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Home My WebLink AboutE2020-0719 - Permitsw City of Newport -Beach - Building Division 111111111111111111111111111111111111111111111111111 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3268 s7 w Electrical Permit: E2020-0719 Project No Inspection Requests Phone (949)644-3255 � Job Address: 133 45TH ST Bldg: 1 Floor: Suite: ° ° " ° �' a Description of Work: ELEC OVERHEAD TO UNDERGEROUND Inspector Area: 1 Code Edit: 2019 Legal Description: RIVER SECTION BLK 45 LOT 17 ° ° ° • ° Owner: SAMOSA HENRY Contractor: CONTORELLI CONSTRUCTION INC Worker's Compensation Insurance Address: 13345THST Address: 30832 MARILYN DR Carrier: STATE FUND :.••q• °• ,°° NEWPORT BEACH, CA 92660 LAGUNA BEACH CA 92651 Policy No: 9154910 • ° ° Phone: Phone: 949-290-4630 Expire : 03/15/2021 Con State Lie: 319552 Issued Date:12/15/2020 Lie Expire: 08/31/2022 ° ®• ° • ° ° ° Bus Lie: BT30065552 :• • . • ° ° Processed By: Exp Date: 01/31/2021 • ° • °°••`6 -Lie ° ° °•°° FEES New Construction Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) Residential Receptacles/Outlets: 0 $0.00 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: 0 $0.00 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: 0 $0.00 1-2 Family: 0 $0.00 Sep Circuits: 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 0 $0.00 Low Voltage 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 0 $0.00 Service Signs Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: $0.00 0-600V up to 20OA: 0 $0.00 Branch Circuit: 0 $0.00 Plan Check Fee: $0.00 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Piggy Back/Temp Power: 0 $0.00 Investigation Fee: $0.00 Over 600V or 1000A: 0 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $37.00 O/H to U/G 1 $46.00 Additional Fee: $0.00 Supplemental Fee: $0.00 TOTAL Fee: $83.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $83.00 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. FNER-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) ction 7031.5, Business and Professions Cade: 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 ($500). j U I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portior Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, thrr improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Cont .•..• . ❑ I am exem.pt from licensure under the Contractors' Slate License Law for the following reason: mq signature belgw I acknowledge that, except for my personal residence in which I must have resided for at least sell a structuPE+(j19t N•tlave built as an owner -builder if it has not been constructed in its entirety by licensed contractors • RroPe$sions Code, is available upon request when this application is submitted or at the following Web site:hftp://www ' SRjmature of Property Owner or Authorized Agent �I0ENSEDCQD62ACTOR'S DECLARATION • I hereby affirm und& penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with §ection 7 • eodeffect. j': • • ' pmSe Class •. License No Date COMPENSATION DECLARATION •LnSce G: FAILj..ORE 7MECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL COMPgtIeATC)N, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ••y af6rglyp)jer penalty of perjury one of the following declarations: ve amid sell maintain a certificate of consent to self -insure for workers' compensation, issued by the Dire ance of the work for which this permit is issued. Policy No. ve and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for carrier and policy number are: Policy Number of Agent certify that, in the pert rmance of the work for which this permit is issued, I shall not employ any person in any if I should become s/�Ipb'eccre wo ers' co/pt/p nsatio r/o/�'n, s of Section 3700 of the Labor Code, I shall latureofADolicant X I(� V f '>t--ii,Z r �reby affirm under fYenalty of perjury that there is a construction lending agency for the performance of the work for ider's Name Lenders Address 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 o my ordina s and s ete laws yy I t building construction. I authorize representatives of this city or couri to enter # ab fie= tifi d fo r inspection purposes. mature of Property Owner or Authorized Agent Print Property Owners_ 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 3letion, 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). 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 ,ision 3 of the Business end Pro son Co a ' in full force Contractor Signatu AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE 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' Date o as to become subject tp the workers' ompensation laws of California, and agre comply with those pr i ans. / y Date this permit is issued ( ection 097, Civil ode). P:vx'&I ACTION DATE Y BY DECLARATION OF COMPLIANCEWITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONSPART 61 OF TITLE40AND AQMDRULE4403 PERMITEXPIRED ❑ I SUBMITT€DASBESTOS NOTFFICARON TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMITEXTENDED ❑ ASBESTOS NOifFICAiIONIS NOT APPLICABLE TO PROPOSEDDEMOLITION. PERMITF#NAL _ CERTIFICATEOF SIGNATURE: OCCUPANCYISSUED