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Home My WebLink AboutX2021-3381 - PermitsaEWPoRr City of Newport Beach II III I II I II I IIII II I II I II Community Development Department- Building Division COMB Permit:X2U21-33$1 > 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: 2945-2021 ` ? Permit Counter Phone: (949) 644-3286 Inspection Requests Phone: (949) 644-3255 Issued Date : 09/21/2022 cy«FoaN'P newportbeachca.gov/inspections Inspection Area : 3 Combination Type - ELEC Work Class - Alteration 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 : 20322 ACACIA ST Legal Desc : P BK 340 PG 6:PAR 1 Description: COMML EV CHARGING STATION *LEVEL II* Owner: ATTILAMATH E -: Contractor: OPTIMUM ENERGY SERVICE ,,. Architect: YSM DESIGN Address : 20322 ACACIA ST Address: 3835R E THOUSAND OAKS: BLVD Address : 1320 ELLESWORTH INDUSTRIAL BLVD, NEWPORT BEACH, CA WESTLAKE'..VILLAGE, CA 91362 A-100 ATLANTA, GA 30318 Phone : Phone : (805):529-5682 Phone: (404) 249-4555 Con State Lie :-1003962 State Lie : ...... Lie Expire: 05/3112023 "9° Applicant: OPTIMUM ENERGY SERVICE Bus Lie: BT30072330 Engineer: o Address : 3835R E THOUSAND OAKS BLVD Bus Lie Expire : 06/30/2021 Address WESTLAKE VILLAGE, CA 91362 Phone: (805) 529-5682 Workers' Compensation Insurance Phone: ' Carrier: INSURANCE COMPANY OF THE WEST Owner/Builder: e- Policy No: WSD504112604 Designer: Address : W. C. Expire: 5/612023 Address , Phone: Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $10,0®t1.a0'. Type of Construction : Fire Hazard Zone : NO Added/New/Tl sq. ft. Bldg: 0 Occupancy Groups : U '. No of Units : 0 Alteration sq. ft. Bldg : Bldg Height: No of Stories ; Added/New sq. ft. Garage: 0 Building Setbacks Flood Zone : X Use Zone: SP-7 - Santa Ana Heights Specific Plan A a PROCESSED BY: SPECIAL CONDITIONS: I hereby affirm under penalty of perjury that i am exempt from the Contractors' State License Law for the reasari(s) indicated below by the checkmark(s) I have placed next to the applicableitem(s) :coon 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 ftaissuance, also requires the applicant for permit to file a signed statement that ho or she is licensed pursuantto the provisions of the Gontractors'State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and fessions 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 more than five hundred dollars ($500). I,.as owner of the property, or my employees with wages as their sole compensation, will do. (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, ;iness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees'' err personal effort, builds or improves theproperty, provided that the Movements are not intended or offered for sale. If, however, the building or improvement issoldwithin one year of completion, the Owner-Su)Ider will have the burden of proving that it was not built. or ,roved far 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 )ly to an owner of property who builds or improvesthereon, and who contracts forthe projects with a licensed Contractor pursuant to the Contractors' State License Law), I am exempt from ]icensureunder 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 least one year prior to completion of the improvements cavered by this permit, I cannot legal] a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. ) understand that copy of the applicable law, Section 7044 of the Business and ,fessions:Code, is available upon request when this application is submitted orat the following Web sitsaittp:liwww.teginfo.ea.gov/cala..w.htmi, nature of Property Owner or Authorized Agent Date /l •LAECLnI*tl\ITBAI�Ti'S2]�C ntt`I ALJATtM1AI affirm under penalty of perjury that.] am licensed under provisions of Chapter (commencing with Section ;t. License Class. License No Dah -RS' COMPENSATION DECLARATION is in full force AND SHALL SUWECT AN. EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100,000) IN ADDITION t CODE: INTEREST, AND ATTORNEY'S FEES. hereby affirm ureterpenalty of perjury oneof the folowing declarations: ' f fl'a+je and wirma ittain. a certificate of consent to self:insure for workers' compensation, Issued by: the Director of industrial Relations as provided forbySection 3700 of the Labor Code, Fan nce of thin dslFk for which this permit is issued, PolicyNo. and will Aaintain workers' compensation insurance, as required by Section 3700 of the Labor Code,. for the performance Of the work for which this permit is ssued, My workers` comps cardeGa'n(iPrIcy number arai tenter_' 0 Policy Number. Expiration Date Agent..:...: Phone #a/ y that. in 0V performanc f the Ilk for which this permit is issued. I shall not employ any person in any manner so as to becomo subject 10the workers' comp IT lie vvFsuot. California, and agre Mould become ubjectt t e pensation provisions of Section 3700 of the labor Coder I shall forthwith comply with those provisions. ro / C� Iof Apploaei Date, ,ATION REGARDING O TRUCTION LENDING AGENCY affirm ur*&Pe*ftyof perjury thatthere is a construction lending agency for the performance of the work forwhich this permit is: issued (Section 3097, Civil Code). my. signature below. I certify to each of tlhe. following: , �� wnar's behalf. I am the property owner or authorized to act on the prop'fin, I have read this application and the intannation ! havetl co et. orre I ogres to comply with all applicable city and county or nd ate laws relating to building construction. I authorize representa#ivas of this city or county to en Identified property far inspection purposes: ACTION DATE ( BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE. USE ONLY REGULAtIO9 S KART 61 OF TITLE 40 AND AQNID RULE PERN)tEA7ENOED QMD PERIMITFINAi E51OS NO71FIC9ArO PP€tCABLE TO CERTIFICATE OF I..I? Z30116NATI.RE:OL/ OCCUPANCY f55UED for