HomeMy WebLinkAboutE2019-0501 - Permits9 vt1 City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIINIIIIIIIIIIIIIIIII II Electrical Permit: E2019-0501 4'
100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 1 9 0 5 0 1 Project No
H Permit Counter Phone (949)644-3288
"�s1r«w�t°
Inspection Requests Phone (949)644-3255
Job Address: 502 BEGONIA AVE Bldg:1 Floor: Suite:
Description of Work: ELEC OVERHEAD TO UNDERGROUND & 200 AMP SERVICE CHANGE OUT
Inspector Area: 5
Legal Description: CORONA DEL MAR BILK 530 LOT 4
Owner: NEFF JAMES K
Contractor:
Address: 7892 FISHER ISLAND DR
Address:
MIAMI BEACH FL 33109
$0.00
Phone:
Phone:
0
Con State Lie:
Issued Date:07/23/2019
Lie Expire:
0-600V over20OA:
Bus Lie:
Processed 8��� ���
Lie Exp Date:
New Construction
Residential
Multi -Family:
0
$0.00
1-2 Family:
0
$0.00
Service
Sep Circuits:
0
0-600V up to 20OA:
1
$43.00
0-600V over20OA:
0
$0.00
Over 600V or1000A:
0
$0.00
O/H to U/G
1
$43.00
TOTAL Fee:
CONTORELLI CONSTRUCTION INC
30832 MARILYN DR
LAGUNA BEACH CA 92651
949-290-4630
319552
08/31/2020
BT30065552
01/31/2020
Receptacle/Switch/Outlets
Receptacles/Outlets:
0
$0.00
Fixtures:
0
$0.00
Sep Circuits:
0
$0.00
Low Voltage
0
$0.00
Signs
50 to 100 HP/KW/KVA:
0
Branch Circuit:
0
$0.00
Each Add Circuit:
0
$0.00
Time Clocks:
0
$0.00
Additional Fee :
Supplemental Fee:
$0.00
Code Edit: 2016 I I V S • ECI
°
OR
.°°.
Worker's Compensation Insurance
Carrier: STATE FUND
Policy No: 9154910
Expire : 03/15/2020 00
. .
FEES
Temp Underground:
Motors/Transformers (HP/KVA)
$0.00
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
°
°
=°ccs
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.
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 Permit Issuance:
$121.00
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.
)WNER-BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale 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
he 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
Irofessions 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
iot 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,
3usiness 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
mprovements 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
m roved 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
rpply 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:
3y 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 legallt
;ell a structlyglVt 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 Codetis available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
Signature o?Moperty Owner or Authorized Agent Date
MENSGD M114TRACTOR'S DECLARATION
hereby al4rin under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se tion 000) of Division 3 of the Business an foie ons Code, and my license is in full force
ISH effect. %
-icense Class . License No D // Contra Signature �_„ _
rJORKER816OMPENSATION DECLARATION
'(A.RNING: FAILUREVrO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
.C$T OF CQhjf%l tION, DAMAGES AS PROVIDED FOR IN SECTION 0708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
'hereby affirip under penalty of perjury one of the following declarations:
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
It* work for which this permit is issued. Policy No.
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'
nd policy number are:
is of Agent _
certify that, in the
. if I should bacon
Policy Number
Date
for which this permit is issued, I shall not employ any person in any manner so as to become subject to the worke ' compesation laws of California, and agree
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. j Cr
=� Date i 1
VLAI/I IVIV RCVHRVINU IVrY I RVV 11VIN LGI\VIIYV /1VGI\V1
:reby 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).
Ider's Name Lender's Address
my signature below, I certify to each of the following:
am the property owner or authorized to act on the Bce owner's beha
I have read this application and the information ave ._ Is co ct. �,r7V1�
OR
I agree to comply with all applicable city and out rdma es and state laws relating to building construction. //
I authorize representatives of this city of ce ty to nter t above -identified property for inspection purposes.
nature of Property Owner or Au rized Age rint Property Owner's or Authorized is NI
ACTION DATE BY
DECLARATION OF COMPLIANCEINITH CODEOF
FEDERAL REGULATIONSPART 61 OF TITLE40AND
AOMDRULE1403.
PERMITEXP/RED
1 SUBMITTED ASBESTOS NOTIFICATION TO.,
❑ EPA
❑ AOMD
PERMIT CANCELLED
PERMIT EXTENDED
❑ ASBESTOS NOTIFICABONIS NOTAPPLICABL.E TO
PROPOSED DEMOLITION.
PERMIT FINAL
CERTIFICATEOF
SIGNATURE:
OCCUPANCYISSUEO