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Home My WebLink AboutE2022-0421 - Permits (3),,Ewao,v City of Newport Beach 4.. 0 Community Development Department- Building Division y 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 <— Inspection Requests Phone: (949) 644-3255 °9ciroaP`P newportbeachca.gov/inspections Electrical Permit : E2022-0421 Plan Check No : Work Class: Simple Issued Date: 07/1812022 Inspection Area : 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: 4242 CAMPUS DR Legal Desc : Description: INSTALLATION OF (8) NEW EVSE CHARGERS FROM NEW 250A, 208V, 30 PANEL INSTALLATION OF NEW 250A MLO, 208V, 30 PANEL FROM EXISTING 600A PANEL. Owner: Contractor Address : Address Phone: Phone: Con State Lic Applicant: Matthew Voorheis Lic Expire Address : 548 Market St #31647 Market St #31647 San Francisco, CA 94104 Bus Lic : Phone: (888) 342-7383 Bus Lic Expire Workers' Compensation Insurance Carrier : Policy No: W. C. Expire: Code Edition : Fire Sprinklers : NO Type of Construction : Fire Hazard Zone : N Occupancy Groups: Building Setbacks Flood Zone Use Zone \\\`ac PROCESSED BY: _ OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' Slate License Law for the resson(s) indicated below by the checkmark(s) I have placed next to the applicable items) (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). 111, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Coda: 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 -Builder will have the burden of proving that it was not built or improved for the purpose or sale). ❑ I, as owner of the properly, 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' Stale 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 Iegall, 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 she:http:f/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 Section 7000) of Division 3 of the Business and Professions Code, and my license is in full farce and effect. License Class License No Date Contractor Signature NORKERS' COMPENSATION DECLARATION NANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUE IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1EID0,000I, IN ADDRK)N TO THE 'DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEWS FEES. hereby affirm under penalty of perjury one of the following declarations: 1 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 In terformance of the work for which this permit is issued. Policy No. have 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' rance Cartier and policy number are: Policy Number of Agent Date certify that, in the performance of the work for which this 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 if I should become subject to the workerscompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. nature of Applicant C LARATION REGARDING 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 Lenders 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 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. nature of PrODertv Owner or Authorzed Anent Print Prooertv Owners or Authorized Adam's Name Date REGULATIONS PART 61 OFT ITLE40 AND AQMD RULE 1403 PERMITEXPIRED Lh SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCEtLED EPA PCRMfTFINAL CATION 15 NOT APPLICABLE TO CERTIFICATE OF GG G /nI OPOSED DEMOLITION OCCUPANCW55UED 4l // I YYYY LLMNIATURE- FOR OFFICE USE ONLY 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.