HomeMy WebLinkAboutE2019-0567 - Permits�vr{ City of Newport Beach - Building Division
Cry 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
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Job Address: 502 BEGONIAAVE Bldg:1 Floor: Suite:
Description of Work: ELEC 100 AMP SUB PANEL CIO
Inspector Area: 5
Legal Description: CORONA DEL MAR BLK 530 LOT 4
Owner: NEFF JAMES K
Contractor:
Address: 7692 FISHER ISLAND DR
Address:
MIAMI BEACH FL 33109
Phone:
Phone:
Residential
Con State Lic:
Issued Date:08/15/2019
Lic Expire:
/�
Bus Lic:
Processed By: EX5 V �
Lic Exp Date:
CONTORELLI CONSTRUCTION INC
30832 MARILYN DR
LAGUNA BEACH CA 92651
949-290.4630
319552
08131/2020
ST30065552
01/31/2020
FEES
Electrical Permit: E2019-0567
Project No :
X!
Inspection Requests Phone (949)644-3255
INS
Code Edit: 2016 p "V --O
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Worker's Compensation Insurance
Carrier: STATE FUND <°°°°°
Policy No: 9154910
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Expire : 03/15/2020
NO CONSTRUCTIO14M91SE
ee °
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New Construction
Receptacle/Switch/Outlets
Motors/Transformers (HPIKVA)
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:
1
$26.00
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 Back/Temp 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:
$35.00
O/H to U/G
0
$0.00
Additional Fee :
$0.00
Supplemental Fee:
$0.00
TOTAL Fee:
$61.00
Plan Check Fee : $0.00
Fee Due at Permit Issuance:
$61.00
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.
DWNER-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 applicableitem(4S)
(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
the 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
Professions 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
not more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
im roved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an owner oiWoperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
4 I am gxempt fm"licensure under the Contractors' State License Law for the following reason:
Brw"signature bolowj acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally
sell a strLIcture ti'Taj t p$J2 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
PjdfgssVs Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw. html.
Stgnat,Ae of Property Owner or Authorized Agent
LIGENSED CQ0';I1R GTOR'S DECLARATION
I riereby affirm under p0ally of perjury that I am licensed under provisions of Chapter 9 (commencing/ERTO
ti n 7� of D'vision 3 of the Business and ro as on Code, license is in full force
LicenseClass • .. License No Dat7 Contractor Signature
J 61aRS' COMPENSATION DECLARATION
/1RI$ING: AILURE 10 SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOIMINAL PENALTIES AND CIVIL FINES UP TO ON HUNDRED THOUSAND DOLLARS ($160,000), IN ADDITION TO THE
COST OF L�OMPENbTATIbA,nMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
Mtirm und,r penalty of perjury one of the following declarations:
and wi0•meintain 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 thI
e of the work for which this permit is issued. Policy No.
ave and will 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' compensatio
'nsura a carrier and policy number are:
DECLARATION OF COMPLIANCE MTNCODEOF
Carrier Policy Number Expiration Date
Name of Agent Phone #
FEDERAL REGULATIONS PART 61 OFTITLE40AND
AOMD RULE 1403.
01 certify that, in the pe ce f the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' com ensation laws of California, and agre
that, if I should becom u act tot a work %Com rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provision
^
"71
I
Signature of Applicant Date
-
DECLARATION RE ING C ON LENDING AGENCY
I hereby affirm under p natty 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).
Lender's Name ILender's Address
By my signature below, I certify to each of the following:
I am the property owner or authorized to act on the pro owner behalf.
1 have read this application and the information I h rov ed is correct.�-
I agree to comply with all applicable cityand c ty ordina es am `taws relating to building construction.
tt C��
I authorize representatives of this city or cou to enter t Eve-idaTtified property for inspection purposes.
L (s
Siqnature of Property Owner or Authorized Age Print Property Owner's or Authorized Agent's Name's
Dat
ACTION DATE
BY
DECLARATION OF COMPLIANCE MTNCODEOF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 61 OFTITLE40AND
AOMD RULE 1403.
PERMITEXPIR€D
f SUBMITTEDASBESTOS NOTIFICATION TO-:
0 EPA
❑ AQMD
-
PERMITCANCELLED
P€RMITEXTENDED
..-�"7
D ASBESTOS NORRCAT7oNIS NOT APPLICABLE TO
PERMIT FINAL
PROPOSED DEMOLITION.
CERTfFfCATEOF-
OCCUPANCYISSUED
SIGNATURE: .