HomeMy WebLinkAboutE2019-0500 - Permitsvrr City of Newport Beach - Building Division
+� 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Job Address: 401 BEGONIA AVE Bldg: 1 Floor: Suite:
Description of Work: ELEC OVERHEAD TO UNDERGROUND
Inspector Area: 5
Legal Description: CORONA DEL MAR LOT 1 SLK 329 ALL -EX NELY 107.65 FT -
Owner: NEFF JAMES K Contractor:
Address: 7892 FISHER ISLAND DR Address:
MIAMI BEACH FL 33109
Phone: Phone:
Con State Lic:
Issued Date:07/23/2019 Lic Expire:
us Lic:
Processed By:_0�0Lic Exp Date:
II IIS IIII 2IIII VIII IIID VIII II VIII 5I�I VIII III II
CONTORELLI CONSTRUCTION INC
30832 MARILYN DR
LAGUNA BEACH CA 92651
949-2904630
319552
08/31/2020
BT30065552
01/31/2020
Electrical Permit: E2019-0500
Project No :
Inspection Requests Phone (949)644-3255
Code Edit: 2016 INSPECT'®R
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.
° e
Worker's Compensation Insurance
Oo°°
°
Carrier: STATE FUND
Policy No: 9154910
Expire : 03/15/2020
FEES
Motors/Transformers(HP/KVA)
0 00
o e
0 0
•o•
Residential
ooy c
0
$0.00
0 to 1 HP/KW/KVA:
0
O
eoo°o
0
C C
p00g00
O C
0
C`OOOCO
e G
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.
New Construction
Receptacle/Switch/Outlets
FEES
Motors/Transformers(HP/KVA)
0 00
o e
0 0
•o•
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 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 Backrremp Power:
0
$0.00
Investigation Fee:
$0.00
Over 600V or 100oA:
0
$0.00
Time Clocks:
0
$0.00
Temp Power Pole:
0
$0.00
Issuance Fee:
$35.00
O/H to U/G
1
$43.00
Additional Fee:
$0.00
Supplemental Fee:
$0.00
TOTAL Fee:
$78.00
Plan Check Fee: $0.00
Fee Due at Permit Issuance:
$78.00
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.
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)
Iction 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
Ifessions 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).
1, 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,
siness 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
)rovements 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 property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
)ly to an ownerof property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I am exempt 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 legal)
I 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
rfessions CSQQ V%vailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.govlcalaw.htmi.
nature of Propeoty Owner or Authorized Agent Dale
)54SED GON.TRACTOR'S DECLARATION
=reby affir :under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with tion 70 0) of Division 3 of the Businire'
nd Pr sl ns C , and my license is in full force
I dffgct. / r)
arse Class License No - b�(� v Contractor Signa ---
)RISERS' C+QMP€NSATION DECLARATION
;AMG: FAILU}}E 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
Q 6) COMPEjISA.TIONDAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
)M affirm LIhArpenalty of perjury one of the following declarations
tain 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
forwhich this permit is issued. Policy No.
�ma4itain 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'
V% policy number are: _
Policy Number Expiration Date
is of Agent rnoe
certify that, in the pertor oft work for lith this permit is issued, I shall not employ any person in any manner so as to become
if I should becomes ec o the -[kers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with tho
to the
CLARA'r[011 REGARDING CONSTRUCTION LENDING AGENCY
I
)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:
I am the property owner or authorized to act on the property owner's behalf.
I have read this application and the information I h d is correct.
`l.
I agree to comply with all applicable city and te laws
relating to building construction.rI
authorize representatives of thi ity or co ty Itified
jentZE�
property for inspection purposes.
nature of Propert Owner or ized A e
Print Propert Owners or Authorized A is Name
rs
AC77ON DATE BY
DECLARA ONOFCOMPL7 MTHCODEOF
FOR 01
FEDERAL REGULATIONS PART 61 OF TITLE40AND
AQMDRULE1403.
f SUBM7TTEDASBESTOS NOTIFICATION TO
❑ EPA
❑ AQMD
_❑ ASBESTOS NOTIRCARONIS NOTAPPLICABLE TO
PERMRTEXPIRED
PERMITCANCELLED
PERA41TEXTENDED
-
_
OCCUPANCYISSUED
SIGNATURE.
laws of California, and