HomeMy WebLinkAboutXR2023-0485 - Permitsrlola,zkij
PoCity of Newport Beach IIIIICOMB Permit:XR2023-0485
Community Development Department -Building Division100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023 0402 r r%
Permit Counter Phone: (949) 718-1888 ^+ �`
Issued Date : 0812812023
t r newportbeachca.gov/civic Final Date: , 'yj
Combination Type - MFP ELEC Permit Status: Issued i
Work Class - Other Inspection Area : 2
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 : 2 ARIES CT Legal Desc : N TR 7817 BILK LOT 1 UN 66 TR 7817 LOT 1 UNIT 66 OF PROJECT L OCATED ON AP
Description: MFR - (1) 10.08 KW ENERGY STORAGE SYSTEM
Owner: THE BRIAN KEITH GISH LIVING TR
Address : 2 ARIES CT
NEWPORT BEACH, CA 92663
Phone : (949) 246-0515
Applicant: SIMON FERMANIAN
Address : 9102 FIRESTONE BLVD, G
DOWNEY, CA 90241
Phone : (562) 923-0110
Owner/Builder :
Address :
Phone:
Contractor :
EVOLUTION ENERGY
Address :
9102 FIRESTONE BLVD SUITE G
DOWNEY, CA 90241
Phone :
(562) 923-0110
Con State Lic
: 944493
Lic Expire :
08/31/2024
Bus Lic :
BT30078264
Bus Lic Expire : 03/31/2024
Workers' Compensation Insurance
Carrier: STATE FUND
Policy No : 9146301
W. C. Expire : 10/27/2023
Code Edition : 2022
Fire Sprinklers :
NO
Type of Construction : V-B
Fire Hazard Zone :
NO
Occupancy Groups : R-2
No of Units :
7
Bldg Height :
No of Stories :
3
Building Setbacks
Flood Zone : X
Use Zone : PC - New/pert Csest = U915$6,
PROCESSED BY:
SPECIAL CONDITIONS:
Architect
Address
Phone:
State Lic
Engineer:
RYAN MCPHERSON
Address:
9240 LIMONITE AV
JURUPA VALLEY, CA 92509
Phone :
(909) 569-2244
Designer
Address
Phone :
Construction Valuation : $4,000.00
Added/New/TI sq. ft. Bldg : 0
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage : 0
TOTAL sq. ft. : 0
OWNER -BUILDER DECLARATION 4
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 clieclomi I have placed next to the applicable ftem(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, poor to its issuance, also requires the applicant for
the permit to file a signed statement that do 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
Professions 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
not more than five hundred dollars ($500).
El 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Code. The. ContractorsState License Law does not apply to an owner of property who, through amployeas'<Yr 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 -Builder will have the burden of proving that it was not built or
improved for the Pi Of Sale).
El 1, as owner of the properly, ant exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
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),
0 1 am exempt from licensure under the Contractions' State License Law for ME, following reason: , , -, - - — _ ----- -------- __ -------
By my signature below I acknowledge that, except for my personal residence in which I must resided for at least one year prior to completion of the improvements Covered by this permit, I cannot legally
,Sell a struchim that I have built as an ownar-builder if it has not boon constructed in its entirely by licensed contractors. I understand that a copy of the applicable low, Section 7044 oli Business and
Professions Code, is avaiiatse upon request when this application is submitted or at the following Web site:http:tlw,Aw.leginio.co,govtcolow.iitmt.
Signature of Property Ownernr Auffi Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty I4 perjury that I am licensed under provklons oT��(? ending with Section 70 04 ion 3 of the Business and Pro sale Coda an
and effect, License Class 6 , If —10 License No DatAZ iI 1;n� Contractoregy license is in full force
WORKERS' COM PE NSAT(ON DECLARATION LN —I
WARNING: FAILURE TO SECURE WORMERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,r001, IN ADDITION TO THE
COST OF COMPENSATION, DA1440ERAS PROVIDED FOR IN SECTION 3706 OF THE LABOR COUP, INTEREST, AND ATTORNEYS FEES,
I hereby affirm under penalty of perjury one of the following declarations:
0 1 have and will maintain a certificate of consent to self-insurefor worker,,' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for in,
it) maiice of the work for which this permit is issued, Policy No,
eve 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' comperisatior
Once Carrier and policy number are, Yii -7 ) I
ir�n Policy Number 7�2 —Expiration Date A01, 2
Name of Agent — 'T
Phone # 4
Ell certify that, in the performance
Due oft work for which this permit is issued, I shall not employ any APPSOO in any manner so as to become subject to the workers' compensati ri laws of California. and a9i
`a
'that, If I should become 112at to
1 0 Pikers' Compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature or AppliL
DECLARATION REMbiN&CONSIRLICTIO - N - LEN&m6wdelki�y___ to
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
l_endPr'g Name Lender's Address
By my signature below, I certify to each of the following.
I am the property owner or authorized to art on tire property owner's behalf,
I have read 11rus; application and the information I have provided is correct.
I agree ocomply with all applicable city and county Podium US and state laws relating to building construction.
I aulhod7o representatives of this city or county ante above -identified property for inspection purposes.
Signature Of P(ODertv Owner or Authorized P Print Property Owner's or Authorized Agpots N,Rmi OUR
a
ACTION DATE RVV DECLARATION Or CONIPUANCF WITH CODE OF FEDERAL FOR OFFICE USE RNLI
I i REGULATIONS PART 61 OF TIT Lf, AnAND AQrAD RJULF I
PERMIT EXPIRED
Pfjavi7CRNii
PERMIT EXTENDED'
NOTIFICATION TO
PERNUTONAL 1 ;;V 1 UA5BFSIOS N011HCA! ION IS NOT APPLICAULt 10
CEP rIFICACE OF PROPOSED DEMOLITION
OCCUPANCY ISSUED SIGNATURE