HomeMy WebLinkAboutXR2022-3154 - PermitsCity of Newport Beach
Community Development Department- Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone :(949)644-3288
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Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
Combination Type - SFP ELEC
Work Class - Other
JpIIIIIIIIII IIIIIIIIIIIIilllllllll�lllllllllllll11llll 11COMB Permit : XR2022-3154
Plan Check No: PC2022-3011
Issued Date : 02/01/2023
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 : 320 BUENA VISTA BLVD
Description: SFR- 4 ENERGY STORAGE SYSTEMS
Owner: ED SHEA
Address : 320 BUENA VISTA BLVD
NEWPORT BEACH, CA 92663
Phone:
Applicant: NICOLETTE SWEET
Address : 17150 NEWHOPE ST, 403
FOUNTAIN VALLEY, CA 92708
Phone: (714)968-8845
Owner/Builder :
Address :
Phone:
aK LOT 157 EAST NEWPORT BLK A LOT 1 57 & 158
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s `. 17150 NEWHOPE ST#403
Address
FOUNTAIN VALLEY, CA 92708
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(714)968-8845
Phone:
°°°'
ate Lic : 608260
State Lic
ire: 11/30/2023
BT30058273
Engineer:
a ° e
XIE XIAOJIAN
Expire: 03/31/2023
Address :
8044 LOMBARD WY `
DUBLIN OH 43016, CA" -
s' Compensation Insurance
Phone:
....
s STATE FUND
°
Vo: 1567165
Designer:
°
irpire : 7/1/2023
Address:
°
Phone:
Code Edition :
2019
Fire Sprinklers
Type of Construction :
V-B
'.. Fire Hazard Zone
Occupancy Groups :
U
No of Units
Bldg Height :
No of Stories
Building Setbacks :
Front: 9, Side: 4, Side: 4, Rear: 5
Flood Zone:
X; AO 1
Use Zone:
R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS:
°
. °
NO Construction Valuation : $48,000.01?
NO Added/NewITI sq. ft. Bldg: 0
1 Alteration sq. ft. Bldg :
1 Added/New sq. ft. Garage: 0
TOTAL sq. ft. 0
LJ ai 1` eay ,B ra
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3
hes apply- R P y ..wn.
mess and Professions' Code::The Contractor$' State License law does not to an owner of ro ett a, through eraptoyees' or'pen;onal effort, builds or improves the property, provided that the
ovements 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 bunion of proving that it was not built or
oved for the purpose of sale).... - ,
L as owner of the property, am exclusively contracting with licensed Contractors to construct the project(Sectkrn 700, Business and; Professions Code: The Contractors State License Law does not
y to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors"State License Law),
I am exempt from licensure-under the Contractors' State License Law for the following reason: _
efteCt. License.L:lass License: NO uaie j� Lomracror..oignawru
RKERS' COMPENSATION DECLARATION
NINC: FAILURE TO SECURE WORKERS• COMPENSATION COVERAGE 13 UNLAWFUL, AND SHALL SUBJECT AN. EMPLOYER TO CRIMINAL PENALTIES AND CIVIC: FINES UP TO, ONE HUNDRED THOUSAND DOLLARS ($100,000), IN A 0 ION TO THE
r OF coy PEN$ATMir.MmAora9.AS PROVIDED FOR IN SECTK)N370$ Of THE LABOR COOS. INTEREST, AND ATTORNEY'$ FEES.
eep affirm urrder peRIty of perjury one of the foilowmg: declarations:
,have and will hintzin a c"ficate of :consent to selfAnsure, for workers''. compensation, Issued by the Director of industrial Relations as provided for by -Section 3700 of the Labor Code, ;for th
orftVpee of the wft for which this permit: is Issued. Policy No. -
....
kave.and witimaintatR workers' compensation insurance, as required by Section 3700 of the Lobar Code, for they performance of the wank for which this permit is Issued. My workers` aompansa3ia
raTr OarderaMpoiicynumberare:
JES .:...: S' al C T-'UI, % Policy Number f S %� `S Expiration Date `7'
1041Agent, � Phone III
dejt9fp Qtat. inth�r peggirmance of the work: for which this permit is Mu , I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
if I should beau a,subject to the workers' m ation provisions Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �t
Ilona*Appliaent
;i..RRATION RU G CON LICTT: LFfIDINITAGE
Ieby affirm under penalty ofperjury that there is a construction nding agency for: the performance of the. work for which this permit is issued (Section 3097, Civil. Code),
does Name :.. ...... Lender's'Address..
ny.signature below, 1 Certify to each of the. following,
I am the property, owner or authorizedtoact on the property owner's behalf.
I have read this application and the information I have: provided is correct,
t agree to comply with all applicable city and county ordinances and state laws relatfnq)o building construction.
DATE I BY
PEIVAIT.EXTENOFD I UACM[D .
PERMIT FINAL ASBESTOS NOTIFICATION fS:NOT APPI:ICABLE To
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