HomeMy WebLinkAboutE2020-0503 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Job Address: 208 42ND ST Bldg: 1 Floor: Suite:
Description of Work: ELEC -OVERHEAD TO UNDERGROUND
Inspector Area: 1
Legal Description: CANAL SECTION BILK 141 LOT 5
Owner: VICKERS WILLIAM JR. W
Contractor:
Address: 208 42ND ST
Address:
NEWPORT BEACH, CA 92663
Phone:
Phone:
Con State Lie:
Issued Date:09/29/2020
Lie Expire:
Bus Lie:
Processed By: " 1
Lie Exp Date:
Electrical Permit: E2020-0503
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Project No:
Inspection Requests Phone (949)644-3255
NO CONSTRUCTION NOISE
ON SATURDAYS
Code Edit: 2019
CONTORELLI CONSTRUCTION INC
30832 MARILYN DR
LAGUNA BEACH CA 92651
949-290-4630
319552
08/31/2022
BT30065552
01/31/2021
Worker's Compensation Insurance
Carrier: STATE FUND
Policy No: 9154910
Expire: 03/15/2021
it Z
0
IJ
0-
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FEES
New Construction
Receptacle/Switch/Outlets
Motors/Transformers (HP/KVA)
Residential
Multi -Family:
0
$0.00
Receptacles/Outlets:
0
$0.00
0 to 1 HP/KW/KVA:
0
$0.00
Temp Underground:
0
$0.00
1-2 Family:
0
$0.00
Fixtures:
Sep Circuits:
0
0
$0.00
$0.00
1 to 10 HP/KW/KVA:
0
$0.00
Sub Panel:
0
$0.00
10 to 50 HP/KW/KVA:
0
$0.00
0
$0.00
Service
Low Voltage
0
$0.00
50 to 100 HP/KW/KVA:
0
$0.00
0
$0.00
0-600V up to 20OA:
0
$0.00
Signs
Branch Circuit:
0
$0.00
Over 100 HP/KW/KVA:
0
$0.00
Record Mgmt Fee:
$0.00
0-600V over 20OA:
0
$0.00
Each Add Circuit:
0
$0.00
Piggy Back/Temp Power:
0
$0.00
Plan Check Fee:
Investigation Fee:
$0.00
$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.
INER-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 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 applicantfor
permit to 61e 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 Businessgand
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).
] 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions
usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, throu(
nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of cc
nproved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 70,
pply 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:
,y my signature below I acknowledge that, except for my personal residence in which I must have resided for at least or
ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I
'rofessions 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
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 700(
nd effect.
.icense Class License No
VORKERS' COMPENSATION DECLARATION
rARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINA PE
:DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS 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 Directo
once of the work for which this permit is issued. Policy No.
I h ve and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for IN
Sur nce carrier and policy number are:
rlar Policy Number
is of Agent
certify that, in the performance of the work
, if I should become subject to the wo"
is issued, I shall not employ any person in any
;ions of Section 3700 of the Labor Code, I shall
nature of Applica "'
CLARATION RE A DING C ST UC I LENDING AGENCY
)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 owners behalf.
I have read this application and the information I have provided is cota
I agree to comply with all applicable city and county, ordinance d lSting to building construction.
I authorize representatives of this city or coupttlI;; to enter ab e-operty for inspection purposes.
(nature of ProDertv Owner or Authorized AgaQ Print Property Owner's
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).
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
Date
of division 3 of the Business and Prof Sion ode, d Icense is in full force
Contractor Signatur
,LTIES 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
Phone #
so as to become subject to the worke/coensatio aws of California,and agre
1 comply with those provisions.)D�fr
t this permit is issued (Section .01197, Civil Cofie).
Date
ACTION
DATE
BY
FEDERAL REGULATIONS PART 61 OF THLE40AND
AQMDRULE1403.
I SUBMUTTEDASSESTOS NOJIFfCATION TO:-
❑ EPA
❑ AQMD
❑ ASBESTOS NOAFICATIONIS NOT APPLICABLE TO
PROPOSED DEMOLITfOIL
SIGNATURE.
,
�\
PERMIT€XPfR€D
PERMITC4NCELLED
PERMITEXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED