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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: s��' Bus Lic: Processed By: 't'1 Lic Exp Date: III�EIV�I0I0044I�� II 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 AQUaRULE 1493. • • • • I PERMITEXPIRED • • C7 I SI)BRI' EDAS&STO1 A�78FI'ATION TO: • EPA• • • AQM0 PERMITCANCELLED PERMIT EXTENDED ❑ ASBESTOS M017RCA170MIS NOT APPLICABLE TO PROPOSEODEMOLITION. • • • • • • • • •' SfVfATUFt : s • • a PERMITHMAL CERAFICATEOF OCCUPANCYISSUED