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HomeMy WebLinkAboutXR2022-2092 - PermitsEWroRT City of Newport Beach p @ Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 ' S o- Permit Counter Phone: (949) 644-3288 cqt/Fp Inspection Requests Phone: (949) 644-3255 RT��P newportbeachca.govfnspections Combination Type - SFP ELEC Work Class - Other ���III��111111111111111111111111111111111111111111111111COMB Permit : XR2022-2o92 Plan Check No : PC2022-1928 Issued Date : 11/10/2022 Inspection Area : 4 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: 42 MONTGOMERY Legal Desc : N TR 15517 BLK LOT 64 Description: SFR 10.08 KW ENERGY STORAGE SYSTEM/BATTERY, Owner: UDKOFF COREY TR .. Contractor: PLUG IT IN SOLAR tt. Architect Address : 42 MONTGOMERY Address ` ,15013CALIFA ST - Address: NEWPORT BEACH, CA 92660 VAN NUYS, CA 91411 Phone: Phone :: (818)f670-7769 Phone Con State Lie : 986882 _°: State Lie: ' Lie Expire : 09/30/2023 Applicant : LUIS OCAMPC Bus Lie ': BT30080031 'I Engineer Address : 15013 CALIFA ST Bus Lie Expire : 11/30/2023 -;. Address: VAN NUYS, CA 91411 Phone: (818) 670-7769 Workers' Compensation Insurance Phone: Carrier-ACEAMERICANINSURANCECOMPANY Owner/Builder : Policy No: C6999717A Designer: PLUG IT IN SOLAR Address : ' W. C. Expire: 3/1/2023� "' Address : 15013 CALIFA ST VAN NUYS, CA 91411 Phone: _ -_ Phone: (818) 670-7769 Code Edition : 2019 Fire Sprinklers : . NO Construction Valuation : $4,000.00 Type of Construction : V-B Fire Hazard Zone NO = `Added/NewlTI sq. ft. Bldg : 0 Occupancy Groups: U ` No of Units : .. 1 '' Alteration sq. ft. Bldg Bldg Height: Noof'Stories : 2 Added/New sq. ft. Garage : 0 - TOTAL sq. ft. : 0 Building Setbacks : Front: 15, Side: 5, Side: 5, Rear: 5 Flood Zone: X Use Zone : PC - Bonita Canyon PROCESSED BY: IJ SPECIAL CONDITIONS: . . . 0 o a °o° °ao a © oa oa uue OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License taw for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable Rem(s) ction 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 lioensure and the basis for the alleged exemption. Any vlolation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of more than five hundred dollars (U00).. I 1 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of I lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through. nprovements are not Intended or offered for sale. If, however, the building or improvement is sold within one year of comf n roved for the purpose of sale), I, as owner of the properly, am exclusively Contracting. with licensed Contractors to construct the project (Section 7044. rP,ply to an owner of property who builds or Improves thereon, and who contracts for the projects with a Licensed Contractor J I am exempt from 3icensure under the Contractors' Slete License Law for the following reason: fy my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one all a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I ur >rofessions Code, is available upon request when this application is submitted or at the following Web site:httpJiwww.tegin signature of Property Owner or Authorized Agent -ICENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing. with Section 7pp0�q and effect, License Class License No Date _�,1 �t. YORKERS' COMPENSATION DECLARATION JARRING: FAILURE TO SECURE WORKERS` CONVERSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL :OST OFCOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE.. INTEREST, ANO AT€ORNEY'S FEES. hereby affirm under penalty of perjury one of the following deolarafions: I have and Will maintain a certificate of consent to self4rtsure for workers' compensation, issued by the Director o -{.formance of the work for which this permit is issued. Policy No. pi have and will maintain workers' compensation insurance, as required. by Section 3700 of the Labor Code, for the pi t rance carrier and policy number are: Policy Number as of Agent certify that, in the performance of the work for which this permit is Issued I shall not employ arty person in any , if I should become sub''' of the workers' compensation provisions of Section 3700 of the Labor Code,1 shall lature of Applicant�— !reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work I Ider's Name Lenders Address my signature below, 1 Gently 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 clty and coup ordinances and state laws relating to building construction. I authorize representatives of this city or county t en the S�ove-identified property for inspection purposes. REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE SUBMITTED PERA41T FINAL CER FIGATEUPANCY SStJfD I ry9/h �7 �/ SPRO '�,MPOS£STO'D DEM"NNOTIFICATION IS NOT APPLICABLE TO o e • • s • e s • • • •e • s o e e e ra m occ o0 00 0 0 00o mo , and the structure isnot intended or offered for sale (Section 7044, ees' or personal effort, builds or improves the property, provided that the the Owner-Builderwill have the burden of proving that it was not built or and Professions Code: The Contractors! State License Law does not to the Contractors' State License law). to completion of the improvements covered by this permit, I cannot that a copy of the applicable law, Section 7044 of the Business and Date he Business and Pro Contractor Signature my license is Ili full force CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS BI100,0001, IN ADDITION TO THE Industrial Relations as provided for by Section 37DO of the Labor Code, for of the work for whichthis permit is issued. My workers' Date o as to became subject to the workers' compensation laws of California, and agre comply with those provisions. I 1 �J Date�I" )O •2y permit is issued (Section 3097, Civil Cade). USE ONLY