HomeMy WebLinkAboutE2022-0435 - Permits�EWPpRT City of Newport Beach IIII I I II I II I II II IIII I I II
p`r t Community Development Department- Building Division Electrical Permit
y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No:
U _ r Permit Counter Phone: (949) 644-3288
> Work Class : Other
Inspection Requests Phone: (949) 644-3255 Issued Date : 07/19/2022
9C/Fp RNA newportbeachca.gov/inspections Inspection Area : 2
E2022-0435
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address : 106 PEARL AVE LegalDesc : A TR.BALBOA ISLAND RESUB'SEC 1 BLK 7 LOT 31
Description: ELEC OVERHEAD TO UNDERGROUND/UPGRADE PANEL
Owner: SHIRLEY P GOLNICK TRUST
Contractor )' CONTORELLI CONSTRUCTION INC
Address : 2865 GRACELAND WAY GLENDALE CA 91206
Address : 17686 METZLER LANE HUNTINGTON BEACH
Phone :
Phone : (949) 290 4630
Con State Lic : 319552 '.
Applicant: CONTORELLI CONSTRUCTION INC
Lic Expire 0813112022
Address: 17686 METZLER LANE HUNTINGTON BEACH, CA 92647.
Bus Lic : BT30065552
Phone: (949) 290-4630
Bus Lic Expire 01/31/2023
Workers' Compensation Insurance
Carrier :
Policy No:
W. C. Expire':
Code Edition : 2019
Fire Sprinklers : NO
Type of Construction :
'fire Hazard Zone: Y
Occupancy Groups:
Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 5
Flood Zone : AO 1
Use Zone: R-BI - Two -Unit Residential, Balboa Island
PROCESSED BY
t hereby affirm under penalty of perjury that I am exempt from the Contractors: State License Law forthe reasons) indicated below by the checkmark(s) I have placed next to the applicable Item(s)
ctiun 7031,5, Business and Professions Code: Any city or county that requires a permit to construct, altar. improve demolish, or repair any structure, prior tolls 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 3of the Business and
fassions Code) or that he or she Is exempt from licensure and the basis for the alleged exemption. Any Violation or 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 {U portions of the work, and the structure is not Intended or offered for sale (Section 7044,
i,mess and Professions Code: The Contractors' State License Law does not apply to anowner 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 not built or
proved for the purpose of sate).
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
ily 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 LicenseLaw).
I am exempt from IlImnsure under the:: Contractors` Stale License Law for the following masom
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
Owner or Authorized Anent I Date
eby affirm under penalty of perjury that I am licensed under provisions of Chapter 9:(Commencing with Section 700 +) of D,i44i of the Business and Professions I' e is in full force
sffect. License Class License No Date / �' Contractor Signature
RKERW COMPENSATION DECLARATION �
INO: FAILUkTj5.3`.GURE WORKERS" COMPENSATION COVERAGE IS UNLAWFUL: AND. SHALL SUBJECT AN. EMPLOYER TO CRIMINAL. PENALTIES/AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S G9,000). IN ADDITION To THE
AB COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABORSODE, INTEREST, AND: ATTORNEY'S FEES.
31; afftnn+lmier penalty of perjury one of the following declarations:
Dave and wry maintain a certificate of consent to self -Insure for workers' compensation, Issued by: the DirectorofIndustrial Relations as provided for by Section 3700 of the Labor Code, for
"nance of To woik for which this permit is Issued- Policy, No,
new and Ml'ma19ta..in workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this penultis: issued.: My workers' compensation
Alice carrier qnd policy number are:. .
'sT� ' ....Policy Number Expiration Date
d'ot fCgant Phone #
ergfy that,i'I the-t_rformance of ""' wor7�r� hispermitisissued,Ishall not employ any person in any manner so as to become subject to the workers'oompensatio awso California, and agre
if I shouldbesoma sub' of Rte w4r'ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
a3 & of Anplicani wo ' Date i �
LARATION R'GGAIRDING C NSTR 10 .NDIND AGENCY
eby 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 Co e):.
er s Name. Lender's Address
3y my signature. below, 1 certify to eaofi of the following::
I am the property owner or authorized to act on the property pwger's
I have read this application and the informational have provided Is co
I agree to comply with all applicable city andcounty ordhn as an
I authorize representatives of this city orcountyt nt abo ac
3ignatum of Property Owner or Authorized Agent
ACTION e DATE I BY 1 DECLARATION OF
PERMIT WENDED
PERM7r FINAL
ISSUED
building construction.
nspectlon purposes,
Print Proverb, Owner's: or Authorized Aq
DEOFFEDERAL I FOR OFFICE USE ONLY
kOMD. RULE i
N07151CAT€ONTO
All required alarms, latches gates and fences which serve as part of a pool/spa barrier, Shall
be In place prior to approval to fill pool/spa &shall remain in place & be maintained for the
APPUCA6tE TC). life Of the pool.