HomeMy WebLinkAboutE2023-0888 - Permits4'�EWPo', City of Newport Beach
O Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
y� A' Permit Counter Phone: (949) 718-1688
a
Cq<1FOAN`P newpodbeachca.gov/civic
Electri-.al Prrrrit
Plan Check No :
Work Class : Other
Issued Date : 10/19/2023
Final Date:
Permit &atus:-lssued
Inspecticn Area,: 4=
E2023-0888
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address : 2425 VISTA HOGAR Legal Desc : N TR 5798 BILK LOT 83 TR 5798 (L.L.84-245722) PAR 8
Description: ELEC PANEL UPGRADE 200 AMPS (E2023-0103)
Owner:
HALEH SAGHAFI
Address :
2425 VISTA HOGAR NEWPORT BEACH, CA 92663
Phone:
(949) 606-4710
Applicant:
HALEH SAGHAFI
Address:
2425 VISTA HOGAR NEWPORT BEACH, CA 92663
Phone :
(949) 606-4710
OwnerlBuilder : HALEH SAGHAFI
Address: 2425 VISTA HOGAR NEWPORT BEACH, CA 92663
Phone : (949) 606-4710
Code Edition : 2022
Type of Construction :
Building Setbacks :
Flood Zone: X
Use Zone: R-1 Single -Unit Residential
PROCESSED BY
SPECIAL CONDITIONS:
Contractor
Address
Phone:
Con State Lic
Lic Expire
Bus Lic:
Bus Lic Expire:
Workers' Compensation Insurance
Carrier :
Policy No:
W. C. Expire:
Fire Hazard Zone : NO
Occupancy Groups: U
OWNER -BUILDER DECLARAT!ON
I hereby affirm under penalty Gr perry iha! I amexempt 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 statema.it tiiut he ur 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 propertp, or my employees with'vageP ae thei- ,ole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Code: The Conerar:tors' S+ate LlcFns= LaW does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
Impr vements are not Intended Cr offered for sale. I'., however, the Juilding or Improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that It was not built or
im ved for the purpose of sale).
s owner of [he property, am exclusively con[racting with licensetl Contractors to construct the project (Section 7044, Business and Professions Code; The Contractors' State License Law tloes not
y 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).
I am exempt from licensure under the Contractors' Stale License Law (or 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 wvered 6y this permit, I cannot legally
sell a sVucture that I have huilt as an owner -builder if it has not been constructed in its entirely 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 ap cation is submitted obat the following Web site:http:f/www.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent V9i/=C� �I Z Date (/7
LICENSED CONTRACTOR'S DECLARATION T
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70DU) 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
COMPENSATION DECLARATION
IARNING: 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
'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 th
erformance 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
Agent
Date
I certify that, in the performance of the work for which this permit 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
1, if 1 should become subject to the
�workerrs'/compens on provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant�"� _ Dat�
DECLARATION REGA DING CONSTRUCTION LENDI AGENCY
I hereby affirm under penalty of perjury that there is a c tstruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Lenders Name Lender's Address
By 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 county to enter abDve-identi ' d pro rty for inspection purposes. ,
Signature of Property Owner or Authorized A ent �' '"L>� Print Property Owner's or Authorized Agent's Name ��i Date
ACTION DATE BY DECLARATION OF COPPrLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 1 OF TITLE 40 AND AQMD RULE
11403
PERMIT EXPIRED
LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
EPA
PERMIT EXTENDED
UAQM D
PERMIT FINAL{
CERTIFICATEOF
OCCUPANCY ISSUED
l
ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE: