HomeMy WebLinkAboutE2022-0681 - PermitsaEWPoRr City of Newport Beach IIII I I II I II I II II II I II Community Development Department - Building Division
Z Fy 100 Civic Center Drive, Newport Beach, CA 92660 -
' Permit Counter Phone: (949) 644-3288 �y
o- Inspection Requests Phone: (949) 644-3255
cq</Fp RN�P newportbeachca.gov/inspections s �` A� L- T0 C .,g
Electrical Permit : E2022-0681
Plan Check No :
Work Class : Other
Issued Date: 09/27/2022
Inspection Area : 4
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: 22 ROCKINGHAM DR Legal Desc : N TR.11449 BLK'LOT 44
Description: ELEC: INSTALL ELECTRICAL FOR BBQ (P2022-0276)
Owner: JAFAR ROWHI ASSAF
Contractor
Address : 22 ROCKINGHAM DR NEWPORT BEACH, CA 92660
Address
Phone: (949)910-5068
Phone:
Con State tic
Applicant : JAFAR ROWHI ASSAF
tic Expire's
Address : 22 ROCKINGHAM DR NEWPORT BEACH, CA 92660
Bus Lic :
Phone : (949) 910-5068
Bus Lic Expire:
Workers' Compensation Insuran2
Owner/Builder : JAFAR ROWHI ASSAF
Carrier :
Address: 22 ROCKINGHAM DR NEWPORT BEACH CA 92660
',. Policy No :.
Phone: (949) 910-5068
.". W. C.Expire:
Code Edition : 2019
'Fire Hazard Zone : NO
Type of Construction :
Occupancy Groups : " U
Building Setbacks : Front: 5, Side: 5, Side: 5, Rear: 10i
Flood Zone : X
Use Zone : PC - Aeronutronic Ford
PROCESSER BY:
SPECIAL CONDITIONS: O/B FORM ATTACHED
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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 cbeckmeot(s) I have placed next to the applicable ftembU
(Sooflon'7031.5. Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior toils Issuance, also requires the applicant for
the permit)a file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors' State LICanSe Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Profos 'fins Code) or that he or she is exempt from Ilconsure 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 ere than five hundred dollars ($500).
t, as owner of the property, or my employees With wages as their sole compensation, will do (-,) 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
lrm roved for the purpose or sate).
Ld 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
appty to an owner of properly 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 ficensure 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 legali)
sell a structure that I have built as an owner -builder if it has not beenconstructed 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 apP1jq ttwRYtte nds-svbo �w wring 4ya6-si teginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent , / � Date
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 Contractor Signature
WORKERS' COMPENSATION DECLARATION —_
WARNING: FAILURE TO SECURE WORKERS' COMPENSATIDN COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (f100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37M OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of tha following declarations;
111 have and will maintain a cerfil(cate of consent to selt4nsure for workers' compensation, Issued by the Director of industrial Relations as provided for by Section 3700 of the tabor Code, for th
performance of the work for which this permit Is 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
rance carrier and policy number are:
ter ....... __..._..._ Policy Number Expiration Date
Agent
certify that, in the performance of the work for which this permit 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
if I should become subject to the work nsSUCH provisions of Section 3700 of the Labor Code, I-shall-ferthG51h comply with those provisions. n
miure, of Applicant
;LARATlON REGARDING CONSTRUCTION LENDING AGENCY
reby affirmeAnolMnalty of perjury that there is a construction landing agency for the performance of the work for which this permitis issued (Section 3097, Civil Code).
dets Name .... _._.. _..____.._._._-- Lender's Address
1 am the protre4owner or authorized to Mot on the property owner's behalf.
`. I`have read INS application and the information I have provided Is correct
"15agrea to DgmplXVith all applicable city and county ordinances and State laws rei 'Iding construction.
• I-VIlharize+rpgr@sPinlatives of this city or county to enter the above-idenilf roperfy foSro9pection purposes. _
Si f riBure of Properly e mer arAuthorized Agent Pont Property Owner's or Authorized Agent's Name Z441 UQ Rate
OAtr N � • DATE DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
... REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
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• ^ I I I UISURMITTED
PERMIT FINAL �9f/,r`-3 ///AS LU ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
CERTlFICATEOF 7 �/((/ PROPOSED DEMOLITION
OCCUPANCYISSUED I I SIGNATURE:
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