HomeMy WebLinkAboutE2023-0579 - PermitsCity of Newport Beach
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Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
cq'� Her newportbeachca.gov/civic
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IIIE0 2 3 0 5III�7 9�� II Electrical Permit
Plan Check No
Work Class : Other
Issued Date : 06/3012023
Inspection Area : 6
E2023-0579
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 : 5 VIA NAPLES Legal Desc : N TR 14070 BILK LOT 69 TR NO 14070 LOT 69 FOR OF LOT AND FOR OF LOT L
Description: ELEC INSTALL 50A EV CHARGER AT GARAGE
Owner: EUISUN CHUNG
Address : 5 VIA NAPLES NEWPORT COAST, CA 92657
Phone:
Applicant: BEN MEDINA
Address : 31225 LA BAYA DR WESTLAKE VILLAGE, CA 91362
Phone: (818)735-7876
Owner/Builder :
Address
Phone :
Code Edition : 2022
Type of Construction :
Contractor : SON POWER INDUSTRIES INC
Address : 3625 E THOUSAND OAKS BLVD, 206 THOUSAND OAKS, CA 91362
Phone : (805) 3794724
Con State Lic : 962785
Lic Expire : 03/31/2024
Bus Lic: BT30082045
Bus Lic Expire:06/30/2024
Workers' Compensation Insurance
Carrier: SIRIUSPOINT AMERICA INSURANCE COMPANY
Policy No: WC8577001
W. C. Expire: 12/4/2023
Fire Hazard Zone : YES
Occupancy Groups: U
Building Setbacks :
Flood Zone : X
Use Zone: PC - Newport Coast
PROCESSED BY:
SPECIAL CONDITIONS: '
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of pe€jury that I am exempt from the Contractors' State License Law for the reasons) indicate(
;Seclion 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, altar, improve, demolis
:he permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Slate License Low
Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section'
oot more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sale compensation, will do (_) all of or L) portions of the v
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through emp
improvements are not Intended or offered for sale. It, however, the building or improvement is sold within one year of completic
improved for the purpose of sale).
❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Bus
reply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pur
ILI 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 been constructed in its entirety by licensed contractors. I under:
Professions Code., Is available upon request when this application is submitted orat the following Web site:http:1hvww.legirl
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 700
and effect. License Class License No Date
COMPENSATION. DECLARATION
islow by the checkmark(s) I have placed next to the applicable item(s)
or repair any structure, prior to its issuance, also requires the applicant for
hapter 9 (commencing with Section 7000) of Division 3 of the Business and
31.5 by any applicant for a permit subjects the applicant to a civil penalty of
rk, and the structure is not intended or offered for sale (Section 7044,
lees' or personal effort, builds or improves the property, provided that the
the Owner -Builder will have the burden of proving that It was not built or
ass and Professions Coda: The Contractors' State License Law does not
ant to the Contractors' State License Law).
for to completion of the improvements covered by this permit, I cannot legal)
nd that a copy of the applicable law, Section 7044 of the Business and
3 of the Business and Proles Code, and my license is In full force
> Contractor Sionetur —�
DARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND $HALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES �No CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS f5100,000), IN ADDITION TO THE
:DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0T03 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES,
hereby affirm under penalty of perjury one of the following declarations:
J I have and will maintain a certificate of consent to self -insure for workers' compensation, Issued by the Director of In(
Yo��nnance of the work for which this permit Is issued. Policy No.
heave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the perfoi
c"1/rlance carrier and policy number are:
ar er Policy Number
Jame of Agent
certify that, in the performance of the for which this permit is isst a 1 not employ any person in any manner so
, If I should become subject to th orkels' compensation r ' ns of Section 3700 of the Labor Code, I shall forthwith c
nature of Applicant.
CLARATION REGARDING CON$TFIli LENDING AGENCY
Hedy affirm under natty o at. there is a construction lending agency for the performance of the work for which
la er's Name Lenders Address
my signature be ertify to each of the following:
I am the propery' nwmer 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 comoly with all applicable city and county ordinances late laws relating to building construction..
I authorize rearss3entutives of this city or county to enter ove-identified properfyfori-nspection purposes.
DATE BY ATION OF COMPLIANCE Wli CODE OF FEDE
REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE
P3il.fT-XPfRED LJ'.I SUBMITTED ASBESTOS
P'ihl,h r CANCELER) LJcPA
PERMIT FINAL AA L_IASBESTOS NOTIFICATION IS NOT APPLICABLE TO
i
CFK)IHCA FE OF f,}yiS y �PROPOSED DEMOLITION
OC:01 ANCYISSULD I SIGNATURE:
Relations as provided for by Section 3700 of the Labor Code, for
of the work for which this permit is issued. My workers'
Date
to become subject to the workers' comperi ation laws of California, and agre
Iply With those provisions.
Date,^ Zo Z-2
permit is issued (Section 3097, Civil Cade).
vner's or Authorized Ad
FOR OFFICE USE ONLY
Name " "` LA