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HomeMy WebLinkAboutE2020-0418 - Permitsav Uity of Newport Beach - Building Division � 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 LT �. E"txrrret�s Job Address: 206 43RD ST Bldg: 1 Floor: 1 Suite: A Description of Work: ELEC/OVERHEAD TO UNDERGROUND Inspector Area: 1 IIII1IIUII1II1II1IIIIIIIIII1IIIIII1IIIIIII Electrical Permit: E2020-0418IIIIIIIIIProject s NO CONSTRUCTION NOISE Inspection Requests Phone (949)644-3255 ON SATURDAYS Legal Description: P M 175-49 PAR 1 UNIT 1 OF PROJECT LOCATED ON AP 423-296-12 TOGETHER Owner: WEIR AUSTINP Contractor: Address: 206 43RD ST #A Address: NEWPORT BEACH, CA 92663 Phone: Phone: Issued Date:08/13/2020 Con State Lic: Lic Expire: y /7� / Bus Lic: Processed By: Ole r ��' Lic Exp Date: CONTORELLI CONSTRUCTION INC 30832 MARILYN DR LAGUNA BEACH CA 92651 949-290-4630 319552 08/31/2020 BT30065552 01/3112021 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 Service Low Voltage 0 $0.00 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 10o0A: 0 $0.00 Time Clocks: 0 $0.00 O/H to U/G 1 $46.00 Additional Fee: $0.00 TOTAL Fee : Sa3_nn - Check cc Code Edit: 2019 I Worker's Compensation Insurance Carrier: STATE FUND )^• V Policy No: 9154910 Expire: 03/15/2021 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 Backfremp Power: 0 $0.00 Temp Power Pole: 0 $0.00 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: $37.00 Supplemental Fee: $0.00 Due at PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Friday 7.00 a.m. to (i30 P.aa. grd.Saturday from 8:00 a.m. to 6:00 p.m. . d . IWNER-BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below it the checture, prior 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 Irofessions 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 iot 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 L) portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, throughl employees' or personal effort, builds or improves the property, provided that the mprovements 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 mproved 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). I 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 onelyear 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http:/Iwww.legi'nfo.ca.gov/calaw.html. Date Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penal of perjury that I am licensed under p r sion h p commencing with Section 0��/ 'vision 3 of the Business and P Dies ' ns C , a y can is' force and effect. r 0 Dat G Contractor Signatu License Class License No WORKERS' COMP NSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER T CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROwDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 131 have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director lof Industrial Relations as provided for by Section 3700 of the Labor Code, for th pe ormance of the work for which this permit is issued. Policy No. have and will m 'main workers' compensation insurance, as required by Section 3700 of the Labor Code, for the berformance of the work for which this permit is issued. My workers' compensatio rance carrier aril icy number ier I umber e of Agent certify that, in the performatnce oft ork fry whj,Cft hermit is i ued, a not employ any person in any I f I should become sub to th e c e ation rovisi 3700 of the Labor Code, I shall ignature of Applicant 'ECLARATION REG RDING CONSTRUCTIO LENDRIb AGERICY hereby affirm under penalty of perjury that there is a construction lending agency fo Lender's Address of the work for Ender's Name ;y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances to s r n uilding construction. I authorize representatives of this city or counPkto r fh ee a r inspection purposes. ACT70N I DATE I BY PERMIT OCCUPANCYISSUED Date Phone # so as to become subject to the work���[[[sss pe Sation laws of California, and agree t comply with those prove 'ons� D h this permit is issued (Section 97, Civ Code). Name AWWV KULF rYvs. ... , R t5lfBMfTTE0A$8 $TOS NOTIFIGADON TO: ❑ ASBESTOSNOTiRCAROMISMOT"APPLICABLETO PROPOSED DEMOLITION. • • • • eee SIGDIAj11R� 010/90a0 IPlAafzj AA) eylP '70 SrF ees