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Home My WebLink AboutE2021-0408 - Permits0w City of Newport Beach - Building Division IIIIII�IIIIIIIIIIIIIII�IIIIIIIIIIIII II Electrical Permit: E2021-0408 ,. P. 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 2 1 0 4 0 a Project No : 1566-2021 - ,. Permit Counter Phone (949)644-3288 `Ra'�lYnR-ems 1 Inspection Requests Phone (949)644-3255 Job Address: 411 IRVINE AVE Bldg: 1 Floor: Suite: Description of Work: ELEC - 3 OUTLETS @ BBQ Inspector Area: Legal Description: FIRST ADD TO NEWPORT HEIGHTS BILK 29 LOT 22 Owner: MANAVI BEHNAM S Contractor: Address: 411 IRVINE AVE Address: NEWPORT BEACH, CA 92663 Phone: Phone: Con State Lie: Issued Date:07/12/2021 Lie Expire: Bus Lie: Processed By: Lie Exp Date: New Construction Residential Multi -Family: 1-2 Family: Service 0-600V up to 20OA: 0 0-600V over 20OA: 0 Over600V or1000A: 0 O/H to U/G 0 TOTAL Fee: SUNSET POOLS AND SPAS INC 20131 E CHAPMAN AVE ORANGE CA 92869 714-538-4398 473735 02/28/2023 BT30074691 03131 /2022 Code Edit: 2019 Worker's Compensation Insurance Carrier: EXEMPT Policy No: NO EMPLOYEES Expire : t FEES Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) Receptacles/Outlets: 3 $5.25 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 Pole: 0 $0.00 Issuance Fee: $38.00 $0.00 Additional Fee : $0.00 Supplemental Fee: $0.00 43.25 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $43.25 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 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 pena?fy of not more than five hundred dollars ($500). I ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the )vork, 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 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 residence in which I must have resided for at least one yea' prior to completion of the improvements covered by this permit, I cannot legall, 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 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 %, —Z 1 Contractor Signatur,V JVORKERS' COMPENSATION DECLARATION I yfl � �3 NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. 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 Ierfomlance of the work for which this permit is issued. Policy No. :1I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the perfo{mance of the work for which this permit is issued. My workers' compensatiol nsurance carrier and policy number are: Policy Number of Agent Date 11Certify 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 t if I should become subject to the workers' compens on provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. mature of Applicant VY i _ Date -) Z — ( 1 —2- ( CLARATION REGARDNG CONSTRUCTION LgYDING AGENCY :reby affirm under penal y of perjury that there is Yy construction lending agency for the performance of the work for which this permit is issued (S n 3097, Civil Code) ider's Name Lender's Address my signature below, I certify to each of the following: I 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 building construction. I authorize representatives of this city or county to enter the above -identified property for inspection purposes. / nature of Property Owner or Authorized Agen4 >P k' i--6'v�! Print Property Owners or Authorized Agent's Namdt/ �� Au L � AF6 Date L — I I AC77ON DATE BY DECLARATION OF 70-MPL MCECE WTH CODE OF FEDERAL REGIJLATIOIVSPART61 OF TITLE40AN0 AQMDRULE 1403. ❑ f SUBMITTED ASBESTOS NOTIFICATION TO:. ❑ EPA ❑ AOMD El ASBESTOS M07IRCAnONIS NOT APPLICABLE TO PROPOSED DEMOLITION, SIGNATURE: FOROFRCEUSEONLY PERMITEXP7RED PERMIT CANCELLED PERMITEXTENDED P€RM7TRNAt _ I '2 9 CERTIFICATEOF OCCUPANCYISSUED