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Home My WebLink AboutXR2022-3336 - PermitsCity of Newport Beach p� @ Community Development Department- Building Division e 100 Civic Center Drive, Newport Beach, CA 92660 " i ems. Permit Counter Phone: (949) 644-3288 cqt/Fp0.N�p Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Combination Type - SFP ELEC Work Class - Other 111�1 111111111111111111111111111111111111111111111111111 11111COMB Permit : XR2O22-3336 Plan Check No: PC2022-3220 Issued Date : 0110412023 Inspection Area : 5 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: 4607 DORCHESTER RD Legal Desc : N TR 3519 BLK LOT.89 Description: SFR ENERGY STORAGE SYSTEM 10KW Owner: LEIFER MICHAEL H TR Contractor: VASCO SOLAR ENERGY CONST Architect Address : 1900 MAIN ST UNIT700 Address : 17150 NEWHOPE ST#403 Address CORONA DEL MAR, CA 92625 FOUNTAIN VALLEY, CA 92708 Phone: ;Phone: (714) 9688845 Phone: Can State Lic : 608260 State Lic Lic Expire`: 11/30/2023 • ° •. Applicant: VASCO SOLAR ENERGY CONST Bus Lic: BT30058273 -' Engineer: ®• ° ° • ° Address : 17150 NEWHOPE ST#403 Bus Lic Expire: 03/31/2023 -, Address : o.®.o® FOUNTAIN VALLEY, CA 92708 ° Phone: (714) 968-8845 Workers' Compensation Insurance Phone "Carrier: STATE FUND °... Owner/Builder: Policy No: 1567165 — Designer: VASCO SOLAR EN ERG*( CCAST Address : :W. C. Expire: 7/1/2023 Address : 17150 NEWHOPE ST#403•••• FOUNTAIN VALLEY, Clf9R308 Phone: Phone: (714)968-8845 Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $12,800.0®• Type of Construction : V-B Fire Hazard Zone NO JAdded/Newrri sq. ft. Bldg : 0 • Occupancy Groups : U No of Units : 1 ':.' Alteration sq. ft. Bldg : • • • ° o Bldg Height: No of Stories : 1 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 Building Setbacks : Front: 6, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS: --uf^a • • o • °°°.°• • • I, as owner of the proped :iness and Professions Cc rovements are not intendt roved for they purpose of a I, as owner of the propert ,ly to an owner of property i am exempt from Iicensu my sionaturebelow I actin xemot from. the Contra so as their sole compensation, will do.(_}I tense Law does not apply to an owner of ever, the building or improvement is sold I with licensed Contractors to construct the ron, and who contracts for the projects will le License Law for the fallowing reason: _ Of eckmark(s) I Have placed nex Business and Professions Code: The Contract pursuant. to the Contractors' State License Lae Deny, provided that the that it was not built or License Law does not ,all a structure that I have built as an owner -builder if it has not been constructed in its'enfirety by licensed contractors. I I inclonstand that a copy of the applicable. law, Section 70" of the Business and lrofessiohs Code, is available upon request when this: application is submitted or at the following Web sfta:nhp:liWWW.feg nfo.ce:govlcalawAtmi, iignatum of Property Owner or Authorized Agent Date .IGENSED CONTRACTOR'S DECLARATION hereby afiinn under penalty Df perjury that I am licensed under provisions of Chapter 9 (commencing With Section 70001 of Division 3 of the Business and Professions Code,and my license is In full force: ind effect. License Class. License. No: Date + 23 Contractor Signature PORKERS' COMPENSATION DECLARATION EARNING: FAILURE TO.SECUREWORNERW COMPENSATION COVERAGE IS. UNLAWFUL, AND SHALL SUBJECT AN.EMPLOYER TO CRWRAL PENALTIES AND _CIVfi fINES UP TO ONE HUNDRED THOUSAND DOLLARS't6100,000I.IR ADDITION TOTHE ;OST OF COMPENSATION, DAMAe9a AS PROVIDED FOR W SECTION 3706 OF THELA13OR CODE: INTEREST, AND ATTORNErS.FEES. _ hereby affirm undorpenafty of perjury one of the fallowing declarations: a I haV and wi11"sin'toHI a certificate of consent tosell insure for wo(kers' compensation, issued by the Directors o f Industrial Relations as provided for by Section 3700 of the Labor Code, for IN eeFemT ce of D e .w� de -for which this permit is issued. Policy No. X how and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code. for the erformance, of the work for Which this permit is issued. My workers' compensatior IsulViCA carrieer:arfd policy number are, Jn J :agier f'�y/ e' �'I}L - ! 5... r `�"v' Policy Number 156714,5 Expiration Date Olff%pf-Agent: "" Phone If .... s7iearis'ty that, int �g_p�e� armanca of the work for which this permit s issued. (shall not employ any person in any manner so as to become subjact.to the workets' compensation laws of.Califomia, and:agra, tsat,.iL ould became- to the workers' compensation provisions of Section 3700 of the Labor Code, l shalt forthwith comply with those provisions. ru44ofAppiicant��lL'�1— I Date (2'7 )ECLARATION RAPFPING CONSTRUCTION LENDING AGENCY kemirp affirm under penalty perjury thatthere is a construction lending agency the performance of the Work for which is - h a permitis issued (Section 3097,: Civil Code), .92dees'Name.: . .. Lender's Address ty my signature TA104'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. 1 agree to: comply with all applicable City and County ordinances and state taws relating to building construction. I authorize representatives of this city or County toy enter th above-Idonfifled' perty for inspection purposes. it nature ofPro a OwnerorAuthorized A ant PriniPro erty;0wner'sor:Autharizol� ent'sNama %✓'f0�ifi.J �%✓PP>� - -Date ' y Z ACTION DATE.. BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY PERMIT EXTENDED UARMD PERMIAFINAL 3-1641, ASBESTOS NWIFICATION 1$ NOT APPLICABLE TO CERTIFICATEOF- ,PROPOSED DEMOLITION - OCCUPANCY ISSUED 9 SIGNATURE.