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Home My WebLink AboutE2021-0446 - Permits(9) City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 519 DAHLIA AVE Bldg: 0 Floor: Suite: Description of Work: ELEC (2) A/C DISCONNECTS Inspector Area: 5 Legal Description: CORONA DEL MAR BLK 531 LOT 19 Owner: MOSHAYEDI MANOUCHEHR Contractor: Address: 2505 W COAST HWY #201 Address: NEWPORTT BEACH CA 92663 Phone: Phone: Con State Lic: Issued Date: Lic Expire: C Bus Lic: Processed By: V 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 0 $0.00 TOTAL Fee : $96.00 'E2021-0446' Electrical Permit: E2021-0446 ESTES CONSTRUCTION P O BOX 2992 COSTA MESA CA 714/848-0307 687207 03/31/2022 BT30072620 08/31/2021 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 Project No : 1955-2020 Inspection Requests Phone (949)644-3255 Code Edit: Z01I Worker's Compensation Insurance Carrier: SECURITY NATIONAL Policy No: SWC1283134 Expire : 03/01/2022 FEES Motors/Transformers (HP/KVA) 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: Sub Panel: Record Mgmt Fee: Plan Check Fee: Investigation Fee: Issuance Fee: Supplemental Fee: Fee Due at 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. TIMER REQUIRED ON EQUIPMENT TO SHUT OFF BETWEEN 10 P.M. AND 7 A.M. NO CONSTRUCTION WORK ON SATURDAYS 0 2 0 0 OWNER -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 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). 1, 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, 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). I and exempt f.om licensure under the Contractors' State License Law for the following reason: By m1 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 Iegall (sell 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 Coda, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htm). ,Signature of Property Owner or Authorized Agent Date (LICENSED CONTRACTOR'S DECLARATION 11 hereb.; affirm Uri penalty of perjury that I am licensed under provisions of Chapter 9 (commencing ywip Section 7000) of Division 3 of the Business nd ofessions ode, d m license is in full force land effect. Lmeaer, Class License No Date Contractor Signature WORKERS' C,OhiP-cNSATION DECLARATION �WARNINi;: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOY R TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS t8100,0001, IN ADDITION TO THE C OF COMPEE'8ATION„ DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I 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 performance of the work for which this permit is issued. Policy No. [Bymy ave 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' compensatio nce carrier and policy number are: r Policy Number Expiration Date of Agent Phone # rtify that, in the erforman o e work fo hich his 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 ogre f I should beta ubject t woItkers' c pe ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provE1sl s. �7 % ture of Applicant Date\�� ARATION REG DING C STIR CTION L NDING AGENCY by 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 Code). r's Name Lender's Address signature below, I certify to each of the following: am the property owner or authorized to act on the prope)er's behalf. have read this application and the informatin I have )video is`correctagree to comply with all applicable city and c poly ia es acid st w relating to building construction. authorize representatives of this city or count ente a ove iden' ied roperty for inspection purposes.�_-7 '7ture of Propert Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name D ( Z I '` ACTION GATE BY DECLARATION OF COMPLIANCE W(TH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403. PERMITEXPIRED ❑ 1 SUBMITTED ASBESTOS N077FlCATION TO: ❑ EPA ❑ AOMD PERPlr7'T CANCEtLEP PfRA+71TEXTENDED ❑ ASBESTOS NOTtRCATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL - CERTfFICATEQF SIGNATURE: QCCOPANCYlSSUED