HomeMy WebLinkAboutXR2022-2848 - Permits44.
City of Newport Beach
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Community Development Department- Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
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newportbeachca.gov/inspections
Combination Type - SFP ELEC
Work Class - Other
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COMB Permit
Plan Check No
Issued Date :
Inspection Area : 5
: XR2022-2848
PC2022-2695
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: 232 ORCHID AVE Legal Desc : A TR RESUB OF CORONA DEL MAR BLK 142 LOT 30
Description: SFR INSTALL (2) ENERGY STORAGE SYSTEMS.
Owner: MARK PUTMAN
Address : 6139 DOVECOTE LN
MEMPHIS, TN 38120
Phone:
Applicant: BRIGHT LIFE REMODELING
Address : 933 NEWHALL ST
COSTA MESA, CA 92627
Phone: (908)489-3911
Owner/Builder :
Address :
Phone
Contractor: BRIGHT LIFE REMODELING
Address : 933 NEWHALL ST
COSTA MESA, CA 92627
Phone:
(908)489-3911
Con State Lic
: 1029267
Lic Expire:
07/31/2023
Bus Lic:
BT30079739
Bus Lic Expire : 09/30/2023
Workers' Compensation Insurance
Carrier: STATE+COMPENSATION+INSURANCE+FUN
D
Policy No: 9053332
W. C. Expire: 4/19/2023
Code Edition :
2019
Fire Sprinklers :
YES
Type of Construction
: V-B
Fire Hazard Zone
: NO
Occupancy Groups :
U,R-3
No of Units :
1
Bldg Height:
No of Stories :
3
Building Setbacks :
Front: 20, Side: 3, Side: 3, Rear: 5
Flood Zone :
X
Use Zone :
R-1 - Single -Unit Residential
PROCESSED BY:
IVA
SPECIAL CONDITIONS: HIGH DENSITY ZONE
Architect
Address
Phone:
State Lic
Engineer:
MORALES DOUGLAS
Address :
20751 KELVIN LN
ALISO VIEJO, CA 92656
Phone :
(949) 285-5104
Designer: BRIGHT LIFE REMODELING
Address : 933 NEWHALL ST
COSTA MESA, CA 92627
Phone: (908)489-3911
Construction Valuation :
Added/NewITI sq. ft. Bldg
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage
TOTAL sq. ft. :
$14,000.00
0
0
0
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the reasen(s) indicated below by the checkmark(s) I have placed next to the applicable items)
(Section 7031.5, Business and Professions Code: Any city or county that requires a pemilt 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 lie 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),
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) 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 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
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 purpose of sale).
❑ 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, Business and Professions Code: The Contractors' State License Law does not
apply 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 am exempt from licensors under the Contractors' State License Law for the fallowing reason
By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvementscovered by this permit, I cannot iegall,
sell a structure that I have 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
Professions Code„ is available upon request when this application is submitted or at the following Web site:http:ltwww.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent _ Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9' (commencing with Section 70Q0) Di ision 3 of the Business and Profes�yonnss,Code. and my license is In full force
and effect. License Class License No ID2°ILb% Da 4 tiL Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUEJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS t5100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR Cone, INTEREST, AND ATTORNEY's FEES.
hereby affirm under penalty of perjury one of lha following declarations:
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 th
p}r—monce or the work for which this permit is issued. Policy No.
slave 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' compensatio'
once carrier and pollcy1umber are: I -'
ler—4r- 1--r..tid Policy Number �Q2 32 Expiration Date 'I t 17 7,
ie' of Agent Phone H
certify that, in the performance of the work for which 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 agre
if I should become subjecl to the workers' compensation provisions of Section 3700 of the Labor Code', I shall forthwith comply with those provisions.
nature of Applicanl�D 6�_ 12-/Aja
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this penult is issued (Section 3097, Civil Code)
_tinder's Name Lender's Address _
3y my signature below, I 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 application and the information I have provided Is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county to a dentfied roperty for inspection purposes.
Signature of Property y Owner or Authorized Agent Print Proarty Owner's or Authorized A enPs Na Date 1
ACTION DATE BY i DECL ION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
RFGULATI NS PART 51 OF TITLE. 40 AND AQMD RULE
1403
PERMIT EXPIRED 1'SURM+TTED A_ Rcc
.., TOS NOTI FICATION TO
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PERMIT CANCELLED _7L-+ Pr _
4+1Q.ND
PERMIT FINAL v _q _2 �(( ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
CERTIFICATE OF ) vPROPOSED DEMOLITION
OCCUPANCY ISSUED 51GN.,TURE: