HomeMy WebLinkAboutE2020-0449 - PermitsCity of Newport Beach - Building Division
a 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Job Address: 131 45TH ST Bldg: 1 Floor:
Suite:
Description of Work: ELEC/OVERHEAD TO UNDERGROUND
Inspector Area: 1
Legal Description: RIVER SECTION BILK 45 LOT 18
Owner: BACCARO MICHELLE A
Contractor:
Address: 131 45TH ST
Address:
NEWPORT BEACH, CA 92663
Phone:
Phone:
Con State Lic:
Issued Date:08/28/2020
Lic Expire:
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Bus Lic:
Processed By: 't'1
Lic Exp Date:
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CONTORELLI CONSTRUCTION INC
30832 MARILYN DR
LAGUNA BEACH CA 92651
949-290-4630
319552
08131 /2020
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:
$83.00
Plan
Electrical Permit: E2020-0449 l
Project No:
Inspection Requests Phone (949)644-3255
Code Edit: 2019 _
z
Worker's Compensation Insurance
Carrier: STATE FUND
Policy No: 9154910
T
Expire: 03/15/2021
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
is
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
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.
a
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 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 [!censure 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, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions
siness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, throu
)rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of cl
)roved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 70
)ly 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:
my signature below I acknowledge that, except for my personal residence in which I must have resided for at least o
a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors.
ifessions Code, is available upon request when this application is submitted or at the following Web sfte:http:/fWww.k
nature of Property Owner or Authorized Agent
hereby affirm under penalty of perj that I am licensed under provisions of Chapter 9 commencing with
nd effect.
icense Class License No _ . Date
COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37M OF THE LABOR CODE, INTEREST, AND ATTORNETS FEES.
hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Direi
Vrmance of the work for which this permit is issued. Policy No.
e and will I ain workers' compensation insurance, as required by Section 3700 of the Labor Code, for
Isurance carrier a d Do' v number arerl
work, and the structure is not intended or offered for sale (Section 7044,
ployees' or personal effort, builds or improves the property, provided that the
ion, 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
nderstand that a copy of the applicable law, Section 7044 of the Business and
of Division 3 of the Business and
AND CML 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
of the work for which this permit is issued. My workers'
Date
Name of Agent . > V ' I Phone #
I certify that, in the performance of the wor fo hich this permit is issued, I shall not emplo any person in any manner so as to become subject to the workers' compensation laws of California, and agre
that, if I should become subjec o the wo rs' co ens tion p ;visi of Section 3 00 o Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant D
DECLARATION REGARDING CONSM9TIOK LENDINIG AGE JGY-
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309lavil Code).
Lender's Name Lender's Address
By 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 ordinanc d state I s elet wilding constmction.
I authorize representatives of this city or county to t r a abo - €d op inspection purposes.
Signature of Property Owner or Authorized Agen Print Property Owner's or Authorized Agent's Name a
ACTION
DATE
BY
DECLARATION OF COMPLIANCEWITH CODEOE
FOR OFRfE USE ONLY
FEDERAL REGULATIONS PART 01'OF TITLE40AND
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