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Home My WebLink AboutE2021-0699 - Permitswl.,, City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIII�II�IIIIIIIIIIIIIII II Electrical Permit: E2021-0699 v'Lv 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 2 1 0 6 9 9 Project No i; vo, Permit Counter Phone (949)644-3288 u .a 0 r`.r�.��.* Inspection Requests Phone (949)644-3255 Job Address: 125 27TH ST Bldg: 1 Floor: Suite: Description of Work: ELEC -OVERHEAD TO UNDERGROUND Inspector Area: Legal Description: NEWPORT BEACH CITY BLK 27 LOT 25 Owner: BARRETT GREGORY A Contractor: Address: 2731 CREEK CT Address: PARK CITY, UT 84060 Phone: Phone: Con State Lic: Issued Date:10/14/2021 Lic Expire: Bus Lic: Processed By: Lic Exp Date: CONTORELLI CONSTRUCTION INC 17686 METZLER LANE HUNTINGTON BEACH CA 92647 949-290.4630 319552 08/31/2022 ST30065552 01/31/2022 New Construction Receptacle/Switch/Outlets Residential Receptacles/Outlets: 0 $0.00 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1-2 Family: 0 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Service Signs 0-600V up to 20OA: 0 $0.00 Branch Circuit: 0 $0.00 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Over 600V or 1000A: 0 $0.00 Time Clocks: 0 $0.00 O/H to U/G 1 $47.00 Additional Fee : $0.00 TOTALFee: Code Edit: 2019 Worker's Compensation Insurance Carrier: STATE FUND Policy No: 9154910 Expire : 03/15/2022 FEES Motors/Transformers (HP/KVA) 0 to 1 HP/KW/KVA: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 Over 100 HP/KW/KVA: 0 $0.00 Piggy Back/Temp Power: 0 $0.00 Temp Power Pole: 0 $0.00 Plan Check Fee : Temp Underground: 0 $0.00 Sub Panel: 0 $0.00 0 $0.00 0 $0.00 Record Mgmt Fee: $0.00 Plan Check Fee: $0.00 Investigation Fee: $0.00 Issuance Fee: $38.00 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. `a° o )WNER-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 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). 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, iusiness 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 Tlprovements 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 Tlproved 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 Ipply 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: 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://w .leginfo.ca.gov/calaw.htmi. signature of Property Owner or Authorized Agent Date -ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secuo t004 of Division 3 of the Business and Pr de, and my license is in full force Ind effect. Jcense Class License No Date Contractor Signatu� —�-�— VORKERS' 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 ADDITION TO THE :DST 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: 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 ice of the work for which this permit is issued. Policy No. 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' compensa carrier and policy number are: Policy Number Expiratic of Agent Phone # Date JI certify that, in the performance of th—York for 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 agree iat, if I should become su1b\jec workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. lignature of Applicant v Date \b \ �� \ IECLARATION REGARDING CONSMUCTION 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 (Section 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 on the property owner's behalf. 04\ I have read this application and the information I have provided a correct.\,((�'1t�� 7I agree to comply with all applicable city and county mances and state laws relating to building construction.V _ `' L I authorize representatives of this city or county en ve-identified property for inspection purposes. lignature of Property Owner or Authorized AgelIt c1 Print Property Owner's or Authorized Agent's Name Date ACTION DATE BY DECLARATION OF COMPLIANCE MTH CODE OF FOR OFFICE USE ONLY • • • FFAERAL REGULATIOIVSPART51OFTITLE40AND • A(ZMD RULE 1403. r3ERMITEXPfRED , • ••• • • • • • ❑� I SUDMITIED ASBESTOS N077FICATION'TO:. • • ❑ EPA ❑ AQMD PERMIT CANCELLED • • . PERMITEXTENDED ASBESTOS NOTIRCA •R❑ROPOSEDDEMOLITION. RDN IS NOT APPUCAB£E TO PERMIT FINAL (_ ° • • • • CERTIFICATEOF • • • • • • e i • 91TATURE: 6CCUPANCY155UED I• • e° • • s • • e eo