HomeMy WebLinkAboutE2020-0410 - Permits (2)(9)
City of Newport Beach - Building Division 11�111 11111111111111111111111111111111111111111111 111� 11� Electrical Permit: E2020-0410 e'
100 Civic Canter Drive, Newport Beach, CA 92660 E 2 0 2 e 0 4 1 0 Project No
Permit !:;-oS;ar Phone (949)644-3286
Job Address: 119 46TH ST Bldg: 1 Floor: Suite:
Description of Work: ELEC/OVERHEAD TO UNDERGROUND
HIGH DENSITY AREA
Inspector Area: 1
Legal Description: RIVER SECTION BLK 46 LOT 15
Owner: GRANTHAM SANDRA
Contractor:
Address: 1196 LA MESITA CT
Address:
RIVERSIDE CA 92507
Phone:
Phone:
Con State Lic:
Issued Date:08/11/2020
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 over 20OA:
0
$0.00
Over600V or1000A:
0
$0.00
O/H to U/G
1
$46.00
TOTAL
Fee :
$83.00
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
Inspection Requests Phone (949)644-3255
00
Code Edit: 2019
z
Worker's Compensation Insurance
I
Carrier: STATE FUNDGI
Policy No: 9154910,_
.�
Expire : 03/15/2021
i-
FEES
Motors/Transformers (HPIKVA)
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
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:
$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.
DWNER-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 tD 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
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 (_) all of or U 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).
❑ 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
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 Code, is available upon request when this application is submitted or at the fallowing Web site:hftp://www.leginfo.ca.gov/calaw.htmi.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of p@rjury that I am licensed under provisioga of Ch��Ser{,9 (commencing with Sec' 7 DO) f Division 3 of the Business and Prof IC Cod and ense is in full force
and effect. ){/Q�— / { 5 -� jJ%QJ7� �g
License Class License No Date IS ! v Contractor Signatur�
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 ($100,000(, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37M OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
111 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 th
5rice of the work for which this permit is issued. Policy No.
have and will r�.�Intain 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' compensatioi
insurance carrier end 1VIicy number are: `
i MExpiration Date
me of Agent
certify that, in the performance of the work for which this pe it is issued, I shall not employ any person in any manner so as to become subject to the workers' ompel satibn laws of California, and agre
t, if I should becoXn
eat to the �vorykers' mpe ati r visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisio s.
nature of ApplicaIV �" Date
CLARATION REG CONSTRUCTION LENDING AGEN Y
�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 (SIon 3097, Civil Code).
Ider's Name Lender's Address
my signature below, I certify to each of the fallowing:
I am the property owner or authorized to act on the property owners behalf.
1 have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county ordji'i �nce and to I lating to building construction.
I authorize representatives of this city or county to t; h8 ve-i tit party for inspection purposes.
nature of Property Owner or Authorized Agent g Print Property Owner's or Authorized Agent's Ne
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF
FEDERAL REGULATIONS PART 61 OFTIILE40 AND
AQMD RULE 1903.
❑ 1 SUL•.MITTEDASBCSTO' NOTIFICATION TO:
C' EFA
❑ AQMD
❑ ASBESTOS M017RCATIONIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
SIGNATLIRFr
PERMIT EXPIRED
PERMITCANCELLED
PERMIT EXTENDED
PERMIT FINAL
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