HomeMy WebLinkAboutXR2023-0851 - Permits�tiWPoRr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2U23-U851
Community Development Department- Building Division X R 2 0 2 3 0 8 5 1
F 100 Civic Center Drive, Newport Beach, CA 92680 Plan Check No: PC2023-0737
G S Permit Counter Phone: (949) 644-3288 Issued Date : 04/03/2023
.s. Inspection Requests Phone: (949) 644-3255 Inspection Area : 8
�q(tFOpN�P newportbeachca.gov/inspections
Combination Type - SFP 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 : 1307 SUSSEX LN Legal Desc : N TR 1896 BLK LOT 65
Description: SFR INSTALL 27KWH ENERGY STORAGE SYSTEM.
Owner: Michael & EDEN Manning
Address : 20151 SW Birch, 150
Newport Beach, CA 92660-0773
Phone : (949) 250-4200
Applicant:
JOJO COLLINS
Address :
20104 STATE RD
CERRITOS. CA 90703
Phone :
(310) 795-6453
Owner/Builder
:
Address :
Phone
Contractor:
URBAN ENERGY SOLAR INC.
Address :
10192 CONSTITUTION DR
HUNTINGTON BEACH, CA 92646
Phone :
(310) 795-6453
Con State Lic
: 944115
Lic Expire :
12/31/2023
Bus Lic:
BT30064588
Bus Lic Expire : 09/30/2023
Workers' Compensation Insurance
Carrier: STATE COMPENSATION INSURANCE FUND
Policy No: 9021421
W. C. Expire: 6/1/2023
Code Edition : 2022
Fire Sprinklers :
NO
Type of Construction : V-B
Fire Hazard Zone :
NO
Occupancy Groups : U,R-3
No of Units :
1
Bldg Height :
No of Stories :
2
Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 10
Flood Zone : X
Use Zone : R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS:
/op
Architect :
L
Address
Phone:
State Lic:
--
Engineer
Address
Phone :
Designer: URBAN ENERGY SOLAR INC.
Address: 10192 CONSTITUTION DR
HUNTINGTON BEACH, CA 92646
Phone : (310) 795-6453
Construction Valuation : $9,000.00
Added/New/TI sq. ft. Bldg : 0
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage: 0
TOTAL sq. ft. : 0
OWNER -BUILDER DECLARATION
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 checkmark(s) I have placed next to the applicable-item(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, prior to its issuance, also requires the applicant for
the permit to file a signed statement that he or she is licensed pursuant to theprovisions 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.S by any applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred. dollars ($500)_
rl I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) 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 wilt have the burden of proving that it was not buIli or
improved for the purpose of sale).
1:11, as owner of the property, am 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 property who builds or Improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law),
I am exempt from licensure under fire 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 improvements covered by this permit, I cannot legally
sell a structure that I have built as an owner -builder if it has not been constructed in Its entirety by licensed contractors.) understand that a copy of the applicable law. Section 7044 o€the Business and
Professions Code, is available upon request when this application is submitted or at the following IAleb site: httpliwvny.leginfo.ca.govlcalaw.html,
Signature of Property Owner or Authorized Agent _.._._._. Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Sectio O) of ivi ion3 oI the Business and Pr sions Cade, a d my license
is In full force
and effect. License Class License No Da ' 2 Contractor Signatur
WORKERS' COMPENSATION DECLARATION
WARNING; FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLYWFUL. AND SHALL SUBJECT AN EMPLDYER TO CRIMINAL PENALTIES AND CIVIL FINES UP To ONE HUNDRE THOUSAND DOLLARS t6tODi0001, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION ATNI OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES.
I hereby affirm under penalty of perjury one of the following declarations:
IU I have and will maintaina certificate of consent to saiNnsure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for thl
Ka ormance of the Work for which this permit is issued. Policy No.
I ve 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' compensatior
)insurance carrier and policy number are:
(Carrier S�'a f'e- i.�N^� �'^$ Policy plumber r/c 2-1 r{rd-( Expiration Date
(Name of Agent Phone If
101 certify that in. the perfo once 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 workepensation laws of California, and agre,
that, If I should becom ject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions.
!Signature of Applicant_.w-rX.wu_ 17
�.3
DECLARATION REGA DING -CONSTRICTION LENDING AGENCY'
II 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).
!Lender s Name Lender's Address
By 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 Witt) all applicable ditty and couniVdinarees and state laws relating to building. construction.
I authorize representatives of this city or county to ar the. bove-Identifled property for inspection purposes.
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorizetl A ent's Nam ��J r, VDII t'AI Da. 4 3 a9
ACTION I DAT€. BY I DECLAR ION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS. PART 51 OF TITLE 40 AND AQM D RULE
i^ 1403
PERMIT EXPIRED LJ I SUBMITTED ASBESTOS ^IOTIFICATION To
PERMITCANCELLED —LIEPA — -
PERMIT EATENDED OMD
PERNIITFINAL O�ZS Y w/ ASSES705 NOTIFICATION IS NOT APPLICABLE TO
CERTIRCATE OF �(� PROPOSED DEMOLITION
OCCUPANCY ISSUED SIGNATURE: