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Home My WebLink AboutXR2022-1944 - Permits4 aE`wPoi,@ Community Development City of Newport Beam"nt-Building Division II IIIIIIIII II I III III IIIIII COMB Permit: XR2O22-1944 >• �,. y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-1787 Permit Counter Phone: (949) 644-3288 ?+� Issued Date : 08/7012022 � Inspection Requests Phone: (949) 644-3255 Cq<fFOftN�P newportbeachca.gov/inspections Inspection Area : 3 @1 p. 4Z77 Combination Type - ELEC Work Class - Other 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 : 530 RIVERSIDE AVE Legal Description: SFR - ENERGY STORAGE SYSTEM 40.5 KW Owner: ROBINSON GEOFF Address: 530 RIVERSIDE AVE NEWPORT BEACH, CA Phone Applicant: SAM STABLEIN Address: 2102 ALTON PKWY, B IRVINE, CA Phone: (714)496-0688 Owner/Builder : Address Phone: Code Edition : 2019 Type of Construction : Occupancy Groups: U Bldg Height: 92606 Phone : (650) 638-1 Con State Lic : 888104. Lic Expire : 12/31/2C 06 Bus Lick BT30021 Bus Lic Expire : 02/28/2f Workers' Compensation Carrier`: ZURICH AMER Policy No: EWS1074 W. C. Expire : 10/31/202 Fire Sprinklers : NO Fire Hazard Zone :-. No. No of Units : 0 No of Stories 0 Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 5 BLK 35 LOT 8 DERATIONS Architect NAY#B'IRVINE, CA a Address Phone: State Lic: Engineer: HECHT NIELSEN MARCUS Address: 3055 CLEARVIEW WAY SAN MATEO CA 94402, CA 94402 :e Phone : (650) 638-1028 INS CO 1 Designer: DONNY SCRIBNER Address: 2102 ALTON PKWY, B IRVINE, CA 92606 Phone: Construction Valuation : $23,500.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 Flood Zone: X Use Zone: R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: Qom ccm m m a 00 om m o rz ,. o 0 0 0 o m o 0 0�0 0 6C0 O G p J J �O 3nder penalty of perjury that t am exempt from the Contractors'Stale License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable itegt;sj usiness 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 appi cant fcT4 signed statement that he or she is licensed pursuant to the provisions of the Contractors` State License Law (Chapter 9 (commencing with Section TODD) of Division 3 of the Business and or that heorshe 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 appbcantto a civil penalty of of more than five. hDnored dollars (SbUUJ} 7 1, as owner of the property, or my employees with wages as their sole compensation; will do (,-) all of or U 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 nprovements are not Intended or offeredfor 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 not built. or nproved for the. purpose of sate);. I; as owner of the property. am exclusively contracting with licensed Contractors to construct the project. (Section 7044, Business and Professions Coda: The Contractors' State License Law does not eply 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). ,1 t am exempt :from Loensure under the Contractors' State, License Law for the following. reason: .y my signature. below I acknowledge' that, except for my personal residence In which 1 must have resided for at least one year prior to completion of the Improvements covered by this permit, I.cannot legally all structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that copy of the applicable law, Section 7044 of the Businessand 'rofessions Code„ is availableupon request when this application is. submitted or at .the following Web site:http:liwww;leginfo.ca.gov/calaw.html, signature of Properly Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter9 (commencing with Sect rI 7 ODj. I Division of the Business and Pr to G - nil my license is In full force no effect. License Class License No Date l Contrackor. Signatu ��z� VORKERS' COMPENSATION DECLARATION DARNING: FAILURE TO SECURE WORHERS`COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL. PENALTIES AND CIVIL PINES UP TOONE HUNDRED THOUSAND DOLLARS IStD0,0E0)', IN ADDITION TO THE OST OF COMPENSATION; DAMAGES A$ PROVIDED FORM SECnON3706Or THE LABOR CODE, INTEREST, AND ATTORNEY'SFEES.' hereby affirm under penalty of perjury one of the following declarations: I 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 bi, o€manes of the work for which this permit is issued. Policy No.. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of theworkfor which thispermitis issued. My workers' compereatior Isu a carrier and policy number are: ;arrier. Policy: Number Expiration Date fame of Anent: Phone# certify that, in the performance of the work for which this permit is issued. Ishall not employ any person: in any manner so. as to become subject to the workers' compensation laws of California, and agree L If I should beco a jest to the work • mpe Lion provisions of Section 3700 of the tabor Code: I she(] forthwith comply with'. those provisions. nature ofAPPlican ��.. Date �11(jiez, CLARATiON RE I I f NO AGENCY Ireby affirm under penalty of perjury that there is a construction lending agency for the performance of the work forwhich this permit issued (Section 3097, wl ode). iders Name. Lender's Address my signature below, / 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 applicatlortand the information) have provided is correct I agree to comply with all applicable city and county ordinances and state laws relating to building construction. J q P aumorire representatives of this city or cot(rt)y toe ect bpi e-IW fial-property for inspection purposes.: DATE I BY, J \,L 6€CLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE 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 n.place & be-maintainedfor the ' � • • AS86119M NOftFICATION is NOT APPLICABLE TO life of the pool. 1z--�5'ZZ ��i� acr,enccrt ncannl mnW • • • • • • • • • • e m m m ram 0 0 0 0 0 0 0 00o moo 00 o c Doc oc