HomeMy WebLinkAboutXR2023-0389 - Permits�EwPoRT City of Newport Beach
F Community mentDe P artment-Buildin 9 Division
O X R 2 0 2
�. 100 Civic Center Drive, Newport Beach, CA 92660 3 0 3 8 9
--. ? Permit Counter Phone: (949) 644-3288
c r Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
Combination Type - SFP ELEC
Work Class - Other
COMB Permit : XR2023-0389
Plan Check No: PC2023-0305
Issued Date : 03/0112023
Inspection Area : 3
P
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 : 462 WESTMINSTER AVE
Legal Desc : N TR 4641BLK LOT TR 464 LOT
IRREG LOT IN LOT
Description: SFR ENERGY STORAGE SYSTEM
Owner: GREENBERG CATOU L TR C L
Contractor':' RENEWABLE ENERGY ADVANTAGE Architect
Address : 462 WESTMINSTER AVE
Address : 2815 JUNIPERO AVE #115
.;Address
NEWPORT BEACH, CA 92663
SIGNAL HILL, CA 90755
Phone : (949) 233-4281
;Phone : (888) 416-1415
°:: Phone
Con State '.Lie : 982201
- State Lie:
:Lie Expire > 03/31/2023
Applicant: RENEWABLE ENERGY ADVANTAGE
Bus Lie: BT30076463
Engineer:
Address : 2815 JUNIPERO AVE #115
Bus Lie Expire : 09/30/2023
: Address
SIGNAL HILL, CA 90765
Phone: (888) 416-1415
Workers' Compensation Insurance
-. Phone:
Carrier: 'STATE FUND
Owner/Builder :
Policy No,: 9221975
Designer: RENEWABLE ENERGY ADVANTAGE
Address :
W. C. Expire : 11/30/2023 '
Address: 2815 JUNIPERO AVE #115
SIGNAL HILL, CA 90755
Phone:
Phone : (888) 416-1415
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation : $14,000.00
Type of Construction : V-B
Fire Hazard Zone NO
Added/New/Ti sq. ft. Bldg : 0
Occupancy Groups : U,R-3
No of Units : 1
f Alteration sq. ft. Bldg
Bldg Height:
No of Stories : 2
Added/New sq. ft. Garage: 0
TOTAL sq. ft. : 0
Building Setbacks: Front: 15, Side: 4, Side: 4, Rear: 10
Flood Zone : X
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Use Zone: R-1 - Single -Unit Residential
PROCESSED BY:
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SPECIAL CONDITIONS: °°
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OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors`.State License Law forthe reason(s) indicated below by the cheokmark(s) I have placed next to the applicable €term(s) .
(Section 703C: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 islicensedpursuant to the provisions of the: Contractors' State License Law (Chapter 9 (commencing with Section 7000) of t)ivision'3 of the Busin4s and
Professions Code) or that he or she, is exempt from koansure 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 f
not more than five hundred dollars ($500),.
El I, as owner of the property, 6r my employees with wages as their sole compensation, will do U all of aT U portions of the work, and the structure is not intended proffered for safe {Section7044„
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, througt employees'.. or personal. effort, builds or Improves the property, provided that the
improvements are not intended or offered for sale. If, however; the building or improvement. is sold within one year of completion, the Owner-BuiRlerwitl have the burden of proving that:)(: was not built or
improved for the purpose of sale):
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7041, Business and Professions Code: The. Contractors' State License Law does nGt
apply to an owner of properly who builds or improves.thereon, and who contracts for the projects with a licensed Contractor pursuant. to the Contractors' State License Law),..
f l am exempt from licensure udder the Conhaetors'State License Law for the following reason;_ - 1
i hereby affirm under penalty of p ,rjury th f 1 am licensed under provisions4 C ler g {ca0m,7ncIng with Section 70 lof ivision 3 of the Business and ssions Code my license is In full force
and effect. License Class ( License: No c) Z 2 ➢ate ( 2 CoRtractor3igna-
WORKERS' COMPENSATION DECLARATION:
WARNING: FAILURE TO SECURE WORMRS' COMPENSATION: COVERAGE IS. UNLAWFUL. AND SHALL SUBJECT AN. EMPLOYER TO CRUNNAL PENALTIES AND CIVIL PINES UP TO OWE HUNDRED THOUSAND DOLLARS ISt00,000), IN ADDITION TO THE
COST OF CCMPEN$A tQIL DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE. LABOR CORE; INTEREST, AND ATTORNEY'S FEES. - - -
hereby affirm under pan Shy 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 df IndustrialRelations, as provided for by Seciion. 3700 of the Labor Cede,: for th
p rmance of The work for which this permit is issued. Poflcy No. :
01 eve and will maintain workers compensation or insurance, as: required by Section 3700 of the LabCode, for the performance -of the work for which this: permit is issued, My workers' compensatio
nsu nce MET nd lie num a€arre:_ ( f p _ 11 0/
2� ler ir+� 7� Policy Number 7 2 Z I ( Expiration Date �T—
Name of Agent Phone
I certify that, in the pencrinanee of the work for which this permit is is%od. I shall not employ; any person in any manner so as to become subject to the workers' compensation laws of. California, and -agre
that, it I should become su bf _ bloc _ ` p forthwith comply wtiih those provisions. ect to the workers' co nsation roV(sions of Section 3700 of the Labor Code, I shall forthw, 3
S a construction
uy my.slgnai
i am the
Ihave re
m
Dom/ /
this permit is issued (Section 3097,. Civil Cade).
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PERA41TEXPIRED. U I SUBMITTED ASBESTOS NOTIFiCAttQN TO
PERMIT CANCELLED E3EPA- . . • . . •.
FER,NiTEXTENPED ttmO'
PERPAITFINAL ?�-3-23 ASBESTOS NOTIFICATION T$ NOT ARPUCABLE TO
CERTIFICATE OF .PROPOSED DEMOLITION • • • • • • • •
OCCUPANCYISSUED SIGNATURE: e e r o e
III O. I a O II. I