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HomeMy WebLinkAboutE2020-0477 - Permitsoo�V� o ewDport Bearive, Newportch -,Building ui92 i6 g Division IIII�II111111IIIIIII1IIIIIIIIIIIIIIInIIIBII11 III { 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 r ,/ Lic Expire: Bus Lic: J�L��'�°�d�'i 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. •• • O6 p 6•B ° •66 66 4J0 68 J E6 6 • e. • • 3 6 V O i3 6 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 FEDERAL REGULATIONSPART Of OF TITLE40AND AQMORNq%E14".. •;• ,'• ••• U ISUNkTTEDA68ESTOS rrgFfrATION TO: : I]: EPA . . I • [3•AQMD ❑ ASBESTOS NOT7FICARONIS NOT APPLICABLE 70 PROPOSEDDEMOLITIOM SIG*TIIRE:. i i e • • s • •� 'ERMITEXPIRED 'ERMITCANCELLED 3ERMIT EXTENDED pERMITFINAL CERTIFICATEOF OCCUPANCY7SSUED s • •• • • • e M