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HomeMy WebLinkAboutXR2022-3115 - Permits��tiWPoRr City of Newport Beach p @ Community Development Department- Building Division > y 100 Civic Center Drive, Newport Beach, CA 92660 2 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 C9<IFDftN\~ newportbeachca.gov/inspections Combination Type - ELEC Work Class - Other I��III��III ��III�IIII��III�III IIIIIIpi�IIII�IIII111 jj COMB Permit : XR2O22-3115 Plan Check No: PC2022-2978 Issued Date : 01/18/2023 Inspection Area : 1 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 : 230 CEDAR ST Legal Desc : N TR.772 BLK 3 LOT 23 Description: MFR ENERGY STORAGE SYSTEM (BOTTOM UNIT) Owner: RUBIN ROBERT G TR RGR INVESTMENT TR Contractor : SWELL CONTRACTORS Architect Address : 230 CEDAR ST Address: 1515.7TH ST #49 .Address NEWPORT BEACH, CA 92663 SANTA MONICA, CA 90401 Phone: Phone: (310)340-0493 Phone: Con State Lic : 1021183 State Lie Lie Expire: 11130/2024 Applicant: BEN MEDINA Bus Lie i'. BT30080231 Engineer: � Address : 31225 LA BAYA DR Bus Lie Expire : 12/31/2023 Address WESTLAKE VILLAGE, CA 91362 Phone: (818) 735-7876 Workers' Compensation Insurance Phone: Carrier: SECURITY NATIONAL INSURANCE COMPANY Owner/Builder : Policy No: SWC1354488 Designer: SWELL CONTRACTORS Address : W. C. Expire: 9/10/2023 Address : 1515 7TH ST 949 SANTA MONICA, CA 90401 Phone : Phone: (310)340-0493 Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $19,463.00 Type of Construction : V-B Fire Hazard Zone :. NO ` Added/New1TI sq. ft. Bldg : 0 Occupancy Groups : U No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories-: 2 _ Added/New sq. ft. Garage: 0 ®•'••• •,30TA6sq.,%. b„ 0 Building Setbacks : Front: 5, Side: 3, Side: 3, Rear: 5 „ , � • Flood Zone : X Use Zone: R-1 - Single -Unit Residential ^ PROCESSED BY: ] - • • aOIJ p 0 0 p SPECIAL CONDITIONS OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors`. State License Law forthe teason(s) indicated below by the checkmark(s) I have placed next to the applicable hems} {Section 7035.5, Business and Professions Code: Any city or county that requires a permit to construct, after, 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 the previsions 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 iloensure, and thabasis for the alleged exeinpitom Any violation of Section 7031.5 by any applicant#or a permit subjects the applicant to aicMI penalty of not more than five hundred dollars ($500), 0 I, -as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the Structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License law does not apply to an owner at property who, through' employees ar personal effort, builds or improves The property, provided that the improvements are not intended or -offered for sale. If, however, the building or Improvement is sold within one year of compilation, the Owner-Builderwill have the burden of proving that it was not built or improved for the purpose of sale). 0 I, as owner of the property,:am exclusively contracting with licensed Contractors to construct the project($action 7044, �usiness 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 ursuant to the Contractors' State License Law). ©. I. am exempt from ticensure.under the Contractors' State License Law for the following reason. E hereby affirm under penally ofperjury that l am lideltsad tinder provisions of Chapter 9 (commBiieing with Section 7 ) ojj i the Businessen r salons Coda ti m r�se:is in full force: and effect. License Class License No ,Date 1t C/ :ComractorE atu PENSATION N J ltifOR G FAILURE TOMSECURE wOR OBS' COMPEENNSTION�COVERAGE IS UNLAWFUL., AND SHALL: SUBJECT AN. EMPLOYER TO CRISU PE L IDS AND CIVIL I INES OF TO ONE HUNORERfta USAND DOLLARS J$400,0001. IN AUCTION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED: FOR IN SECTION 37a6 OF THE LABOR CODE, INTEREST, AND ATTORNE" FEES: I hereby affirm under penajtypf perjury one of the following declarations: 13 E have end will maintain a cerliticoteof consent to.self-insure frig workers' compensation, issued by the DirectorlofJ Industrial: Relations as provided for by Section 3700 of the labor Code, for tit oTrance of the work for which this permits issued, Policy No, II avo and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the pepormance, of the work for which this permit is issued, My workers` componsatio sorb carder and policy number are; Carrier. Policy Number Expiration Date Noma of Agent. Phone tic. 01 certify that, mthe performance of the w � Ich this permit is issued, j shall :not employ any person to any mannara as to become subject to the works: mpe Ws of California, and ogre that, if I should deco st bjact to th c " s"� compensation ' ' of Section 3700 of the Labor Code, I: shall forthwith comply with those provisions. SignatureofApplicant Pate g DECLARATION RF N LEND NG AGENCY. hereby affirm under p ry that is a construction lending agency for the performance of the work for which permit is issued 3097, CIV., Coda).. Lender's Name Landers Address By my signature below, i certify to each of lire folkawitig:: 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 i cL ff I agree to comply with all Applicable city a94 roupgr ordL Wt s pod Brat* laws relating to bu jifina.sonstrucfion, gtltcr tG� = ifi r inspection purposes. t/t /l a �/ Vtti i • • • • ' PDnt Pto e. Owners or Authorized A ant's Name Eva a Da TIO OMPLIANCEWITH CODE OF FEDERAL FOR OFFICE, USE ONLY ONS PARTSjpF TVLE40AND AQMD RULE N ED UAQMD 3 I� J ASBESTOSNOTIIFICATION 15 NOT APPUCABLE TO PROPOSEDDEMOLITLONUED SIGNATURE: