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E2022-0421 - Permits
City of Newport Beach Community De elopment Department - Building Division 10o Civic CentE r Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Reqi lasts Phone: (949) 644-3255 Combination Wnrk Class - PERMITS EXP NO Job Address: 4222 CAMP Description : INSTALLAT INSTALLAT Owner : EWS B & C LP Address : 636 HARBOR CA 92660 Phone: Applicant: EVERCHARGE Address: 548 MARKET FRANCISCO, C Phone: (888)342-7383 Owner/Builder: Address Phone : Code Edition : 201 Type of Construction : Occupancy Groups: U Bldg Height : Building Setbacks Flood Zone : X Use Zone : CA PROCESSED BY: SPECIAL CONDITIONS: IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIII COMB Permit : E2022-0421 Plan Check No : Issued Date : 07/1812022 Inspection Area : 7 mple INSPECTOR 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREA'S N TR 3201 BILK LOT 25 Ti 3201 LOT 25 AND LOT 26 DR Legal Desc : CHARGERS FROM NEW 250A, 208V 30 PANEL J OF (8) NEW EVSE 00 PANEL. 30 PANE FROM EXISTING d OF NEW 250A MILO, 208V, : EV RCHINC Architectcontractor ARKS, T. 31647 SAN AND DR NEWPORT BEACH, Address : 54R8AN Address ISCOCA 94E04 Phone : (BBB) 342-7383 Phone Con State Lie : 1053768 State Lie dC Lie Expire : 05/31/2023 BT30078737 Engineer STREET, 31647 SAN Bus Lie : 94104 Bus Lie Expire : 05/31I2023 Address: Workers' Compensation Insurance phone Carrier: TECHNOLOGY INSURANCE COMPANY INC EVERCHARGE INC Policy No : TWC4014377 Designer : Address : 548 MARKET STREET, 31647 SAN W. C. Expire : 8/17/2022 FRANCISCO, CA 94104 Phone: (88B) 342-7383 NO Construction Valuation : Fire Sprinklers : Added/New/TI sq. ft. Bldg : 0 Fire Hazard Zone: Y Alteration sq. ft. Bldg : No of Units : 0 Added/New sq. ft. Garage : 0 No of Stories : Office --Airport V VYIYCR-b41L V GR 4J L-L LHRH I l Vry 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 items) (SECIIOn 7031.5. Business and Professions Code: Any city or county that requires a permit to Construct alter. Improve, demolish, or repair any sl€Ucture, prier to its Issuance, also requires the applicant for the permit to fife a signed slatOmant that ho or she is licensed pursuant to the provisions of the Contractors' Slate License Levy (Chapter 9 (commencing with Section 7000) of Division 3 Of the Business and professions Cade) or that he or she is exempt. from licensors 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 net more than five hundred dollars (:5500). - ❑ 1, as owner of the property, or my employees with wages as their sole compensation, Will do ( ) 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' Stele 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. IL 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 builtor improved for the purpose of Sale). ❑ 1, 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 a.E.ply to an owl v of oroperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors` Sate License taw), am exempt New lcensure under the Contractors' Slate License Law for lhe following reason: ---_ -------- ------- -c- pit -- ---- rove e .__....—...._ _- 2/ Tt signelcrc h,;lo.r acknowledge llia6 except for my personal residence In which i must have resided for of toast one year prior to completion of the Improvements covered by (his pemnit, I. cannot legal) sell a struciur^'hat I have built as an owner-bullder if it has not been constructed in Its entirely by licensed contractors. I understand that copy of the. applicable low, Section 7044 Of the Business and S ?rofcsslons Cod,,, Is available upon request when this application Is submitted or at the following Web site:hope/wwwJeginfo.ca.govlcalaw.html. ' Sic n hire or Propa.rtV Owner or Authorized Agent,__-_ ICF,NSED CONTRACTOR'S DECLARATION Date 1 I rp,�by affirm under penalty of perjury that I an, licensed under provisions of Chapter9 (commencing with Section 7000) of Division 3 of the Business and Professions and effect. License Class License No Date �— m liCensa is In full force WOPri ERS' COMPENSATION DECLARATION K 2G-2� Contractor 5ignatvoe WARNING: FAILURE a SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I3106,p 'I COST O' COMPENSATIOi � DAMAGES AS PROVIDED FOR IN SECTION 3706. OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES, OtlI, 1N ADDITION 7O THE ll hereby affirm L ller Penalty of perjury one of the fallowing decferatlons: Iff'LI hove and will maintain a certificate of consent to self -insure for workers' compensation. issued. by the Director of Industrial Relations as provided for by Seclioh 3700 of the Labor Cade, far thg pperformance of too wo.k for which this permit Is Issued. Policy No. and will maintain 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' carrier and policy number are: PolicyNumber a of Agent Date certify that. in the performance of the work for which this permit Is Issued, I shall not employyany person in any manner so as to become subject to the Workers' compensation laws of California, and If I should become s : • o:the workers' Compensallon provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. ..,,.__ of ._ �. Bale?_ baby 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 ider's Name _ Lender's Address my signature below, I certify to cacti of fhe falluwing; _ I am the property owner or authorized to act on the property owner's behalf. I have read this appllcat en and the information I have provided is correct, I agree to coniply with al applleable city and county ordinances and Slate lawsrelating to bulldmg construcllo'n, I authorize representatives of this city or county ��ert. milled property for Inspection purposes. nature Or Property ©wrier of AUdlori7Rd AnnaY "LI IVIV DATE I 6y I DECLARATION OF COMPLIANCCVJITII CODE, OF FEDERAL AEOI,ILATIONS PART al OF TITLF 40 AN AOMD RULE 1403 PFRMI r EXPIRED I I Slf INUTTFD ASAE5TOS NOTIFICATION TO PENMI7CANCELLED CPA PER,M7T F,YTENDEO AQMD -- PERJVITFINAi CEATIFICAT£Of % f LJ A5BFYT'OS NOTIFICATION IS NOT APPLICABLE 1'O .-��`-' PROPOSED DEMOLITION OCCUPANCY fS5UE6 tit - FOR OFFICE USE CNLY Civil Code). 26 - a,-, Date'.�� All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall be In place prior to approval to fill pool/spa &shall remain In place & be maintained for the life of the pool.