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Home My WebLink AboutE2022-0201 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 µ Permit Counter Phone (949)644-3288 v � s Job Address: 206 AGATE AVE Bldg: 1 Floor: Suite: Description of Work: ELEC 200 AMP PANEL UPGRADE Inspector Area: Legal Description: BALBOA ISLAND RESUB SEC 1 BILK 10 LOT 28 Owner: RICHARDSON MARILYN Contractor: Address: 206 AGATE Address: NEWPORT BEACH, CA 92660 Phone: Phone: Con State Lic: Issued Date:03/31/2022 Lic Expire: Bus Lic: Processed By:_ Lic Exp Date: IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II Electrical Permit: E2022-0201 E 2 0 2 2 0 2 0 1 Project No: CONTORELLI CONSTRUCTION INC 17686 METZLER LANE HUNTINGTON BEACH CA 92647 949-290-4630 319552 08/31/2022 BT30065552 01/31/2023 Inspection Requests Phone (949)644-3255 Code Edit:2018 Ir7l Worker's Compensation Insurance Carrier: NO EMPLOYEES Policy No: Expire : eeee me ee e 00 ee ee ° e New Construction Receptacle/Switch/Outlets FEES Motors/Transformers(HP/KVA) o ',•• °o • ° ee° Residential Receptacles/Outlets: 0 $0.00 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: %0e ° $O.150e 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: 1 $47.00 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: $38.00 O/H to U/G 0 $0.00 Additional Fee : $0.00 Supplemental Fee: $0.00 Fee : Due at Permit Issuance: 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. OWNER -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 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 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 U 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-Builderwill have the burden of proving that it was not built or improved 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 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: By 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 sell 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 a Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htm]. / Signature of Property Owner or Authorized Agent Date LICENS& Cj7NTRACTOR'S DECLARATION I hereby S AN finder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing�itSectio 000) of Division 3 of the Business. n Prof sio Co , an y lic i full force • aM effect• , •• Date < Contractor Signature • License No :• License Class• •• VVQRKERS•COMPENSATION DECLARATION I -` v N • T/ARNING: FLUj2E TO SECURE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI AL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,000), IN ADDITION TO THE • COST OF C AMENIRrION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. • I.hZeby affiemu n dar penalty of perjury one of the following declarations: 0•1•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 th, performance ofthe work for which this permit is issued. Policy No. • •••• •• • I have anQWil� 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' compensatlor insurance carribT anJ policy number are: N4 _• •00 Policy Number Expiration Date Ate of Agent•• rnune» I certify that, in the performance work for Which this permi s iss , I shall not employ any person in any manner so as to become subject to the workers' com aensatio laws of California, and agree till should bec a bject ork s' c ns lion pr Ision action 3700 of the Labor Code, I shall forthwith comply with those provis' n (nature of Applicant Date 4 ICLARATION RE RDI G� STR CTION LENDING AGENCY ereby affirm under enalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued ( ec ion 3097, Civil Cod ). tder'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 have provided is correct. I agree to comply with all applicable city and county ordina and late re at' g uilding construction. I authorize representatives of this city or coun to enter ov d d pr y inspection purposes. mature of Prooertv Owner or Authorized Agent _ Print Property Owner's or Authorized Agent's Na Da AC77ON DATE ® BY -, ..—, ,. FEDERAL REGUL4TIONSPART51 OFTITLE40AND AOMD RULE 1403. ❑ i SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA El AOMO ASBESTOS NOTIRCA770N IS NOT APPLICABLE TO PROPOSED DEMOLITION, SIGNATURE: PERMIT EXPIRED P PERMIT CANCELLED PERMiFEXTENDED PERMIT FI CERTIFICATEOF OCCUPANCYfSSUED m O Cp 'O 'O M N S CAD CD i7 m n y �. S N N o < O, 0 y. N .ON-r• CID ° O O m n m 3—p -Oh �= O �_ 7'0 3 CD' �. ? C e�•' ;� C O 3 :2 m Q N C (L] 3 CD N CD '-' 0 ?�y m m -Q 3a.a. 0 Qmm o CD (a a� a Z y Q a s�cn w "-m0 y 0CDX N° 0C.)o 3 a CD N tC a S N CD Cn 3 o C0 Ci a' °= y = o ? 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