HomeMy WebLinkAboutE2020-0037 - PermitsBaa City of Newport Beach - Building Division
s.. 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Job Address: 716 HELIOTROPE AVE Bldg: 1 Floor:
Description of Work: ELEC/TEMP POWER POLE
X2019-3289
Inspector Area: 5
Legal Description: CORONA DEL MAR ELK 735 LOT 18
Owner: BAHRAMI JAMI Contractor:
Address: OTROPE AVE Address:
CDM CA 92625
Issued Mpte:01/21/2020
Processed By:
New Constructioh
Residential
Multi -Family:
0
$0.00
1-2 Family:
0
$0.00
Service
0
$0.00
0-600V up to 20OA:
0
$0.00
0-600V over20OA:
0
$0.00
Over 600V or 1 o00A:
0
$0.00
0/H to U/G
0
$0.00
TOTAL Fee:
Phone:
Con State Lic:
Lic Expire:
Bus Lic:
Lic Exp Date:
Electrical Permit: E2020-0037
II�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II
Project No : 2279-2019
JFB PROPERTIES
23986 ALISO CREEK RD STE 112
LAGUNA NIGUEL CA 92677
888-463-2111
1045525
10/31/2020
ST30064830
10/31/2020
Receptacle/Switch/Outlets
Receptacles/Outlets: 0 $0.00
Fixtures:
0
$0.00
Sep Circuits:
0
$0.00
Low Voltage
0
$0.00
Signs
$0.00
10 to 50 HP/KW/KVA:
Branch Circuit:
0
$0.00
Each Add Circuit:
0
$0.00
Time Clocks:
0
$0.00
Additional Fee :
$0.00
Inspection Requests Phone (949)644-3255
Code Edit: 2016 I NIP IECT R
Worker's Compensation Insurance
Carrier: EXEMPT 'OO°
Policy No: no employees
••••
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Expire: caoamo •
0
FEES
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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: 1 $39.00
Plan Check Fee:
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
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Temp Underground:
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oa
coemcu
Sub Panel:
aao09A&`
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:
$35.00
Supplemental Fee:
$0.00
e 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
OWNER -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 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 -Builder will have the burden of proving that it was not built or
im roved 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 Iegall)
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 under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) o Division 3 of the Business and Profes i s C , and my license is in full force
it4�n�t. •• / Contractor Si r
IeicenseClass •••'•: License No Date Signature
"K@RS' COMPENSATION DECLARATION
MARNMG: FAILURE To SECWRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER O CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
CC69T OFe COMPENSATION, DRMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY' FEES.
Jeleyy affirm un;er penalty of perjury one of the following declarations:
III•PIAvg and AI 43i7tain 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
performence of the work for which this permit is issued. Policy No.
41` 09%Mand willmaintein 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' compensatiol
insurance carrier•V•polcy number are: - -
Number
Date
T Agent -••••- rnmron
'Agent
that, in the performance of th ork f Inch 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, i I should become subject to the o ers' mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. l )
ature of Applicant Dat - /
CLARATION REG DING CONS UCTI LENDI
�reby affirm under p nalty of perjury that there Is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
lder'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 own is behalf.
I have read this application and the information I have wded s correc
I agree to comply with all applicable city and county orY91 nce d st a aws relating to building construction.
I authorize representatives of this city or county nf�I. 'e a -id nti ed property for inspection purposes. `� ,I'l A
nature of Property Owner or Authorized Agent _ I Pri arly_wwRer-s-or Autnonzeo Agents Name — r
ACTION DATE 8Y DECLARATION OF COMPLIANCE MTN CODE OF FOR
FEDERAL REGULATIONS PART 61 OFTIT_LE40AND
PERMIT EXPIRED AOMD RULE 1403.
❑ I SUBMITTED ASBESTOS M077FICATION T0:
PERMIT CANCELLED ❑ EPA
PERMIT EXTENDED ❑ AOMD
/-31—� pti....` :ti,�
[I ASBESTOS NOTIRCA7tONIS NOTAPPLICA13LE TO
PERMIT FINAL
'�' C.._ PROPOSED DEMOLITION.
CERTIFICATEOF
SIGNATURE:
OCCUPANCYISSUED