HomeMy WebLinkAboutXR2023-0776 - Permits�EWPORr City of Newport Beach III���I��I�III��IIII�IIII�IIIIIIIIIIIIIII II Q`' b Community Development Department- Building Division x R 2 0 2 s 0 7 7 s COMB Permit : XR2023 0776
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-0531
Permit Counter Phone: (949) 718-1888 Issued Date : 07/06/2023
w newportbeachca.gov/civic r� Final Date:
Cq�/400.N�o- Combination Type - SFP ELEC Permit Status: Issued
Work Class - Other " ' " �1�
Inspection Area : 6
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 : 8 WINDSOR
Legal Desc : N TR 10151 BLK LOT 10
Description: SFR INSTALL 1 LG CHEM-RESU 9.8KWH/5KW
ENERGY STORAGE SYSTEM.
Owner: LEE JAMES W TR
Contractor: SUNRUN
Architect
Address: 8 WINDSOR
Address : 2500 WHITE RD, A
Address:
NEWPORT BEACH, CA 92660
IRVINE, CA 92614
Phone : (714) 343-2573
Phone: (714) 854-2083
Phone
Con State Lie : 750184
State Lie
Lie Expire : 06/30/2024
Applicant : SUMMER MORRIS
Bus Lie: BT30066837
Engineer : EUGENE MUYANZIZA
Address : 2500 WHITE AV, A
Bus Lie Expire : 04/30/2024
Address : 23833 COPPER COURT
IRVINE, CA 92614
WILDOMAR, CA 92595
Phone: (951) 425-8684
Workers' Compensation Insurance
Phone:
Carrier: AMERICAN ZURICH INSURANCE CO
Owner/Builder :
Policy No: WC614287600
Designer: SUNRUN
Address :
W. C. Expire : 10/1/2023
Address : 2500 WHITE RD, A
IRVINE, CA 92614
Phone:
Phone: (714) 854-2083
Code Edition : 2022
Fire. Sprinklers : NO
Construction Valuation : $10,000.00
Type of Construction : V-B
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg : 0
Occupancy Groups : U,R-3
No of Units : 1
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories: 2
Added/New sq. ft. Garage: 0
TOTAL sq. ft. 0
Building Setbacks: Front: 5, Side: 5, Side: 5, Rear: 5
Flood Zone: X
Use Zone : PC - Harbor View Hills
"
PROCESSED BY:
SPECIAL CONDITIONS:
s'P;Ft; [�:acT1I[Ri7�;ii1�'rI�T7e�i iie7. i
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 eheckmark(s) I have placed next to the applicable items)
(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 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 Ilcansure and the basis for lire 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 doltars ($500).
111, 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 notintended 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. 11. 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).
J I, as owner of the property, am exclusively Contracting with Ileenaod Contractors to construct the project (Section 7tM4, Business and Professions Code: The Contractors` State Li rise Law does not
ply 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).
1 sin exempt from Ilcensure under the Contractors" State License Law for the following reason.
y 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 this permit, I cannot to
ett 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 44 of the Business and
Tofessions Code., is available upon request when this application is submitted or at the following Web site:http:tfwv-w.legPnfo.ca.gov/calaw.html.
Ignature of Property Owner or Authorized Agent On ��,•,
,ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of el ury dtf I am licensed under provisions �C ng with Section 74D8 f 'vi n 3 of the Business and Professions e, and Cause is full
nd effect. License Class �t License No Data ( Contractor Signature
IInowroW Al1RAOGAICATil1 r1CAl AOATInU
iARNING' FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HU7for
ST USANDrLAR8 (a100,000), tN ADDITION TO THE
:DOF COMPSECTION
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTN 3TOS OF THE LABOR CODE. INTEREST, AND ATTORNEY' FEES.
hereby affirm under penalty of perjury one of the following declarafions:
I have and wit maintain a certificate of consent to self -insure for workers' compensation, issued by the Directur of Industrial Relations as pravid Section 3700 of the Labor Code, for th
ormance of the work for which this permit Is issued. Policy No,.
have and will maintain workers compens tion insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' componsebol
Trance carrier and pokey number are:
;artier Policy Number Expiration Date
f-atme of Agent Phone #
,II. certify that, in the performance f e work for which this permit is issued, I shall TO y any person in any manner so as to become subject to The workers' compensation laws of California, and agre
Tat, if I should become subject t t workers compensation provisions of Sectio 700 of th Labor Code, I shaft forthwith comply with those provisions,
signature of Applioant ._ Date Z3
IECLARATION REOAROIN NSTRUCT70N LENDIN
hereby affirm under penalty pequry that there is a construction la Ing agency for tho pe rmance of a work for which this permit is issued (Section 3097, Civil Code).
tinder's Name Lenders ddr
ly my signature below, ] Artily 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 tG ter the above-f ntif'ed properf for inspection purposes. _
l nalure of Properly O!aner or Authorized A ant Print Property Owner's or Authorized Agent's Name ate
ACTION � ~ DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
I I REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
I SUBMITTED ASBESTOS NOTIFICATION TO
PrRMfT FXMNOED [LJACMD
P`PP+IT `INAL -{- SBE5TOS NOTtFICA N IS NOT APPLICABLE TO
CFFTIFIC4 IT OF �521 p/�_ F POSED DEMOLITI 1
OCCUPANCY ISSUED SIGNATURE