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Home My WebLink Aboute2019-0446 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 n � Job Address: 1 TELESCOPE Bldg: 1 Floor: Suite: Description of Work: ELEC/ELECTRIC VEHICLE CHARGER Inspector Area: 6 Legal Description: Owner: NAHIDI TAGI Contractor: Address: 1 TELESCOPE Address: NEWPORT COAST CA 92657 Phone: 949-230-3367 Phone: Con State Lic: Issued Date:0612712019 Lic Expire: Bus Lic: Processed By: Lic Exp Date: 111111111111p1111p1111111111p1111p111N1pu 111 Electrical Permit: E2019-0446 E 2 0 1 9 0 4 4 6 Project No Inspection Requests Phone (949)644-3255 Code Edit: 2016 OWNER/BLDR Worker's Compensation Insurance NAHIDI TAGI Carrier, Policy No: Expire: Ole 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: 1 $26.00 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 200A: 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 Back/Temp Power: 0 $0.00 Investigation Fee: $0.00 Over 600V or 1 o00A: 0 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $35.00 O/H to U/G 0 $0.00 Additional Fee: $0.00 Supplemental Fee: $0.00 TOTAL Fee: $61.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $61.00 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. ° o o ♦ o ° o0 a o�„ 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 (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, 1 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 inprove nts 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 or the purpose of sale). .. ❑ 1, a wner 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 appl 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). I 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 Iegalll 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 t e Busin ss and Professions Code, is available upon request whiq tW" plic n'sssub itted or at the following Web site:http:/AN .leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Age 017�.( LICENSED CONTRACTOR'S DECLARATION—l�' T �' I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION NARNING: 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 PROWDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under 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 thi Derformance 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' rance carrier and policy number are: Policy Number _ Expiration Date ie of Agent certify that, in the performance of the work for which this N[ 1 should become subject to the workArs' compen,�ptio Of is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre dons of Section 3700 of the Labor Code, I shall forthwith comply with those pro\visions. oar hereby affirm under I%nalty of perjury that there is a construction lending agency for the performance of the work for which, this permit is issued (Section 3097, Civil Code). enders Name Lender's Address ,y my signature below, I certify to each of the following: I 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 with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or coun)enter the o f tified e or inspection purposes. `\/ 7 ^ / 'signature of Property Owner or Authorized Agent V,�" /-% Print Property Owner's or Authorized Agent's Name 1l '( ACTION DATE BY DECLARATION OF COMPLIANCE WTNCODEOF FORDFffCEUSEONLY FEDERAL REGUkATIONS PART 61 OF TITLE40AND • AUW DRt%f J4 PERMfTEXPIRED • • • • • ; 0.1 SUSt4j7EVAsBESTOS NOT{F{CATION TOr p• ; EPA 006 •+ ' ❑ AOUD PERMITCANCELLED .•� = . PERMrTEXTEN➢ED • • • El ASBESTOS NOTITICARONISNOT APPLICABLE TD PROPOSEUDEYOUT{ON • •. 0 PERMIT FINAL yt_ Z- Z,a f° CER7IFIC.4TEOF • e e{tFNfITLi4E: OCCUPANCYISSUEO e e . e • • • e �..�\ .as se• • a