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HomeMy WebLinkAboutX2021-1520 - PermitsCity of Newport Beach - Building Division r 100 Civic Center Drive, Newport Beach, CA 92660 ` Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - BLDG ELEC IIIIIIIIIIIIIIIIilllllllllllllllllllllllllllllllllllllllllll COMB Permit: X2021-1520 Project No : 1336-2021 Issued Date: 0910212021 Inspection Area : 7 PERMIT EXPIRES 160 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 09/02/2024 OR PERMIT WILL BE INVALID 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: 445 E COAST HWY NB �a Description: COMM (3) ELEC CAR CHARGERS "BENTLEY" Legal Desc.: P BK 25 PG 46 PAR 1 ` �' - •°"• Owner: NEWPORT BEACH CARS Address: 110 SE 6TH ST 426TH FORT LAUDERDALE, FL 33301 Phone: Applicant:. YOUNG CORONDA Address: 720 S. ROCHESTER AVE STE A ONTARIO, CA 91761 Phone: 909-786-8043 Code Edit : 2019 Type of Construction: 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: Flood Zone: Valuation: $17,000.00 Building Permit Fee: $368.00 Plan Check Fee: $320.16 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $30.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee: $1.00 TOTAL FEE: $819.33 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: ABM ELECTRICAL POWER SERVICES LLC Address: 720S ROCHESTER AVE #A Address: ONTARIO CA 91761 Phone: 951-522-8855 Phone: Con State Lic: 989000 Engineer: Lic Expire:. - 12131/2021 Address: Bus Lic: BT30065555 Lic Exp Date: 11/3012021 Phone: Worker's Compensation Insurance Designer: Carrier: ACE AMERICAN Address: Policy No: WCUC6589581A Expire: 11/01/2021 Phone: Building Setbacks Excise Tax: Additional Fee: Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee : Electrical %: Mechanical %: Plumbing %: Rear: / Front: / Left: / Right: / $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $48.17 $0.00 $0.00 Architect: VV State Lic: State Lic: FAWZY ENGY 720 S. ROCHESTER AVE STE A ONTARIO, CA 91761 909-786-8043 ••a• o e s• o •ee• • o •e• o m• a a • ea+ao e •e m•a•o o Dome- e• 0 e ♦ 60 P®AaCC • e- a •aoox® o•.o� 0 Special Conditions: I1 V I EC 1 DR Planning Department - Plan check Fee Fair Share: SJH Trans : In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PAN Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $52.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service "-- -- $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 Plan Check Fee : $386.03 Fee Due at Permit Issuance : $433.30 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: 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) action 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 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 �fessions 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 more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, siness 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 )rovements 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 )roved for the purpose of sale). I, as owner of ltr property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not )ly to an owned eoperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ,Lary Dxempt frpjn liVnsure under the Contractors' State License Law for the following reason: my signature below Imcknowledge 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 legally .a structure thatl (lave 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 �f€.W&hs Code, IS available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.govlcalaw.htmi. patuje of ProR&tmO ner or Authorized Agent at ;EV= ED CONTRACTOR'S DECLARATION - ,reb� affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 t1�Q� Di Ision 3 of the Business and Prof it od ense' hTT11I force I eifeGt. Licehs9 �la,'ss License No Da(.� `1 Z Z Contractor Signat AVERS' COMPENSATION DECLARATION - - . 2t�IU.NG:FAILURE TO SE01iRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Sg BJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES OP TO ON HOgSAND DOLLARS ($100,000), IN ADDITION TO THE IT OF COMPENSAII0Id, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES. iMbf $ffirm under penalty of perjury one of the following declarations: I*have and ItIm'a`Igtain 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 the �ormance 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' compensation uance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # DI certify that, in the perfor ce of a Ich 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 agree that, if I should becomes le I t wor omp n ovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / Signature of Applic Date�9/Z! Z DECLARATION G R N LE G AG Y I hereby affir under pe urythat they a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Na a Lender's Address By my signs ow, I certify t 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 provi orr I agree to comply with all applicable city and county o ' an gilding constructi I authorize representatives of this city or county a ab tified erty for ins ur as. Signature of Property Owner or Authorized Age Print e y wner's or Authorized Agent's Name 0, PiOst, Z L� ACTION DATE '11MRAIRNN OF COMPVIANCE WIT OF FEDERAL FOR OFFICE USE ONLY REGULATI PART 610 OAND AQMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED OEPA PERMIT EXTENDED QM D PERMITFINAL �J_ 7 ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF / v/ PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: