HomeMy WebLinkAboutE2020-0479 - Permitsoity ofcNewenter port Beacrive, Newporth - Building oDivision 11111111111111111111111111111111111111111111111111Electrical Permit: E2020-0479
Permit Counter Phone (949)644-3288 Pf0)BCt NO
Inspection Requests Phone (949)644-3255
Job Address: 273 38TH ST Bldg: 1 Floor. Suite: NO GONSTRUCTION NOISE
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Description of Work: ELEC/OVERHEAD TO UNDERGROUND
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Inspector Area: 1
Legal Description: RIVERSECTION BLK 138 LOT 18
Owner: HEIDE WILLIAM J
Contractor:
Address: 526 E MEADOY4BROOK AVE
Address:
ORANGE CA 965
Phone:
Phone:
Con State Lic:
Issued Date:09/10/2020
Lic Expire:
Bus Lic:
Processed By:
Lic Exp Date:
ON THE WEEKEND 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 : 03/1512021
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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 BackfTemp 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.
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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 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 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions,
II iness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, throuc
Itrrrovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of co
,proved for the purpose of sale).
4 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 Contrac
I am exempt from licensure under the Contractors' State License Law for the following reason:
ly my signature below I acknowledge that, except for my personal residence in which I must have resided for at least on
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://w .le.
signature of Property Owner or Authorized Agent
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000
nd effect.
!cerise Class License No Date) ,
VORKERS' COMPENSATION DECLARATION 7,W
DARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEP
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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
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
nderstand that a copy of the applicable law, Section 7044 of the Business and
Date
3 of the Business and Profe ns Code license is in full force
mtractor Signatur G'
AND CIVIL FINES UP M ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
J 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
ar3 mance of the work for which this permit is issued. Policy No.
I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensa'
certify that, in the performance of thelwork fo hich thi a Issued, 1 shall not employ any person in any me
t, if I should becomes ject to the vi C per s on 'ions of Section 3700 of the Labor Code, I shall foi
nature of Applicant /C
CLARATION REGARDING CON TRUCTION LENDIN AGENCY
Ireby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for
ider's Name Lend 's Address
my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owner'abehalf.
I have read this application and the information 1 have provided is cI agree to comply with all applicable city and county ordinanceto building construction.
I authorize representatives of this city or ccun t enter the a -or inspection purposes.
natre of PropertyOwner or Authorized Agent =Print Property Owner's
Date
so as to become subject to the workers' compensation laws of California, and
1 comply with those provisions.
this permit is issued (Section 3097, Civil Code).
Name
ACTION
DATE
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