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Home My WebLink AboutE2020-0395 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 u g , ,, Permit Counter Phone (949)644-3288 ri c"cirnxti''. Job Address: 4100 RIVER AVE Bldg:1 Floor: Suite: Description of Work: ELEC/OVERHEAD TO UNDERGROUND Inspector Area: 1 Legal Description: CANAL SECTION BILK 241 LOT 1 Owner: VAUGHAN PORTER D Contractor: Address: PO BOX 5175 Address: HUNTINGTON BEACH, CA 92615 Phone: Phone: Con State Lic: Issued Date:08/05/2020 Lic Expire: Bus Lic: Processed By: Lic Exp Date: New Construction Residential Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Service 0-600V up to 20OA: 0 $0.00 0-600V over20OA: 0 $0.00 Over600V orI000A: 0 $0.00 O/H to U/G 1 $45.00 TOTAL Fee: CONTORELLI CONSTRUCTION INC 30832 MARILYN DR LAGUNA BEACH CA 92651 949-290-4630 319552 08/31/2020 BT30065552 01/31/2021 Receptacle/Switch/Outlets Receptacles/Outlets: 0 $0.00 Fixtures: 0 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Signs Branch Circuit: 0 $0.00 Each Add Circuit: 0 $0.00 Time Clocks: 0 $0.00 Additional Fee: $0.00 Electrical Permit: E2020-0395 Project No : Inspection Requests Phone (949)644-3255 r pZp Vp� / Code Edit: 2019 `10 M 0. Worker's Compensation Insurance Carrier: STATE FUND Policy No: 9154910 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 Backfremp Power: 0 $0.00 Temp Power Pole: 0 $0.00 Plan Check Fee : 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: $35.00 Supplemental Fee: $0.00 Fee Due at PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Fridap 7:09 P.m. ttx6:30.p.m. ar, d Saturday from 8:00 a.m. to 6:00 p.m. OWNER -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) (Section 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 the 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 Professions 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 not 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 L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 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 one year prior to completion of the improvements covered by this permit, I cannot legally sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Cade, is available upon request when this application is submitted Or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury th am licensed under provisions o a g with Section 00 ivisi D the Business and Pr fe sions e, d m an i ful e and effect. License Class License No 2 L' � Date Contractor Signatur i WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E10D,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S 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 Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for 'ormance of the work for which this permit is issued. Policy No. 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 rrance carrier an4`6fty number am:— _ n Date Tie of Agent % 1 Phone # certify that, in the performance w rk for which this permit is i I shall not employ any person in any manner so as to become subject to the workers' comps ion laws of lifornia, and agree t, if I should become su c th D s' p s ion is' Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Da CLARATION REGA DING ON UCTION NDIN AGENCY areby 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 Cod . Idler'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 provi I co02, rr ct. I agree to comply with all applicable city and county ordi nce an tat ws eta ' /nspection g construction. I authorize representatives of this city or county en r = de ro rty purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name �� %%l Date ACTION DATE BY DE LARATION OF COMPLI CE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND ACMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTFICAT'ON TC_ _ UEPA PERMIT CANCELLED PERMIT EXTENDED LJAQMD PERMITFINAL Z."'�,.Z� J ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: co OD N M 2 a U `° m CDM cd co W N � U w 0 Q=� awU� 0 W y Ur M w Z_ �- Z C)OO J d LL 3 O M W Z } co LL co r T U O 0] O n d C C Q_ O U U +�+ m N d � a -6 �r O 3 r = � C d 7 a C N _ i O p m a Z C C p mC 0 3 O W 0 N CL Z p " � a .o M L ►I C 7 O m U C 7 T a m N m N a� c m a U U U tN 0) C N X U U L F E1 _U 0 U) N G Eq L N U U a o m U C N � n� O O O 0 m M U � O) 3 N T Q EU O U N N 7 7 E 1 Y E O U O c Q F m N v 111 N Z I