HomeMy WebLinkAboutE2020-0450 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Job Address: 124 46TH ST Bldg: 1 Floor: Suite:
Description of Work: ELEC/OVERHEAD TO UNDERGROUND
Inspector Area: 1
Legal Description: RIVER SECTION ELK 45 LOT 12
Owner: BACCARO MARY F
Contractor:
Address: 124 46TH STREET
Address:
NEWPORT BEAH CA 92660
Phone:
Phone:
Con State Lic:
Issued Date:08/28/2020
Lic Expire:
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Bus Lic:
Processed By: c
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Lic Exp Date:
IIIIIIIIIIIIIIII�II�IIIIIIIIIIIII II Electrical Permit: E2020-0450
E 2 0 2 6 0 4 5 9 Project No
CONTORELLI CONSTRUCTION INC
30832 MARILYN DR
LAGUNA BEACH CA 92651
949-290-4630
319552
08/31/2020
BT30065552
01/31/2021
Inspection Requests Phone (949)644-3255
Code Edit: 2019
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Worker's Compensation Insurance
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Carrier: STATE FUND
Policy No: 9154910
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s"7
Expire : 0311512021
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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 Backrremp 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.
IWNER-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 items)
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
ie 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 Divi-lon.3 of,the Business and
'rofessions 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
of more than five hundred dollars ($500).
1, as owner of the property, or my employees with wages as their sale compensation, will do i all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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
nprovements 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
nproved for the purpose of sale).
7 1, 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
pply 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).
7 1 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 one year prior to completion of the improvements covered by this permit, I cannot legall
ell 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 d
'rofessions Code, is available upon request when this application is submitted or at the fallowing Web site:hftp://www.legtnfo.ca.gov/calaw.htmi.
signature of Property Owner or Authorized Agent Dale
.ICENSED CONTRACTOR'S DECLARATION -
hereby affirm under penalty of perju that I am licensed under projons of hapter 9 (commencing with Section7000) of Divi on 3 of the Business and Prate ons a nd lice 1 - ce
nd effect.
license Class License No �� Date Contractor Sign
VORKERS' COMPENSATION DECLARATION
rARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEN LTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS 15100,000I, IN ADDITION TO THE
'.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:
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 thl
ejformance of the work for which this permit is issued. Policy No.
have and will ma i orkers' compensation insurance, as required by Section 3700 of the Labor Cade, for the performance of the work for which this permit is issued. My workers' compensatior
urance carrier and [icy I umber are:
rr[er fRoolicy Nu be Expiration Date
me of Agent - Phone #
I certify that, in the performance of the work for hich this permitis issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws o a[ifomia, and agree
t, if I should become act t o ers' o ensatio pr s of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,\}
nature of Applicant Da �� U
CLARATION REGA DING C NS UCT L G AGENCY
,reby 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 ).
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 correct.
I agree to comply with all applicable city and county ordinance d s_t I.
la re
construction.
I authorize representatives of this city or county t to abo -i r Olding
ection purposes.
inafure of Prnnerty Owner or Authorized Agent Print Property Owners or Authorized Agent's Name _ (�O
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF
FOR OFRCE OSEONtY
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