HomeMy WebLinkAboutE2021-0848 - PermitsCity of Newport Beach - Building Division
�zr 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Job Address: 2396 REDLANDS DR Bldg: 1 Floor: Suite:
Description of Work: ELEC PANEL C/O 200 AMPS & ELEC FOR POOL EQUIPMENT
Inspector Area:
Legal Description:
3
N TR 3062 LOT 2
Owner: SHAHRZAD NAMINI
Contractor:
Address: 2396 REDLANDS DR
Address:
NEWPORT BEACH, CA 92660
Phone: 425-761-6243
Phone:
Con State Lic:
Issued Date:12/10/2021
Lic Expire:
Bus Lic:
Processed By:A ,sl
Lic Exp Date:
New Construction
Residential
Multi -Family:
0
$0.00
1-2 Family:
0
$0.00
Service
0-600V up to 20OA:
1
$47.00
0-600V over20OA:
0
$0.00
Over 600V or 10i)i)A:
0
$0.00
O/H to U/G
0
$0.00
*E2021-0848* Electrical Permit: E2021-0848
Project No
t� �c.
9 V- Inspection Requests Phone (949)644-3255
\1
Code Edit: 2019 a '
OWNER/BLDR Worker's Compensation Insurance
Carrier :
Policy No:
Expire
O/B
Receptacle/Switch/Outlets
Receptacles/Outlets: 0 $0.00
Fixtures:
0
$0.00
Sep Circuits:
1
$7.00
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
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 BackfTemp Power: 0 $0.00
Temp Power Pole: 0 $0.00
Fee : $0.00 Fee
Temp Underground:
0 $0.00
Sub Panel:
0 $0.00
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
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.
DINNER -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).
I, as owner of the property, or my employees with wages as their sole 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 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 fer Volurpose of sale).
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
ly to anowpbCof 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 exEThpt from Iicensure under the Contractors' State License Law for the following reason:
Byrrly 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 legalh
sell a structure that I have built as an owner -builder if it has not been - ns cted in its ntirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Professions lftte,is available upon request when tyf fpplicatio ' s d or t Ing Web site: http://w .leginfo.ca.gov/calaw.htmi.
gigRature of PLWrty Owner or Authorized Agent � < Date
L�I�ENSEB CQfyTRACTOR'S DECLARATK1iN�`
I h 'by affirm under penalty of perjury that I am licensed under provisio s of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and"my license is in full force
one effect.
►CiterUe Class• License No Date Contractor Signature
WORKERS' L°OMPENSATION DECLARATION
... ss''
t^IARNIYG: FAILuryc.TOZECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS IS100,0001, IN ADDITION TO THE
CO870F 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 for which this permit is issued. My workers'
urance carrier and policy number are:
Policy Number
of Agent
Date
I certify that, in the performance of the wor o c is pe 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, if I should become subject to thew o nsati revisions of Section 3700 of the Labor Code, I shall forthwith comply with those pro visiogs.
(n
ature of Applicant Date G,
:CLARATION REGA STRUCTION DING AGENCY
areby affirm under penalty of perjury that th is construction lending agency for the performance of the work for which this permit is issued (Section 097, Civil Code).
ider's Name Lender's Address
my signature below, I certify to each of t e fo ing:
I am the property owner or authorized to act on the property owners behalf.
I have read this application and the information 1 have provided is correct.. _
I agree to comply with all applicable city and county ordinances an a laws rela g to Ilding construction. ,t /�/
I authorize representatives of this city or countyo�€nter the -d p10 or inspection purposes. /� IU�)r� /1/�/���1 Da�
(nature of Property Owner or Authorized Agent %� i Print Property Owner's or Authorized Agent's Name /,
ACTION
DATE
8Y
DECLARATION OF COMPLIANCE WITH CODE OF
FOR OFFICE US€ONL.
FEDERAL REGULATIONSPART 01 OF TITLE40 AND
AOMDRULE 1403
PERMITEXPIRED
❑ I SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AOMD
PERMIT CANCELLED
PERMITEXTENDED
ASBESTOS N07IRCA
PROPOSED DEMOLITION. LION IS NOT APPLICABLE TO
PERNRT FINAL
i
CERTIFICATEOF
SIGNATURE.
OCCUPANCYISSUED