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HomeMy WebLinkAboutE2021-0442 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 1121 KINGS RD Bldg: 1 Floor: Suite: Description of Work: MFR OVERHEAD TO UNDERGROUND Inspector Area: Legal Description: CANAL SECTION BILK 140 LOT 7 Owner: AZADIAN GHASSEN Contractor: Address: 1121 KINGS RD Address: NEWPORT BEACH, CA 92663 Phone: Phone: Con State Lic: Issued Date:07/23/2021 Lic Expire: Bus Lic: Processed By: Lic Exp Date: 11111111111111p11111p11111111111p1111111111111111 JillElectrical Permit: E2021-0442 E 2 0 2 1 0 4 4 2 Project No : J P T CONSTRUCTION INC 409 62ND ST NEWPORT BEACH CA 92663 714-336-1966 879360 06/30/2022 BT30014788 01131/2022 New Construction Receptacle/Switch/Outlets Residential Receptacles/Outlets: 0 $0.00 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1-2 Family: 0 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Service Signs 0-600V up to 20OA: 0 $0.00 Branch Circuit: 0 $0.00 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Over 600V or 1000A: 0 $0.00 Time Clocks: 0 $0.00 O/H to U/G 1 $47.00 Additional Fee: $0.00 TOTAL Fee: $85.00 Plan Inspection Requests Phone (949)644-3255 Code Edit: 2019 Worker's Compensation Insurance Carrier: WESCO Policy No: WWC3520405 Expire : 04107/2022 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 Temp Underground: 0 $04)0. Sub Panel: 0. C # o $010.. ° 0 $0.00 0 $0.00 Record Mgmt Fee: $0.00 Plan Check Fee: $0.00 Investigation Fee: $0.00 Issuance Fee: $38.00 Supplemental Fee: $0.00 Fee Due at Permit Issuance: 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. DWNER-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 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). 111, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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-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). ❑ 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 legally 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 the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm wndrxpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sercti�on 000) of Division 3 of the Business and Profe ions C dermy license is full force and effect. License No Date 7 < Contractor Signature � ipjgs, Clas WORkERS',COMPENSATION DECLARATION %RI%G: FAILURE 70 SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE ED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE C09T,OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirn uuncl $enalty of perjury one of the following declarations: n•14av qg will jaintain 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 the sq a -roof tke-w®rk for which this permit is issued. Policy No. and wiy 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' carri%r and .policy number are: • • ! Policy Number Expiration Date .. ...,., certify that, in the•performance of the wor Ic this perm) ved, shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree t, if I should become subject to the worke provisions o ection 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Date CLARATION REGARDI O RUCTION LENDING AGENCY )reby affirm under p ty of rjury that there is a construction lending agency for thei�erformance of the work for which this permit is issued (Section 3097, Civil Code). Ider's Name Lender's Address my signature loo certify to each of the following: I am the property owner or authorized to act on the property owner's be I have read this application and the information I have provi ed is r t. I agree to comply with all applicable city and county ordina e e laws relating to building construction. I authorize representatives of this city or county enter ove ntified property for inspection purposes. e' `y nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name 1 �LJ �Dat6/ ACTION DATE BY DECLARATION OF COMPLIANCE MTN CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONSPART 61 OF TIRE 40 AND AQMD RULE 1403, PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS NORFICATION TO: ❑ EPA ❑ AQMO PERMITC4NCELLED PERMIT EXTENDED ❑ ASBESTOS MOTtFICA [TON IS NOT APPLICABLE TO PROPOSED DEMOLITION. _ PERMITFINAL J • .1 CERTtFICATEOF SIGNATURE: OCCUPANCYISSUED O Cc M Z Y Work with T012@€2€® HH I"Idetl. 'Rom. Pole 4€€€€9 9.®2&BAtlB%42. Got: 4nWell CHLG C0AV0%@1 hf 1701 Mn0e Rd.NPB •Inet JWPVCC0Atl0111rem HHMB10Pw91. 1121 KING RD NEWPORT BEACH GO®/Owner 714-290.3208 IIfiOGB to 1121 PAWL 1113 KING AD NEWPORT BEACH STATION SHEET 1 791 1 0 FLEX a" ©NAI i010i0300) %mn @ ® 0 V ................®..........�.. €#140.120I240V 10=12#V I-. 00 co N 2 � v V W Q v = W CY) v W Z F. 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