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Home My WebLink AboutE2019-0159 - Permits (2)City of Newport Beach Building Division IIIIIIIIIIIIIIIIII�IIIIII�IIIIIIIIIII�III II 0 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 1 9 0 1 5 9 Permit Counter Phone (949)644-3288 f Job Address: 415 BEGONIA AVE Bldg: 1 Floor: Suite: Description of Work: ELECIOVERHEAD TO UNDERGROUND (4151i 415 1/2 BEGONIA AVE) Inspector Area: 5 Legal Description: CORONA DEL MAR BILK 329 LOT 9 Owner: BUCKEYE PROPERTIES Contractor: Address: 3050 PULLMAN ST Address: COSTA MESA CA 92626 $0.00 Phone: Phone: Con State Lie: Issued Date:03/18/2019 Lie Expire: 0-600V over20OA: ,Bus -tic: Processed By: Lie Exp Date: New Construction Residential Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Service 0-600V up to 20OA: 0 $0.00 0-600V over20OA: 0 $0.00 Over 600V or 1000A: 0 $0.00 O/H to U/G 1 $43.00 CONTORELLI CONSTRUCTION INC 30832 MARILYN DR LAGUNA BEACH CA 92651 949-290-4630 319552 08/31/2020 BT30065552 01/31/2020 Electrical Permit: E2019-0159 Project No : Inspection Requests Phone (949)644-3255 r Code Edit: 2016 f �� Worker's Compensation Insurance — Carrier: STATE FUND Policy No: 9154910 Expire : 03/15/2020 PERMITS EXPIRE 980 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Friday 7:00 a.m. to 5:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. FEES Receptacle/Switch/Outlets Motors/Transformers(HP(KVA) Receptacles/Outlets: 0 $0.00 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: 0 $@00€ Fixtures: 0 $0.00 1 to 10 HP/KW/KVA 0 $0.00 Sub Panel: N 90.00 Sep Circuits: 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 ° 0 $11.00 Low Voltage 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 ° ° D fte0 Signs Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: ... $0.00 Branch Circuit: 0 $0.00 Plan Check Fee: $0.00 Each Add Circuit: 0 $0.00 Piggy Backrfemp Power: 0 $0.00 Investigation Fee: $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $35.00 Additional Fee: $0.00 Supplemental Fee: $0.00 PERMITS EXPIRE 980 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Friday 7:00 a.m. to 5:30 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) 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 'rofessions 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 lot 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 L) 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 mproved 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 legall3 ;ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date _ICENSED CONTRACTOR'S DECLARATION herebyaffirmunder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se tion 700 9) of Division 3 of the Bu iness a rofeR inns Code, and ray license is in full force Ind effect. .1cense Class License No t Contracto - natur YORKERS' CO�QiNSATION DECLARATION 1t$$@@I@@CC�� }}AILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLO ER TO CRIMINAL PENALTIES AND CIVIL FINES TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE §i1V1MPEN6%TQN,1)#MAGES AS PROVIDED FOR IN SECTION 9706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. h9reby affirm uh8er"ptnalty of perjury one of the following declarations: • I 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 the fib mance of the wor6for which this permit is issued. Policy No. Ade and wyll maip;ln 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' compensation taq carne:and policy number are: Vildr{ Policy Number Expiration Date We drAgent { Phone # 21 certiryry that, in the p {rto an f e work foo which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensati laws of California, and agre; astir is�hould beco jec orTcers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provis ons. signature of Appl t` - Date IECLARATIO EGARDIN CONSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued ( ction 3097, Civil Code). 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 onthe pro wner's be I have read this application and the information I e provide orrect. 1 agree to comply with all ap !cable city and my ord1 s and state laws relating to building construction. I authorize representative f this city or cc t r the )a an property for inspection purposes. p �,, rtp ;i nature of Property Owner rued Age - ' t Property Owner's or Authori ent's NameagCW�`''�`' 1C a ACTION TE By DECLARATION OF COMPLIANCEWITH CO OF FOR OFFICE USEONLY FEDERAL REGULATIONS PART 69 OF TITLE40AND AQMD RULE 9403. PERMIT EXPIRED ❑ I SUBMITTEDASSESTOS M771FICATIONTO. ❑ EPA ❑ AQMD PERMITCANCELLED PERMLTEXTENDD PROPOSED DEMOLITION. RONI5 NOT APPLICABLE TO PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUEO SIGNATURE: