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Home My WebLink AboutX2020-0065 - Permitswrr, City of Newport Beach - Building Division o� 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 v &t Inspection Requests Phone (949)644-3255 Combination Type - BLDG ELEC IIIIIII�IIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2020-0065 X 2 0 2 0 0 0 6 5 Project No: 0066-2020 Issued Date : 01/3112020 Inspection Area : 7 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address. 1433 (EV) SUPERIOR AVE NB Description: MFR/INSTALL (3) EV CHARGERS (EXCLUSIVE USE CHARGERS) Legal Desc.: INSPECI"® Owner: BEACH HOUSE INVESTORS Contractor: TEDDER HAMPTON ELECTRIC COMPANY Architect: Address: PO BOX 2037 Address: 4571 STATE ST Address: ORANGE CA 92859 MONTCLAIR CA 92763 Phone: Phone: 909-618-6227 Phone: State Lie: Applicant: SANVEERIBLAIR CHURCH R FLYNN Con State Lie: 288589 Engineer: MOWRY DAVID +o„ Address: 451 CLOVIS AVE #200 Lie Expire: 01131/2021 Address: 451 CLOVIS AVE #200 '„+• + CLOVIS CA 93612 Bus Lie: BT30048200 CLOVIS CA 93612 Phone: 559-326-1400 Lie Exp Date: 08131/2020 Phone: 559-326-1400 State Lic:C-054414 , e ° •+® Code Edit: 2019 Type of Construction: VB Occupancy Group: U Added /New sq.ft. Bldg: 0 Added/New sq. ft. Garage: 0 No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Building Permit Fee: $1,270.00 Plan Check Fee: $1,104.90 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $18.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $5.0y. $2,686.64 PROCESSED BY: ZONING APPROVAL: Worker's Compensation Insurance Carrier: STARR INDEMNITY Policy No: 1000001878 Expire: 10101/2020 Building Setbacks Use Zone: Excise Tax: Additional Fee: Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee : Electrical %: Mechanical %: Plumbing %: Rear: I Front: I Left: / Right: / 3arkino Soaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $166.24 $0.00 $0.00 Plan Check Fee Designer: Address: Phone: Special Conditions: Fire Hazard Zone : Planning Department - Plan check Fee: Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PAN Plan Check : $82.50 San Dist : $0.00 NMUSD Fee: $0.00 $1,304.74 PUBLIC WORKS PLAN CHECK BY GRADING APPROVAL: - APPROVAL TO IS Fire Department $40.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $1,381.90 000coo + ° • c c PG ° o v oe o ••coo ° •0000 emo°so ° o ° ° �00000 OWNER -BUILDER DECLARATION I 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 item(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 ie 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 rofessions Code) or that he or she is exempt from Iicensure 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 )t more than five hundred dollars ($500). ] I, 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, usiness 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 that the iprovements 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 1proved 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 oply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ] I am exempt from Iicensure under the Contractors' State License Law for the following reason: y 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 lega11N all 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 rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. ignature of Property Owner or Authorized Agent Date ICENSED CONTRACTOR'S DECLARATION hereby affirrrj ygrier penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 of Division 3 of the Business and Prof ssions CoSie/and m }tense is in full force nd effect. licegsEfClass License No Date /- ontractor Signature�`/i y1 /ORKERS' COMPENSATION DECLARATION AMING: FAILERLP-"fXCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. bare by affirm under penalty of perjury one of the following declarations: I have anal vfilj pfaintain 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 th 9rf� fiance of the work for which this permit is issued. Policy No. :�ttlJ ve and WIII'rilal'ntain 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' compensatiol Is}u ce carrier §nd policy number are: riel Policy Number Expiration Date AgenN;=• in, %it'pgrformance of the work for which this Nomne subject to_th-e workers' comWnsatio of 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 ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Datq. /- 3/- Z0 20 i =.reby affirm under enalty of perjury that there is a conduction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ider's Name Lender's 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 coun t the ova-ide 'fled pro any for inspe n purposes. inature of Prooertv Owner or Authorized A �-: Print Property Owner's or Authorized Agent's Nam✓Y+l &;,Ll Lhq. ACTION DATE BYE DECLARATION I REGULATIONS OF CO 10FKTITDE 40 AND AO MD FEDECE WITH CODE OF RAL FOR OFFICE USE ONLY 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED DEPA PERMITEXTENDED QM PERMITFINAL 3.31 •Z'0 5[ Yj,-CS BESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: