HomeMy WebLinkAboutXR2022-2478 - PermitsEWPO City of Newport Beach
a y p p� @ Community Development Department- Building Division COMB Permit : XR2O22-2478
X R 2 0 2 2 2 4 7 8
F _ 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-2328
Permit Counter Phone: (949) 644-3288 Issued Date : 01/18/2023
Inspection Requests Phone: (949) 644-3255
cq<rFoa" �P newpodbeachca.gov/inspections Inspection Area : 2
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: 88 LINDA ISLE
Legal Desc : N TR 4003 BLK LOT 88
Description:
SFR 9.6 KW ENERGY STORAGE SYSTEM
Owner:
RANDOLPH DAVIS
Contractor:- INTEGRATED TECHNOLOGY ELECTRIC,
Architect
Address :
9400 ALMOND ST
Address : 3423 REVERE RD
'Address
RANCHO CUCAMONGA, CA 91737
RIVERSIDE, CA 92503
Phone :
(949) 491-4144 ;:
Phone: a (949),491-4144
Phone
'.
Con State Lie : 974125
State Lie
Lie Expire : 10/31/2023
Applicant:
MARY/LINDSAYVALENCIA/GRIMSHAW
Bus Lie ::'. BT30075511
Engineer:
Address :
10769 WOODSIDE AVE
Bus Lie Expire : 06/30/2023
Address
SANTEE, CA 92071
Phone:
(808) 286-4939
Workers' Compensation Insurance
Phone:
Carrier:'STATE+COMPENSATION+INSURANCE+FUN
°
Owner/Builder : Policy No: 9162522 Designer: MARY / L&MD&AY VALEMCIA/ GRIMSHAW
Address : W. C. Expire: 12/9/2023 Address : 10769 W(30DSIDE AVE °•
SANTEE CA 92071 • `•
Phone
Code Edition :
Type of Construction
Occupancy Groups:
Bldg Height:
Building Setbacks
Flood Zone:
Use Zone
PROCESSED BY
2019
V-B
U
Front: 25, Front: 10, Side: 4, Side: 4
Phone : (808) 28&4939- ®o••oo
Fire Sprinklers :
NO
Construction Valuation :
$8,000.00
Fire Hazard Zone :
NO
Added/New/TI sq. ft. Bldg :
0
No of Units :
0
Alteration sq. ft. Bldg :
No of Stories :
2
Added/New sq. ft. Garage:
0
`
TOTAL sq. ft.:
0
AEI 8 FT; X gNlu
R-1 - Single -Unit Residential
SPECIAL CONDITIONS:
THE WEEKEND
s' . LZCT Uri
OWNER-SUILOER DECLARATION
I hereby affirm under penalty of penury that t am exemptfrom the Contractors State License Lawfor the reasons) indicated Wow by the checkmark(s) I have placed next to the appltcabiefltem(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 hear she is licensed pursuantto the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Uvision 3 of the Business and
Professions Code) or that he or she is exampt from licensors and the basis for the alleged exemption. Any vio ation of Section 7031.5 by anyappricant for a permit subjects tha applicant to a civil penalty of
not more than five hundred dollars ($500). �1�
111, :as owner of the property, or my employees with wages as their sole compensation, will do:L) ail of or (_)portions of a work, and the structure Is not intended or offered for sale (Section 70",
Business and Professions Coda: The Contractors' State License Law does not apply to an owner of property who, through mployees' orpersonal effort, builds or impraves 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 camp ation, the 6wner-t3uildar will have the burden of proving that it was not built or
improved for the purpose of sale).
❑ 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the protaDt (Section 7044; usiness and: Professions -Code: The Contractors State License Law does not
ra ly to an owner of property who builds or improvesShereen, and who contracts for; the projects with a 3icensed Contractor pursuant to the Contractors' State License Law),.
Ll I am exempt from ticansure•under the Contractors' State License Law for the following reason:
Intl effect. License Class License No Date Contractor Jgnatum 1
VORKERS' COMPENSATION DECLARATION V IV
1ARNING: FAJLURETO SECURE WDRK't�V'"IPENSATiON COVERAGE IS UNLAWFUL, AND SNAIL SUBJECT AN. EMPLOYER TO CARRINAL PENALTIES D CIVIL PINES UP TO ONE HUNDRED THOUSAND OLLARS ($400,00e), IN ADDITION TO-
:OST OF COMPENSATION. DAMAGES qA PROVIpED FOR IN SECTION 9706 OF THE LABOR CORE, dNTEREST, AND AT70RNEY'SFEES.
hereby affirm under WaItr of penury qpa: of the following declarations: `
I have and will maintain a: cgruf Bate of consent to self -insure for workers' compensation, issued by the Director'0 Industrial :Relations as .provided for by Section 3T00 of the. Labor Code, to.
nee mer and of the_wo" for which this pgmsftis issued. Policy No,
rin'Gawillm till"
M$varkegs' ylipensa#ion lnsuranaa, as requires) by Section 3700 of the Labor Coda, for the performancB of tho work for whlGh this permit is Issued. My workers` compels;
and going number are:
`• • • • - c rr<,-Me,mher FYnimfinn Data
if
I am the
I have re
I agree t
i authors
iignature Of
ACTION
PERA11T EXTENDED
PERMIFRNAL
ad, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree
f Section 3700 of the Labor Code,' Ishall forthwith comply with those provisions.
Date.
agencyfor the performance ofthe work for which this permit is issued (Sectron 3097, Civil Code)
Purposes,
NOT.APPLICA:BLE TO