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Home My WebLink AboutX2022-0714 - PermitsCity of Newport Beach - Building Division ,. 100 Civic Center Drive, Newport Beach, CA 92660 rt Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 fairnw's*' Combination Type - MFP ELEC COMB Permit: X2022-0714 Project No: 0631-2022 ^/ Issued Date : Inspection Area : 2 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY OR PERMIT WILL BE INVALIC 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. No work on Sundays or Holidays Job Address: 102 (EV) SCHOLZ PLZ NB Description: MFR INSTALL ELECTRIAL VEHICLE CHARGER Legal Desc.: TR 10587 LOT 1 UNIT 242 OF PROJECT LOCATED ON AP 423-011-21 TOGETHER Owner: IN MAX WE TRUST Address: 102 SCHOLZ PLZ PH26 NEWPORT BEACH CA 92663 Phone: Applicant: PHILLIPS LILIANA Address: 8536 HAMILTON AVE HUNTINGTON BEACH CA 92646 Phone: 562-519-0252 Code Edit: 2019 Type of Construction: Occupancy Group: R2/U Added/New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Flood Zone: Construction Valuation: $2,500.00 Building Permit Fee: $127.00 Plan Check Fee: $110.49 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $357.86 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: A-EV INSTALLS Address: 8536 HAMILTON AVE HUNTINGTON BEACH, CA 92646 Phone: 949-469-4443 Con State Lic: 1023038 Lic Expire: 11/30/2022 Bus Lic: BT30073576 Lic Exp Date: 11/30/2022 Worker's Compensation Insurance Carrier: NORGUARD INS CO Policy No: AHWC356236 Expire: 03/07/2023 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: / Front: / Left: / Right: / $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $16.62 $0.00 $0.00 Architect Address: Phone: State Lic Engineer: Address: Phone: State Lic Designer: PHILLIPS LILIANA Address: 8536 HAMILTON AVE HUNTINGTON BEACH CA 92646 Phone: 562-519-0262 Special Conditions Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PAN Plan Check: $50.75 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $52.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 Plan Check Fee : $162.49 Fee Due at Permit Issuance : $195.37 s:m mom mcm o®e. e !' t rf/ -PUBLIC WORKS APPROVAL: e'�i .o mr� o a ode c PLAN CHECK BY: O<9 APPROVAL TO ISSUE: c Cl)l ni 0 Di FAWNER -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 U 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-Builderwill 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 year 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.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 Sectioq 7000) o Divi ion 3 of the Business and Prokwons Code, and my license is in full force and effect. License Class License No Date 21 Contractor Signaturg COMPENSATION DECLARATION IARNING: 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 ($100,000), IN ADDITION TO THE ;DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S 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 erformance of the work for which this permit is issued. Policy No. have and ill aintain 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 carrle anb policy nugabegare;, Date me of Age Phone # certify that, in the perform3rYce of the work for which t is 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 I. if I should become u ct to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant � `/" o�/aa CLARATION REG RDIR�N CONSTRUCTION LENDING AGENCY ;reby affirm under penalty 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). 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 owner's behalf. _ I have read this application and the information I have provided is correct. I agree to comply with all applicable city and count ordinances and state laws relating to building construction. I authorize representatives of this city or court enter the ab ve-identified property for inspection purposes. ` /j �7� nature of Prooertv Owner or Authorized Agent Print Prooertv Owner's or Authorized Agent's NameV WLCVVI;—tl vt it�t�5___._� `7L� ACTION DATE BY I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY 1 REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 ••. .•. ••. .•• PERMIT EXPIRED Ut SUBMITTED ASBESTOS NOTIFICATIOO To '� '••• •�• PERMIT CANCELLED EPA •�• ••� ••' PERMIT EXTENDED LJAQMD PERMITFINAL LOIASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF r7 PROPOSED DEMOLITION `.• .". ."• •`. :" :'. OCCUPANCYISSUED L SIGNATURE: