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Home My WebLink AboutE2023-0365 - Permitsk�tiWPokT, City of NE Beach d Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 0 } *u x Permit Counter Phone: (949) 644-3288 C9�URN�P Inspection Requests Phone: (949) 644-3255 newportboachca.gov/inspections 111111111111111111111111111111111111111111111111111jj Elect; ica: Fe -nit P!ar. ChLck No Work Class : Other Issued Date: 04/21/2023 Inspection Area 16. E2023-0365 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: 500 CAGNEY LN, 4 Legal Desc : Description: **RENEW EXPIRED PERMIT E2021-0829** ELEC - EV CHARGER Owner: ABELARDO LOPEZ Address : 500 CAGNEY LN PH4 NEWPORT BEACH, CA 92663 Phone : Applicant: A-EV INSTALLS Address : 8536 HAMILTON AVE HUNTINGTON BEACH, CA 92646 Phone: (949)469-4443 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction : Building Setbacks Flood Zone Use Zone: PROCESSED BY: SPECIAL CONDITIONS: Contractor : A-EV INSTALLS Address: 8536 HAMILTON AVE HUNTINGTON BEACH, CA 92646 Phone: (949)469-4443 Con State Lie : 1023038 Lie Expire : 11/30/2024 Bus Lie: BT30073576 Bus Lie Expire:11/30/2023 Workers' Compensation Insurance Carrier : NORGUARD INSURANCE COMPANY Policy No : AHWC356236 W. C. Expire: 3/7/2024 Fire Hazard Zone : NO Occupancy Groups: U I hereby affirm under penalty of perjury that Darr. exempt prom the Coat. actor^State License Law for the reasarils). indicated below by the checkmard s) I have placed next to the applicable items) (Section 7031.5, Business and Professions Code- Pity rir o, cuur„ Oa: re Julies a permit to construct, alter, improve, demolts or repair any structure, prior t0 its issuance, also requires the applicant for ' v y the permit to file a signed statement that no or she is licensed pursuant to the provisions. of the Contractors' StatO 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 liaensure and the bawls for the alleged exemption. Any vtola60n of Sec#ton 031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). L-1 1, as owner of the property, or my ompioyeea with wages ati the,r sure compare atian, will do (_) all of or U portions of they Business and Professions Code'. The Contrasor-' State Llcenhe Lau: does ro' ipp y to anowner of property who; through emp improvements are not intended or offered for sate. ,f, lOwev-r, `he h-i-lding � Ir imp,ovament is soli within one year of complain Improved for the purpose of sate), 1, as owner of the property„ am exclusively contracting with licensed Contractors to construct the project (Section 7044, Bus apply to an owner -of property who builds or Improves thereon, and who contracts for the projects with a licensed Contractor put ❑ 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 sell a structure that I have built as an owner -builder if it has not boon constructed in its entirety by licensed contractors, l unde€t Professions Code, is available upon request when this application Is submitted or at the following Web site:hdO1/www.laginto.Ic Signature of Property Owner or Authorized Agent 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 Diu and effect License Class License No Date OLI )211 COMPENSATION DECLARATION EARNING: FAILURE TO SECURE WORAERS' COMPENSATION COVERAGE IS UNLAVO UL, AND SHALL SUBJECT AN EMPLOYER TO CRIMlINAL PENALTIES '.DST OF COMP€NSATION, OAdMAGE3 AS PROVIDED FOR IN SECTION 3746 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: 3 1 have and will maintain a certificate of consent to sett -insure for workers compensation, issued by the Director of Inc offformance of the work for which this permit is issued. Policy No, dl have and will maintain work"' compensation insurance, as required by Section 3700 of the Labor Cede, for the perfor Isurance carrier and policy number are: Policy Number of Agent k, and the structure is not intended or offered for sale (Section 7044, gees' or personal effort, builds or improves theproperly, provided that the the Owner -Builder will have the burden of proving that it was not built or and Professions Code: The Contractors' State License Law does not to the Contractors' State License Law), to completion of the improvements covered by that a copy of the applicable law, Section 7044 Date n 3 of the Business and Professions Code, and my license Is in full force Contractor Signature_ ti a:::F GIVEL TIMES UP TO ONE HUNDRED THOUSAND DOLLARS ($100.000), IN ADDITION TO THE Relations as provided for by Section 3700 of the Labor Code, for of the work for which this permit is issued. My workers' Date certify that, in the performance of the work for which this permit is issued, € shall not employ any person in any manner s0 a4 to become subject to the workers' compensation laws of California, and , if I should become subject to the workers` compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply wilt those provisions. Of Data��7%2 Ireby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued'. (Sectlen 3097, Civil Code). ider's Name Lender's Address my signature Wow, 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 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. ACTION DATE BY s DECLARATION OF COMPLIANCE WITH CODE OF;EDERAL ' FOR OFFICE USE'.ONLY j REGUtATiONS PART 61 OF TITLE 40 AND AQMD RULE j 1903 PERMIT EXPIRED �_. I ci 19"ITTc11 AeAc<Tn< NhTIGIrAYIMI Tn PERMITEXTENOtO _ PCRMtT FINAL HESTOSNOTIFICATEON 15 NOT APPOCARLE TO CER71F(CA7E OF I„f Al PROPOSED f?EMOLITL9N OCCUPANCY ISSUED ''��/�I 1i7 t qI NATIlac, fl IA,