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HomeMy WebLinkAboutE2016-0735 - Permitse �P City of Newport Beach -Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II 0 d 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 1 6 0 7 3 5 Permit Counter Phone (949)644-3288 n Job Address: 52 RIDGELINE DR Bldg: 1 Floor: Suite: Description of Work: ELECT ADD & RIR LIGHTING THROUGHOUT THE HOUSE (64 FIXTURES) X16-3231 Inspector Area: Legal Description: TR 9858 LOT 6 UNIT 61 OF PROJECT LOCATED ON AP 461-131-39 TOGETHER Owner: JOZI REZA Contractor: OWNER/BLDR Address: 52 RIDGELINE DR Address: JOZI REZA NEWPORT BEACH, CA 92658 Phone: Phone: Con State Lic: O/B Issued Date: 11/18/20 Lic Expire: Bus Lic: Processed By: Lic Exp Date: New Construction Residential Multi -Family: 1-2 Family: Service 0-600V up to 20OA: 0 0-600V over20OA: 0 Over 600V or1000A: 0 O/H to U/G 0 Electrical Permit: E2016-0735 Project No: 2249-2016 Inspection Requests Phone (949)644-3255 Code Edit: 2013 r 'd Worker's Compensation Insurance Carrier : Policy No: Expire : e eee©cm 0 �oeaom noccc� ° Q ° a L OOpOCC O O PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Fee Due at Permit Issuance: FEES em a Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) Receptacles/Outlets: 0 $0.00 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: $04y6` $0.00 Fixtures: 64 $64.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: Ga°a0e $l1RUdo $0.00 Sep Circuits: 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 0 $d'00 Low Voltage 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 , ° ° m U® $m as Signs Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: '° ° $0.aa $0.00 Branch Circuit: 0 $0.00 Plan Check Fee: $0.00 $0.00 Each Add Circuit: 0 $0.00 Piggy Backrremp Power: 0 $0.00 Investigation Fee: $0.00 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $0.00 $0.00 Additional Fee : $0.00 Supplemental Fee: $10.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Fee Due at Permit Issuance: UWNtK-flUILUtK UtC.LAKAI IVN I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable ifem(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 perm)((-.tp 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 tN Business and Pr fi6e) or that he or she is exempt from li,ersure aiid 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 re a five hundred dollars ($500). I, as caner of the property, or my employees with wages as theirsole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, siness 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-Builderwill have the burden of proving that it was not built or improved 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 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 resideg 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 If it not beeg,e strutted in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the u Ines and Professions Code, is available upon request w en t Is al Ica iofi ubmitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. J/ 1/ Signature of Property Owner or Authorized 19e1nt �2ta "bbb LICENSED CONTRACTOR'S DECLARXITIOy �` /% A hereby affirm under penalty of perjury that I an yl censed under provisions of Chapter 9 (commencing with Sect'o 70 ) of I ision 3 of the Busin�e-��C�Nrratnd Professi�o s Code, and�`liee se is in full force and effect. �✓ �+ /// _icense Class License No Lpg� Contractor Signaii�'NN+re G NORKER4'&.QQpBPENSATION DECLARATION i ° YARNING: FAILURE TO %ECURE 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 `QS.*F COMPENSATKi DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. herLfiy affirm un a►penalty of perjury one of the following declarations: have and Mill maintain a certificate of consent to self -insure for workers' compensation, rmance of the Work for which this permit is issued. Policy No. 1Ave 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' ante carplir,21idtpolicy number are: Policy Number issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for if ice of the to the we Date permit is issued, I shall not employ any person in any manner so as to become suTac, ct to the workers' ggq000mpensa¢on laws of California, and I provisions of Section 3700 of the Labor Code, I shall forthwith comply with thosevisions. e ireby affirm underpenalty-df perjury that there is a construction lending agency for the performance of the work for which this permit is issued Ider's Name Lender's Address my signature below, I certify to each of the following: Iam 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 corj�e I agree to comply with all applicable city and county 0 i en. es e�Mfs�Me I s relating to building construction. I authorize representatives of this city or county�o enter t,h6 abo� I�lr�('�ent fd d property for inspection purposes. of Property Owner Owner's or Authorized ACTLON DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE40AND AQMDRULE 1403. PERMITEXPIREO ❑ I SUBMfTTEDASBESTOS NOTIFICATION T0: Q EPA ❑ AQMD PERMIT CANCELLED PERMIT EXTENDED PROPOSED DEMOOLIT NDON/S NOT APPLICABLE TO PERMIT FINAL 22 CERTIFICATE OF SIGNATURE: OCCUPANCYISSUED