HomeMy WebLinkAboute2020-0367 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Job Address: 508 ACACIA AVE Bldg:1 Floor: Suite:
Description of Work: ELEC-TEMP POWER POLE (X2020-1639)
Inspector Area: 5
Legal Description: CORONA DEL MAR BLK 529 LOT 10
Owner: AFSHAR RAMIN & SETAREH
Contractor:
Address: 508 ACACIA AVE
Address:
CORONA DEL MAR, CA 92625
Phone:
Phone:
Con State Lic:
Issued Date:07/20/2020
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
Over600V or1000A: 0
O/H to U/G 0
E 2 0 2 0 0 3 6 7�rylll
RAV CO ENGINEERING INC
27661 HOMESTEAD RD
LAGUNA NIGUEL CA 92677
949-338-4320
815853
07/31/2022
BT30042982
04/3012021
Electrical Permit: E2020-0367
Project No: 1227-2018
Inspection Requests Phone (949)644-3255
Code Edit: 2019
Worker's Compensation Insurance
Carrier: STATE FUNDPolicy (�r�-q9
Exp'veN07/01/2021 o: 1830322
I NSP-r% 1 ,
NO CONSTRUCTION NOISE
FEES
Receptacle/Switch/Outlets
Motors/Transformers (HP/KVA)
Receptacles/Outlets:
0
$0.00
0 to 1 HP/KW/KVA:
0
$0.00
Temp Underground:
0
$0.00
$0.00
Fixtures:
0
$0.00
1 to 10 HP/KW/KVA:
0
$0.00
Sub Panel:
0
$0.00
$0.00
Sep Circuits:
0
$0.00
10 to 50 HP/KW/KVA:
0
$0.00
0
$0.00
Low Voltage
0
$0.00
50 to 100 HP/KW/KVA:
0
$0.00
0
$0.00
Signs
Over 100 HP/KW/KVA:
0
$0.00
Record Mgmt Fee:
$0.00
$0.00
Branch Circuit:
0
$0.00
Plan Check Fee:
$0.00
$0.00
Each Add Circuit:
0
$0.00
Piggy Back/Temp Power:
0
$0.00
Investigation Fee:
$0.00
$0.00
Time Clocks:
0
$0.00
Temp Power Pale:
1
$39.00
Issuance Fee:
$35.00
$0.00
Additional Fee:
$0.00
Supplemental Fee:
$0.00
74.00
Plan Check Fee: $0.00
Fee Due at Permit Issuance:
$74.00
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m.
I hereby affirm under penaityof perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkMarkis) I have placed next to the applicable Rem(s)
coon 7031.S, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demofish, or repair any structure, prior to its issuance, also requires the applicant for
permit to file a signed statement that he or she is licensed pursuant to file provisions of Me Contractors' State License Law (Chapter 9 (commencing vhlh Section 7000) of Division 3 of the Business and
feSSIOnS Code) or that he or silo is exempt from licensure and the basis for the alleged exemption. Any violation Of Section 7031Z by any applicant for a permit subjects the applicant to a Civil penalty of
more than foe hundred dollars ($SO(t).
1, as owner of the property, or my employees with wages as their sole compensation, will do (, all of or C) portions of the wont, and the structure is not intended or offered for safe (Section 7044,
mess and Professions Code: The Contractors' State ucensG Law does not apply to an Owner of property Who, through employees' or personal effort, builds or improves the property, pmVided that the
rovements 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
unurW irtr iFn n,,,n,a...o r,i .shin\
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 taw does not
(y to an owner of property who builds or improves thereon, and who contracts for the projecswith a licensed Contractor pursuant to the Contractors' State License Law).
I am exempt from Iicensure under the Contractors' State License Law for the following reason:
my signature below I acknowledge that, except for my personal residence in which I must have resided for at leastone year prior to completion of the improvements covered by this permit, I cannot legall
a smlcture that I have bull as an ownw-builder it 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
cessions Code, is available upon request when this application is submnled or at the following Web site:hitpYAwAv.legimo.cagovicalaw.htmi.
affirm under penalty of ry that 1 am Incensed under provisions of Chapter 9 jmmmenetrg with Section 7000) of OM Ion 3 of the Business and Professiop�Cone, aM m oar rs in TOp force
,L Licansa Class A Lit (� License No $ �5 Dat j , j Contractor Signedv
"RS' COMPENSATION DECLARATION
FAaORETO SECURE WOMMW COMPENSATroM COVERAGES UNLAWFUL AND SHALLSUBJECT AN EMPLOYER TO CRIMINAL. PENALTIESAtm CNLL FINES UPTO ONE HDN6REa THOUSAND OOUARe ($fee,W01, IN ADWID)ITO THE
rOMPW.XUMWMGESASPROVIDE0FORINMTIMS706OFTNELAROROMF WEREST,ANDATTORNEYSFEE.
retry ly of perjury one of the following declarations:
I Main a Certificate of Consent to self -Insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of me Labor Code, for
work fafvrhlch th(s permlis issued. Policy No.
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' CoMpensal
ranee carderand policy number are:
Number
Agent
Date
mrlify that, In the performance of the work for which this permit Is issued, t shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
If I should become sawfT2�Ct to the woTit�alt� tt�l��2/psation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
aBlre of App6Can (i�— DaX— -71 ?b / Z 0
I hereby affirm under penalty of pequry that there is a construction lending agency for the performance of the work for which MIS permit is Issued (Section 3097, Civil Code).
Lenders Name Leader's Address
By my signature, below, I certify to each of the following:
t am the property Owner or authorized to act on the property owners behalf.
I have read this application and the Information I have provided Is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to builifi g construction.
I authorize represemafivas of this city or cos to r me ebwe-n arm r ry iorinspeclon purposes.
Signature of Property Owner Gr Author¢ed Agent Plm Property Cxvners or AUBrodzatl A enCs Name'
ACTION DATE BY DECLARATION OFCOMPLiANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TmE40ANDACIMD RULE
1405
PERMIT Frwat I ()( LJASBESTDS
IS NOT APPLICABLE TO
CERTIFICATEOf PROPOSED
OCCUPANCYSSLIED ciLSMAr1*VX0'