HomeMy WebLinkAboutE2020-0715 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Rennit Counter Phone (949)644-3288
Job Address: 213 43RD ST Bldg: 1 Floor: Suite:
Description of Work: ELEC OVERHEAD TO UNDERGROUND
Inspector Area: 1
Legal Description: CANAL SECTION BILK 143 LOT 8
Owner: TUCCI DOMINIC
Contractor:
Address: PO BOX 1304
Address:
NEWPORT BEACH, CA 92659
Phone:
Phone:
Con State Lie:
Issued Date:12/15/2020
Lie Expire:
n
Bus Lie:
Processed By: ' R V `
Lic Exp Date:
EII�2020 0 715�q II
WORK
ON SATUR AYS
CONTORELLI CONSTRUCTION INC
30832 MARILYN DR
LAGUNA BEACH CA 92651
949-290-4630
319552
08/31/2022
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
Low Voltage
0
$0.00
Service
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 1000A:
0
$0.00
Time Clocks:
0
$0.00
O/H to U/G
1
$46.00
Additional Fee:
$0.00
TOTAL Fee:
Electrical Permit: E2020-0715
Project No :
Inspection Requests Phone (949)644-3255
3
Code Edit: 2019
.•%
Worker's Compensation Insurance
Carrier: STATE FUND •• •.•.•:
Policy No: 9154910 0
Expire: 03/15/2021 • o • • • a
FEES
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
Plan Check Fee :
•
.•• •
Temp Underground:
Sub Panel:
Record Mgmt Fee:
Plan Check Fee:
Investigation Fee:
Issuance Fee:
Supplemental Fee:
Fee Due at Permit Issuance :
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.
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$37.00
$0.00
DWNER-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 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
the 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
Professions 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
not more than five hundred dollars ($500). 1
1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portiol
wess and Professions Code: The Contractors' State License Law does not apply to an owner of property who, thn
irovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of
,roved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section
)ly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Cont
I am exempt from licensure under the Contractors' State License Law for the following reason:
my signature below I acknowledge that, except for my personal residence in which I must have resided for at least
a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractor:
,fessions Code: its ayjilable upon request when this application is submitted or at the following Web site:http://wwv.
nature of Property Owner or Authorized Agent
:EN&D CONTRACTOR'S DECLARATION
;reby affirm uAd penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 75
License No Date J l
COMP@jSATION DECLARATION ,
RE TQiSEC�URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
NaJr.TI _ S)OMAGES AS PROwDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
bendy Affirm uAderpenalty, of perjury one of the following declarations:
�•I�MaVe and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Dire
erformaace of tke work for which this permit is issued. Policy No.
�h&Xand willryyptain workers' compensation insurance, as required by Section 3700 of the Labor Code, for
i§*mnte carrier• andpolicy number are:
Policy Number Expiration Date
the work, and the structure is not intended or offered for sale (Section 7044,
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
pursuant to the Contractors' State License Law).
e year prior to completion of the improvements covered by this permit, I cannot
understand that a copy of the applicable law, Section 7044 of the Business and
Date
m 3 of the Business an Pro e si s Code, Rd y lice a is I force
Contractor Signature
] CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
ie of Agent
certify that, in the performance A�oiR h this permit Is is ued, I all not employ any person in any
if I should become,�stplb'ect to tsa/pam'provisro of S 3700 of the Labor Code, I shall
iature of Applicant Ili I
:reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for
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.
1 have read this application and the information I have provided is correct.
I agree to comply with all applicable city and coJonteroinances nd s t s r In ilding construction.
I authorize representatives of this city or county the// ve- ed pr a Inspection purposes.
(nature of Property Owner or Authorized Agent l i� � Print Property Owner's
of Industrial Relations as provided for by Section 3700 of the Labor Code, for
performance of the work for which this permit is issued. My workers'
Phone # W97,
oastobecomesubjectpensation laws of California, and agre
comply with those proviDatethis permit is issued (Sede).
Authorized Agent's Name
11
ACTION
DATE
BY
DECLARATION OF COMPLIANCEIMTH CODE OF
J FOR OFFICE USE ONLY
FEDERAL REGULATIONSPART 61 OF TITI E40AND
AQMD RULE '1403:
PERMITEXPIRED
❑ ISUBItMTTEDASBESTOS NOiTfRCATiON TO:
❑ EPA
❑ AQMO
❑ ASBESTOS M071FICA170M IS NOT APPLICABLE TO
PROPOSEDDEMOLITION.
PERMITCANCELLED
PERMITEXTENDED
PERMITFINAL
CERTIFICATEOF
SIGNATURE:
OCCUPANCYISSUED