HomeMy WebLinkAboutE2024-0327 - Permits��6`X'PO,gT City of Newport Beach
0 dm Community Development Department- Building Division
t i > 100 Civic Center Drive, Newport Beach, CA 92660
n
>� x Permit Counter Phone: (949) 718-1686
Cq</FORH�P newportbeachca.gov/civic
Electrical Permit
Plan Check No :
Work Class : Other
Issued Date: 05120/2024
Final Date:
Permit Status: Issued
Inspection Area : 6
E2024-0327
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 : 1400 OUTRIGGER DR Legal Desc : N TR 6634 BLK LOT 31
Description: ELEC - 400 AMP SERVICE UPGRADE
Owner: HAMID ARABZADEH
Address : 1400 OUTRIGGER DR NEWPORT BEACH, CA 92625
Phone:
Applicant: LIGHTING
Address: 26941 VIA GRANDE MISSION VIEJO, CA 92690
Phone: (949)290-5389
Owner/Builder; i
Address
Phone
i
Code Edition : 2022
Type of Construction :
Building Setbacks: Front: 20, Side: 6, Side: 6, Rear: 6
Flood Zone : X
Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
PROCESSED BY:
Contractor: LIGHTING
Address :
26941 VIA GRANDE MISSION VIEJO, CA 92690
Phone:
(949)290-5389
Con State Lic
: 807699
Lic Expire :
08/31/2024
Bus Lic:
BT30074018
Bus Lic Expire:06/30/2024
Workers' Compensation Insurance
Carrier :
EXEMPT
Policy No :
EXEMPT
W. C. Expire:
Fire Hazard Zone : NO
Occupancy Groups:
UVWPItK-[SIJILLICK uccrL.r'T.rs.+sr re.rr.
t 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 taints)
Section 7031.5, Business and Professions Code: Any city or County that requires B permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
he 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
Irofessluns 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
Tot 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 far sale {Section 7044,
3usiness 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
mprovemenls 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
mproved for the purpose of sale).
I, 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
3J^plply 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).
sorU
3 m on, i nature belowlI acknowledge thatexcept8` or m personalresidenGe in whie Law for the ch I m a have resided for at least one year prior to completion of the improvementslsscocovered by of stpermit, I cannot legally
exempt this
y Y g 9Y P e Business and
sell a structure that t have built as an owner -builder If R has not been constructed In its entirety by licensed contractors. I understand that a copy ofthe applicable au
Professions Code, is available upon request when this application is submitted or at the following Web siterhtip:ilwww.leginfo.ca.govlcalaw.html.
Date
Signature of Property Owner or Authorized Agent _
LICENSED CONTRACTOR'S DECLARATION
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-2— 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 S100,0001, IN ADDITION TO THE
COST OF COMPENSATION, 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..
❑I have and will maintain workers compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work or which this permit is issued. My workers' compensabol
insurance carrier and policy number are:
Carrier Policy Number Expiration Date
N m of Agent Phone #
I'E�'�N� & It
that, in the performance of t work for which this p m' 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
t' ha d I should become subject/to ih errs' compensabo pr 'Isions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions.
iStunature of Applicant_L
hereby affirm under penalty f perjury that Thar s a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code)
s Name Lender's Address
.ander
ty my signature below, I certify to each of the f ollowing:
I am the property owner or authorized to act on the p pe y owner's behalf.
I have read this application and the information I they p vided is co"
ply ct.
I agree to Comwith all applicable city and county inanceis and state ws toting to building construction.
I authorize representatives of this city or county to ter the above-' enlifi roperty for inspecilon purposes. ,/
3i nature of Pro2erty Owner or Authorized A en Print Pro ert Owner's or Authorized A ent's Name 7
ACTION DATE BY V LARATION F COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
I REOt1LATl0 PART 61 OF TITLE 40 AND AQMD RULE
PERMIT CANCELLED
PERMIT E%TENDED
PERM17 FINA11 11 L
CERTIFICATE OF
OCCUPANCY ISSUED
1403
I SUBMITTED
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❑ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION