HomeMy WebLinkAboutX2022-1817 - Permits�EWPORT
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
CqC/FppN�P
newportbeachca.gov/inspections
Combination Type - SFP ELEC
Work Class - Other
iiiiiiiiiiiiiii II COMB Permit : X2022-1 817
Plan Check No : 1679-2022
Issued Date : 01/18/2023
Inspection Area : 3
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: 2247 DONNIE RD
Description : SFR. ENERGY STORAGE SYSTEM
Owner: CAPOLINO ANTHONY TR
Address : 2247 DONNIE RD
NEWPORT BEACH, CA 92660
Phone:
Applicant: MOTIVE ENERGY STORAGE SYSTEMS INC
Address : 17260 NEW HOPE ST
FOUNTAIN VALLEY, CA 92708
Phone: (718)888-2525
Owner/Builder :
Address :
Legal Desc : N TR 2819 BILK LOT 8
Contractor: MOTIVE ENERGY STORAGE SYSTEMS Architect
INC
Address : 17260 NEW HOPE ST
Address
FOUNTAIN VALLEY, CA 92708
Phone : (718) 888-2525
Phone
Con State Lie : 1089117
State Lie
Lie Expire : 03/31/2024
Bus Lie: BT30080486
Engineer:
Bus Lie Expire : 01/30/2024
Address
Workers' Compensation Insurance Phone
Carrier :
Policy No : WC348720014 Designer
W. C. Expire : 4/1/2023 Address
RYAN MCPHERSON
9240 LIMONITE AV
JURUPA VALLEY, CA 92509
(909) 56£-2244
Phone:
Phone:
Code Edition : 2019
Fire Sprinklers :
NO
Construction Valuaticr.
Type of Construction : V-B
Fire Hazard Zone :
NO
Added/New/Ti sq. ft. Bldg
Occupancy Groups : U
No of Units :
0
Alteration sq. ft. Bldg.:
Bldg Height:
No of Stories :
0
Added/New sq. ft. Garane :.
TOTAL sq. ft. :
Building Setbacks : Front: 20, Side: 5, Side: 5, Rear: 20
Flood Zone : X
Use Zone : R-1-7200 - Single -Unit Residential (7200 indicates minimum lot area)
PROCESSED BY:
SPECIAL CONDITIONS:
$13,000.00
0
0
0'
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I. am exempt front the Contractors' State License Law for the reason(s) indicated below by the chiscernark(s) I have placed next to the applicable fterI
often 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
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
fessions Code) or that he or she is exempt from licensors and the bests for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
more than five hundred dollars ($500)..
I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or t_) portions of the work, and the structure Is not intended or offered for sale (Section 7044,
;iness 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
rovements 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 buitt or
roved for the purpose of sale).
1, 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
ly 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 1 am exempt from licensure under the Contractors' State License Law for the following reason:
ly my signature below 1 acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of their
all 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 appl
'rofessio is Code, is available upon request when this application is submitted or at the following Web site:http:llwww.leginfo.ca.gov)calaw.html
�Ignahue of Property Owner or Authorized Agent
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Sectio 0 0) of �¢ivision 3 of the Business and
no effect. License Class License No Date 1 "'j r Contractor Sign
law, Section
In full force
WORKERS' COMPENSATION DECLARATION I v�
MARRING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE uNOREO THDUSANO DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 3106 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following dec€areilons:
I 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 In
>er ormance of the work for which this permit is issued. Policy No.
TI hay od 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` compensadol
nsurance carrier and policy nurnbe- are:
:�arrfer Policy Number Expiration Date
dame of Agent _ ..... _,_ Phone ff
:1I certify that, in the perfo ano f t work for which s er-: f issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
hat, if I should becorrlf@ su ject/y6gt w rk rs' comp atla pro `ions of Section 3700 of the Labor Coda, I shall forthwith comply with those provisions.
Slgnature of Appllcant ',^ Date Ilk�3
DECLARATION REGAr' N. s TN N 1 ENCY
hereby affirm under ae't; o3�erjury the.t there a St
coon lending agency for the performance of the work for which this permit is issued(Section 3097, Ciw Code).
_ender's Name Lender's Address
3y my signature below, I certify to sa.h LrBlha following:
I am the property airier rr autt.orized to act on the property Owner's behalf.
i have read this afpiica'ion and Ihr n'ormation I have p ided is correct.
I agree to comply % In zll applicable coy and county Cot an as and state laws relating to building construction.
I authorize representatives of this city or county t ant t be -I li d roperty, for inspection purposes. V
Signature of Property Owner or Authorized Agent I Print Property Owner's or Au[harizetl A ent's Name ✓ J' Date 0
ACTION DATE. BY :: L)ECLWT1014496YAPLIANCEWITHCODEOF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PARTal OFTITLE40AN0 AQMD RULE
PERMiT EXPIRED
PERMITCAMCELLED
PERMiT EXTENDED
PERMITFINAL
CERTIFICATE OF
OCCUPANCY ISSUED