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Home My WebLink AboutE2020-0445 - Permits�,Ht• �r City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 { i Permit Counter Phone (949)644-3288 ss !a NOi job Address: 117 BAY FRONT N Bldg: i Floor: Suite: Description of Work: ELEC TEMP POWER POLE Inspector Area: 2 Legal Description: BALBOA ISLAND RESUB SEC 1 BILK 2 LOT 5 Owner: CAPPARELLI CHRIS & ED Contractor: Address: 10182 SQUIRES CIR Address: VILLA PARK CA 92861 Phone: 951-256-8656 Phone: Con State Lic: Issued Date:08127/2020 Lic Expire: Bus Lic: Processed By: Lic Exp Date: ON THE WEEKEND TONY VALENTINE CONST INC 2435 E COAST HWY #2 CORONA DEL MAR CA 92625 949-723-8449 467553 0413012022 BT00021099 02/28/2021 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: 0 $0.00 Branch Circuit: 0 $0.00 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Over 600V or 10011A: 0 $0.00 Time Clocks: 0 $0.00 O/H to DIG 0 $0.00 Additional Fee : $0.00 TOTAL Fee: FEES Electrical Permit: E2020-0445 Project No : 0623-2020 Inspection Requests Phone (949)644-3255 Code Edit: 2019 1 ISPECTOR Worker's Compensation Insurance Carrier : STATE COMP INS FUND Policy No: 1794693 Expire : 0710112021 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 BackrTemp Power: 0 $0.00 Temp Power Pole: 1 $41.00 Fee Temp Underground: 0 MCC Sub Panel: 0 MCC 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 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. I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate 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 fife a signed statement that he or she is licensed pursuant to the provisions of the Contmctom' 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 hur.dred dollars ($500). ❑ 1, as owner of the ;rroperty, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professons 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). 111, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 70", 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 V 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 e.vailable upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/mlaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing Ath Sdbllon 7000) of Division 3 of the BusinessXdofession; Cod nd my license is in full force and effect B Z0 753 iLcAnse Clars' License No Date Contractor SignaturWORKER' COMPENSATION DECLARATIONNAVING. FAILL'VE TO SEURE WORKERS' COMPENSATION COVERAGE rs UNLAWFUL, AND SHALL SUEIECT AN EMPLO CRIMINAL PENALTIES AND CML FINES UP TO OND THOUSAND DOLLARS I$1Do,DYD1, IN ADDITION TO THE C JST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNET'S FEES. I yereby aPirtn ,md:r penalty of perjury one of the following declarations: ❑ 1 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 IN ��-ppy3yylrfornan-e rf the work for which this permit is issued. Policy No. Lave and, will mai.itain workers' 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 ante ca er nd policy num e��(,a�r,�e Crrrierr1/%1��f/77()li /ry:5 Policy Number /7"(1,g3 Expiration Date 710J12022 Hrme of Agent Phone # - I certify that, in he perform nce of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to t le workers' compensation laws of California, and agre that, if 1 should become subj t to the rkers' c pensatio visions of Section 3700 of the Labor Code, I shall forthwith comply with those pro si s. Q Signature of Applicant Date 1 27 DECLARATION REGARIANG CONSTRUCTIO ND GENCY ffirm I hereby aunder fe I of perjury that there is s cons ction lending agency for the performance of the work for which this permit is issued (e n 3097, Civil Code). Lenders Name Lender's Address By my signature belov:, I certify to each of the following: 1 am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply Nith all applicable city and co ordinances and state laws relating to building construction. I authorize represr.ntatives of this city or co u 4 ant a ab ie party for inspection purposes. �Ozpt Si nature of Property Owner or Authorized AgentPrint PropertyOwnersAuthorized Agent's Name �N//�f/Date ACTION DATE BY DECLARATIONOFCOM LIANCEIMTHCODEOF FEDERAL REGULATIONS PART 61 OF 777LE40 AND AOMD RULE 1403. ❑ IStBMITTEDASBESTOSNDTIFICATIONTO: ❑ EPA ❑ AOMD ❑ ASBESTOS N07IRCA770MIS NOTAPPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: AGROFRCEUSEONLY PERM/TOMIRED PERMfTC4NCELLED PERMITEXTENDEC PERMIT FINAL Ir CERTIFICATEOF OCCUPANCYISSU:U -