HomeMy WebLinkAboutE2020-0477 - Permitsoo�V� o ewDport Bearive, Newportch -,Building
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{ Permit Counter Phone (949)644-3288
I,,4aj CONSTRUCTION NOISE
Job Address: 130 46TH ST Bldg. 1 Floor. Suite:
Description of Work: ELEC/OVERHEAD TO UNDERGROUND W/SERVICE PAN "I KEI V
Inspector Area: 1
Legal Description: RIVER SECTION LOT 15 BILK 45 POR OF LOT POR ABAND ST
Owner: OWEN
Contractor:
Address: 1715 PORT MARGATE PL
Address:
NEWPOR BEACH CA 92660
Phone:
Phone:
Con State Lic:
Issued Date:09/10/2020
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Lic Expire:
Bus Lic:
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Processed By: c
Lic Exp Date:
CONTORELLI CONSTRUCTION INC
30832 MARILYN DR
LAGUNA BEACH CA 92651
949-290-4630
319552
08131/2022
BT30065552
01/31/2021
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:
1
$46.00
Branch Circuit:
0
$0.00
0-600V over 20OA:
0
$0.00
Each Add Circuit:
0
$0.00
Over 600V or IOOOA:
0
$0.00
Time Clocks:
0
$0.00
O/H to U/G
1
$46.00
Additional Fee:
$0.00
TOTAL Fee:
$129.00
Plan
Electrical Permit: E2020-0477/
Project No:
Inspection Requests Phone (949)644-3255
Code Edit: 2019
Worker's Compensation Insurance
Carrier: STATE FUND
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 Back/Temp Power: 0 $0.00
Temp Power Pole: 0 $0.00
Temp Underground:
Sub Panel:
Record Mgmt Fee:
Plan Check Fee:
Investigation Fee:
Issuance Fee:
Supplemental Fee:
Fee Due
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.
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66 4J0
68 J
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rri
0
i
X
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$37.00
$0.00
NER-BUILUCK Utc LAKAI Ivry
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)
ction 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
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
fessions 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
more than five hundred dollars ($500).
I S f 7044
1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions 1
3usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, throu5
mprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of co
mpr'uved for the purpose of sale).
1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 70•
app! to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contra(
I am exempt from licensure under the Contractors' State License Law for the following reason:
3y my signature below I acknowledge that, except for my personal residence in which I must have resided for at least or
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I
Professions Code, is available upon request when this application is submitted or at the following Web site:http://Www.le
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under proviSi"S of Chapter (commencing with Section 700(
and effect. _ !`!lam / `CIc J� `61!
License Class License No Date
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
ff d enalt of erjury one of the following declarations:
the work, and the structure Is not Intended or offered for so e ( ec Ion
employees' or personal effort, builds or improves the property, provided that the
pletion, the Owner -Builder will have the burden of proving that it was not built or
, Business and Professions Code: The Contractors' State License Law does not
Ir pursuant to the Contractors' State License Law).
year prior to completion of the improvements covered by this permit, I cannot lei.
nderstand that a copy of the applicable law, Section 7044 of the Business and
of/7p_Nision 3 of the Business and P salons Co d my license is in full force
Fl Contractor Signatur 1�;
U-TIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100,0001, IN ADDITION TO THE
I hereby a I(m LITer p y p
❑ I have 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
p rformance of the work for which this permit is issued. Policy No.
9I have and will mat tam 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
linsurance carrier and po Icy number are. _ — 11) c....:..,al,.., nnrn
Ie of Agent C J �
certify that, in the performance of t e w rk for which 's perms is issued, I shall not employ any person in any
if I should become sub"ect to t wo rs' co pe ion provisions of Section 3700 of the Labor Code, 1 shall
lature of Applicant
uiLA Ilum mmwf nu I1,V --,.,vv..— —. . ..
areby affirm under penalty of perjury that there is a construction lending agency for the performance of the work I
ider's Name Lender's Address
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.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county ordinanc an taar lat, wilding construction.
I authorize representatives of this city or county to enter th bo -id fi pr p y Inspection purposes.
mature of Property Owner or Authorized Agent a� Print PropertyOwnei
so as to become subject to the Workers' compensatiollaws of California, and agree
i comply with those provisions.
D ei
i this permit is issued (Section 3097, Civil Code).
ACTION DATE
BY
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'ERMITEXPIRED
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