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Home My WebLink AboutXC2022-2051 - Permits�aEWPO?r City of Newport Beach e Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 °'�4FoaN`P newportbeachca.gov/inspections Combination Type - ELEC Work Class - Other COMB Permit : XC2022-2051 X C 2 0 2 2 2 0 5 1�� II Plan Check No : PC2022-2787 Issued Date : 02/21/2023 Inspection Area : 7 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: 4241 MACARTHUR BLVD Description: COMM TESLA EV CHARGING STATIONS Owner: 1ST NEWPORT INVESTMENT LLC Address : 2001 DUBLIN DR GLENDALE, CA 91206 Phone: (818)662-5005 Applicant: BRITTANY BERNAS Address : 3500 DEER CREEK RD PALO ALTO, CA 94304 Phone: (760)271-7947 Owner/Builder : Address : Phone: Legal Desc : P BK 45 PG 23: PAR 2 TR 7770 LOT 4 POR OF LOT (P M 45-23 PAR 2) Contractor: M C CONTRACTING Architect Address : 13619 TWELFTH STREET #B Address CHINO, CA 91710 Phone: (909)464-9400 Phone: ..... Con State Lic : 813166 - State Lic Lic Expire : 11/30/2024 Bus Lic : BT30080736 Engineer: KABAK JOHN Bus Lic Expire : 02/29/2024 Address : 5830 FURLONG DR MEDINA OH 44256, CA, Workers' Compensation Insurance Carrier: INSURANCE+COMPANY+OF+THE+WEST Policy No : WSD5D5613701 W. C. Expire: 7/20/2023 Code Edition : 2019 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : U No of Units : 0 Bldg Height: No of Stories ; Building Setbacks Flood Zone : X Use Zone : PC - Newport Place PROCESSED BY: �-ewfl— SPECIAL CONDITIONS: HAULER CR$R Phone: Designer: STEVEN P SCHAUB Address: 520 S MAIN STREET, 2531 , AKRON, OH 44311 Phone: (330)572-2100 Construction Valuation : $150,000.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 OWNER -BUILDER DECLARATION i hereby affirm under penalty of penury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the eheckmark(s) I have placed next to the applicable hem(s) (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 previsions of the Contractors' State License Caw (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 7031Z by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 000). 0 1, as owner of the property, or my employees with wages as their solecompensation, will do t_) all of or C_) portions of the work; and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: 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 Lhat 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 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 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' Slate License Law), I�...` I am exempt from ]!censure 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 :far at least one year prior to completion of the improvements Cove€ed by this permit, I cannot lsgall! yell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I under staand that a copy of the applicable law, Section 7044 or the Business and 7rofessions Code, is available upon request when this application is submitted or at the following Web Biteihttp:liwww.leginfo.ca.gov(calaw.btm]. 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 700 0 f the Business and Profes,Bl Code, and tic ticIn full force and effect. License Class License No DaContractor Signature NORKERS' COlvYiHNSATION DECLARATION NARNING: FAILURE T6 6EL,JRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS PI100,000), iN AUDITION TO THE COST OF rY,MPENSAVON, Dn•tlAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES_ hereby affirm under penalty of perjury one of the following declarations: 1 'rave and will r,ialmam a certificate of consent to seiNnsure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th, Ierryfmance of the wore 'cr which this permit is issued. Policy No, have and will rauintatn 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' componsatioi trance carrier aLd polivy number are: ler_ Policy Number Expiration Date Is of Agent Phone # certify that, OL!ha perormance of the work to 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 agre _ if I Should becunre subject to the rker o pensatlon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,aLur, of Appliwar t , _. 700 Dalt� 11 APATUDIN riF RAPT a rn?JCTPU `TIEVN I PIMPHIJOI arIrt areby 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). elar's Name Lenders Address my signature below, I certify to each of the following: I an the property owner or authorized to not on the property owner's behalf. I have read this application and the information 1 have provided is correct. f agree to comply with all applicable city and county ordinances and at laws relating to building construction. I authorize representatives of this city or county to ant rtlielybove I -d property for inspection purposes wnr,'n „r ornncm, n,, ., „r A.,e„I 7" i LV P,u,f o... 0,, A„rh—i—H snarl. ,vim f�"nl Vn.A ACTION DATE ! By DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR orna USE ONLY ( l REGULATIONS PART 61 OF TITLE AO AND AQMD RULE all —SUBMITTED PERMITEXPiREO p ASBESTOS NOTIFICATION TO PERMITFINAt i 6dASBIiSTO5NOTEJCA11ON15 A U LB TO CERTIFICATE OF PROPOSIWDEMOLITfn OCCUPANCYISSUEO SIGNATU (�,1