit is issued. Policy No.
W %4M"a4otain 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'
carrier dhtl*policy number are:
Policy Number
1e of Agent
Date
]I certify that, in the performs a of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the orkers' compensation laws of California, and agref
iat, if I should become subje orkefs oo(Tpens Ion pro .slons of Section 3700 of the Labor Code, I shall forthwith comply with those provision
signature of Applicant � Date 3 LA ZZ
1ECLARATION REGARDIPG CONSTRUCTION LENDING AGENCY
hereby affirm under penty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (S tion 3097, Civil Code)
ender's Name I 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
I have read this application and the information I ha,
I agree to comply with all applicable city and county,
I authorize representatives of this city or county to
ACTION
PERMITEXTENDED
OCCUPANCYISSOED
DATE
iperty owner's behalf.
provided is correct.
finances and state laws relating to building construction.
. e above -i tified pro art for inspection purposes.
Print Prooertv Owner's or Authorized
BY uct.t r Aviv ur uvwruArr c min wuc ur
FEDERAL REGULATIONS PART 61OFTITLE40AND
AQMDRULE 1403.
❑ I SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
❑ ASBESTOS NOTIRCATIONIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
SIGNATURE.
W