HomeMy WebLinkAboutE2019-0159 - Permitsi
City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Job Address: 415 BEGONIA AVE Bldg:1 Floor: Suite:
Description of Work: ELEC/OVERHEAD TO UNDERGROUND
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
Phone:
Phone:
Con State Lic:
Issued Date:03/18/2019
Lic Expire:
7`7..
Bus Lic:
Processed By:
Lic Exp Date:
IIT III I��II VIII IIT III 0IIII II�� 9II II
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
Code Edit: 2016
Worker's Compensation Insurance
Carrier: STATE FUND
Policy No: 9154910
Expire : 03/15/2020
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 V.m,,and SatVr4i%y from 8:00 a.m. to 6:00 p.m.
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FEES
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 20OA:
0
$0.00
Branch Circuit:
0
$0.00
Plan Check Fee:
$0.00',
0-600V over 200A:
0
$0.00
Each Add Circuit:
0
$0.00
Piggy Backfremp Power:
0
$0.00
Investigation Fee:
$0.00'.
Over 600V or 1000A:
0
$0.00
Time Clocks:
0
$0.00
Temp Power Pole:
0
$0.00
Issuance Fee:
$35.001
0/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 V.m,,and SatVr4i%y from 8:00 a.m. to 6:00 p.m.
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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
ie 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 ffif tuSini ss 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
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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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
nprovements 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
nproved for the purpose of sale).
1, 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
pply 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).
7 1 am exempt from licensure under the Contractors' State License Law for the following reason:
iy 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
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 D
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secti 70 0) of Division 3 of the Business an rofessi s Code, an my license is,jafu11 force
License No Date Contractor Signatur
nd effect. -
.icense Class r�FJ V `
YORKERS' COMPENSATION DECLARATION
IARNING: 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 ($100,000), IN AD ION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I ye qd 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
anc of the work for which this permit is issued. Policy No.
and willppL����''yy��i�ntain 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'
carriergh policy nuff bar are: _
Policy Number
Date
lame of Agentt Lr+/ -.IV %k _ rousse n
71 certify that, in the performance a which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
iat, if I should become s ject the ers' co pensation prov>�sions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. si'g/�
',ignature of Applicant Date_
IECLARATION REG*DNGZMTRUCTION LENDING AGENCY
hereby affirm under fenalty 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).
ender's Name Lender's Address
ly',my signature below, I certify to each of the following:
1i I am the property owner or authorized to act on the property owner's behalf.
1 1 have read this application and the information I have pr is rrect.
I agree to comply with all applicable city and county o nances an st gqting to building construction. 17?
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I authorize representatives of this city or county¢o 9� eREifiedpwy€rty..forltf5gedion purposes. . //1C.7i rhi 1�+Jd�'v.l
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