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Home My WebLink AboutE2021-0701 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 108 28TH ST Bldg: 1 Floor: Suite: Description of Work: ELEC -OVERHEAD TO UNDERGROUND Inspector Area: Legal Description: NEWPORT BEACH CITY LOT 9 BILK 27 AND LOT 10 BILK 27 Owner: HAYAMA YASUHIKO Contractor: Address: 131 MILFORD DR Address: CORONA DEL MAR, CA 92625 Phone: Phone: Issued Date:10/14/2021 Con State Lie: Lie Expire: Processed By:_ Bus Lie:: 16 Liu Exp Date: II �IE III II�II0�III II��I III 0�III I�III 01 II CONTORELLI CONSTRUCTION INC 17686 METZLER LANE HUNTINGTON BEACH CA 92647 949-290-4630 319552 0813112022 BT30065552 01/31/2022 Electrical Permit: E2021-0701 Project No : Inspection Requests Phone (949)644-3255 Code Edit: 2019 Worker's Compensation Insurance Carrier: STATE FUND Policy No: 9154910 Expire : 03/15/2022 New Construction Residential Receptacle/Switch/Outlets FEES Motors/Transformers (HP/KVA) Multi -Family: 0 $0.00 Receptacles/Outlets: Fixtures: 0 0 $0.00 $0.00 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: 0 $0.00 1-2 Family: 0 $0.00 Sep Circuits: 0 $0.00 1 to 10 HP/KW/KVA: 10 to 50 HP/KW/KVA: 0 $0.00 Sub Panel: 0 $0.00 Service Low Voltage 0 $0.00 ` 50 to 100 HP/KW/KVA: 0 0 $0.00 $0.00 0 :' $0.00 0-600V up to 20OA: 0 $0.00 Signs Branch Circuit: 0 $0.00 Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: 0 $0.00 0-600V over 200A: Over 600V or 1000A: 0 0 $0.00 $0.00 Each Add Circuit: Time Clocks: 0 $0.00 pi 99p emp Power: 0 $0.00 Plan Check Fee: Investigation Fee: $0.00 $0.00 O/H to U/G 1 $47.00 Additional Fee : 0 $0.00 $0.00 Power Temp Power Pole: 0 $0.00 Issuance Fee: $38.00 Supplemental Fee: $0.00 TOTAL Fee: $85.00 Plan Check Fee : $0.00 _ Fee Due at Permit Issuanco - cus nn 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. o m m o 0 o m m o° o o ua 0o moo 0 o°e 0 O O O m p O m O 00 O °p C O00 YBB O C BY m0° 20i NNER-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 itemls) ection 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 e 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 ofessions 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 It more than five hundred dollars ($500). ] I, 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, .lsiness 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 Iprovements 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 iproved 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 )ply 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 I am exempt from licensure under the Contractors' State License Law for the following reason: y 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 all 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 ofthe 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.html. Date ignature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secti 7001 of Division 3 of the Business and Pr es Ion Code, and my license is in full force nd effect. Dale kN 1 ` g / icense Class License No Contractor Si not r 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 Coff rm under penalty of perjury one of the following declarations: h ve 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 �e nce of the work for which this permit is issued. Policy No. -hiY is issued My workers' comoensatio and will maintain workers' compensation insurance, carrier and policy number are: as required by Section 3700 of the Labor Code, for the performance of the work for which s perm) Policy Number Date ne of Agent certify that, in the perform ce a wq k for which this permit is issued, I Shall not employ any person in any manner so as to become subject to the worker compensation laws of California, and agre, t, if I should become sub'e t to a orkers�Co=,mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.'110 r Date 1 nature of Applicant CLARATION REGA G CONSTRUCTION LENDING AGENCY ;reby affirm under penalty of perjury that there is a construction lending agency forLthe ender's Address of the work for which this permit is issued (Secti n 3097, Civil Code). )dens Name my signature below, I certify to each of the following: I am the property owner or authorized to act on the property o er's behalf. I have read this application and the information I have pr a orrect. , 1 Ij fit I agree to comply with all applicable city and county or na es a d state Iavasd@lating to building construction. M,., \lf( (%)'��te �`�1 I authorize representatives of this city or county toe er o - property for inspection purposes. AAA777111"`��___ )nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam nFFICE USE ONLY A.CRON DATE BY %ppm PERMITFINAL -Z'ZZ- LL1- -°- CERTIFICATEOF i e° OCCUPANCYISSUED ,i• °• ° • • FFAERAL REGULATIONSPART 61 OF TITLE40AIVU AQMD RULE 1403. ° • (� f SUDMFTFEDASSESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO • •. :QROPDSEDDEMOLITION. e s s e 5IAATURE: e s e