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HomeMy WebLinkAboutE2020-0405 - Permitsl.ewport Beach - Building Division 100,9im Oentef Dnve, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Illlp�E2 0 20 040���►5�I III Job Address: 211 41ST ST Bldg: 1 Floor: Suite: Description of Work: ELEC/OVERHEAD TO UNDERGROUND W/NEW SERVICE PANEL 200 AMP HIGH DENSITY Inspector Area: 1 Legal Description: CANAL SECTION BILK 141 LOT 9 Owner: FELTON ROBERT/DIANNE Contractor: Address: 41 BALBOA COVES Address: NEWPORT BEACH, CA 92663 Phone: Phone: Con State Lic: Issued Date:08/11/2020 Lic Expire: Bus Lic: Processed By: Lic Exp Date: CONTORELLI CONSTRUCTION INC 30832 MARILYN DR LAGUNA BEACH CA 92651 949-290-4630 319552 08/31/2020 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: 1 $46.00 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: $129.00 Plan Electrical Permit: E2020-0405 le'_ Project No : Inspection Requests Phone (949)644-3255 I' Code Edit: 2019 U) VTv M Worker's Compensation Insurance Carrier: STATE FUND ` J Policy No: 9154910 Expire : 03/15/2021 FEES Motorsrrransformers (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 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. (JVH f1U0 9Yi e e O e e • Y e p B• e • • O O O O O O O e e O i y00 G O m O p 0 t'O O 0 O © O 4 • e Q p0 O O e cOa • co o© e ® oe• e• 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 th0applicabie 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 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). LI I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portion= Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, throe improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of c improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7[ apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contn ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least c sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. Professions Code, is available upon request when this application is submitted or at the following Web site:hftp://w .1 Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penaltyof perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 70C and effect. I Q, 'l, l License Class 1 License No `� Date - 4^ WORKERS':COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PI COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: 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 oletion, 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 cover mderstand that a copy of the applicable law, Section info.ca.gov/calaw.htmi. Date of Division 3 of the Business and Profes is orlA Qod ' V Contractor Signature and in full force AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS t$100,0001, IN ADDITION TO THE U I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for perfgrmance of the work for which this permit is issued. Policy No. and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for carrier an"p lice number are, - 1 ie of Agent J; a certify that, in the performance of thew I for w�ich this permit is I sued, I shall not employ any person in any , if I should becom act =o7nsati prov i of Section 3700 of the Labor Code, I shall iature of Applicant ll// ,,VV 14�, performance of the work for which this permit is issued. My workers' :ion Date so as to become subject to the h comply with those provisions. laws of California, and 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 3097, Civil 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 owner's beha I have read this application and the information I have provided is corre ) I agree to comply with all applicable city and coun o an an to relating to building construction. (((( I authorize representatives of this city or cou ant th ove i n f d roperty for inspection purposes. ' Signature of Property Owner or Authorized Agent i Print Property Owner's or Authorized Agent's Nam to ACTION DATE BY DECLARATION OFCOMPLIANCEMTN CODEOF FOROMCEUSE40NLY , FEDERAL REGULATIONS PART 61 OFTITLE40AND AQU01111JLEldff3. ..• •.. ❑ I,�..•_•tS•��UWMtD ASIrSTOe4100 FICATI ATO: :EPA. • ° PERMITEXPIR€D PERNFIT CANCELLED Li • i • • • • i i ❑' AQMD P€RMITEXTENDED ASBESTOS mon PROPOSED DEMOLIT HRONIS NOT APPLICABLE TO •• ..e e°ee PERMIT FINAL CERTIFICATEOF SIGNATffiRE: m e°•°° s•e a°• OCCUPANCYISSUED � s e. • e • °e