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