HomeMy WebLinkAboutX2022-1666 - Permitsa6WPpRT
City of Newport Beach
Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
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newportbeachca.gov/inspections
Combination Type - SFP ELEC
Work Class - Other
IIII�IIIIIIIIIIIIII��IIII�II�III6II II COMB Permit : X2O22-1666
Plan Check No : 1511-2022
Issued Date : 02/15/2023
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 : 60 CORMORANT CIR
Description: SFR- ESS SYSTEM W/ 2 BATTERIES
Owner: DARREN LU
Address: 60 CORMORANT CIR
NEWPORT BEACH, CA 92660
Phone
Applicant: STEVEN BITON
Address: 21410 CHASE ST, 4
CANOGA PARK, CA 91304
Phone: (435)266-7876
Owner/Builder :
Address :
Phone:
Legal Desc : N TR 12212 BLK LOT 11
Contractor: SILVERLINE HOME REMODELING INC Architect
Address :
21410 CHASE ST, #4
Address
CANOGA PARK, CA 91304
Phone:
(435) 266-7876
Phone
Con State Lic
: 1001143
State Lie
Lie Expire :
02/28/2025
Bus Lic:
BT30078958
Engineer:
Bus Lie Expire : 06/30/2023
Address
Workers' Compensation Insurance
Phone:
Carrier: EMPLOYEE SERVICE GROUP
Policy No:
CWC719491363
Designer
W. C. Expire :
1/1/2024
Address:
Code Edition : 2019
Fire Sprinklers :
NO
Type of Construction : V-B
Fire Hazard Zone :
NO
Occupancy Groups : U
No of Units :
1
Bldg Height:
No of Stories :
0
Building Setbacks : Front: 5, Side: 4, Side: 4, Rear: B
Flood Zone : X
Use Zone : PC - Bayview
PROCESSED BY. d `
SPECIAL CONDI rIO`S:
Phone:
WYSSLING SCOTT
76 N MEADOWBROOK DR
ALPINE UT 84004, CA
Construction Valuation : $27,455.07
Added/New/TI sq. ft. Bldg : 0
Alteration sq. ft. Bldg:
Added/New sq. ft. Garage: 0
TOTAL sq. ft. : 0
101"WIL
i hereby affirm on der penalty of perjury that I am exempt from the Contractors' StateLicenseLaw for the reasons) indicated below by the checkmark(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 lie or she is licensed pursuant to the provisions of tho Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the,8usiness and
Professions Code) or that he or she is exempt from licensum and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit enbjects the applicant to a civil penally of
not more than five hundred dollars ($500). _
71 1, as owner of the property, or my employees with wages as their sole compensation, will do L) 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 of property who, through employees' or personal effort, builds or improves the property, provided that the
'unprovements 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 built or
improved for the purpose of sale).
❑ I, 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
apply to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law),
0 i am exempt from licensorsunderthe Contractors' State License Law for the following reason:
By 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 by this permit, I Gannet Iegall)
soli 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 theapplicable law, Section 7044 of the Business and
Professions Code, is available upon request when this application is submitted or at the fallowing Web site:htip:// v.leginfo.co.gov/calaw.html,
Signature of Property Owner or Authorized Agent._ Date_„ _-
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commancing with Section 7000) of Division 3 of the Business and Profession ode ntl my ' Ones is In full force
and effect. License Class License No Date Z Z3 Contractor Signature /
NORKERS' COMPENSATION DECLARATION LJ
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1SI00,000), IN ADorTION TO THE
COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COGS, INTEREST, AND ATTORNEYS FEES,
hereby affirm under penalty of perjury one of the following declarations:
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
Triance of the work for which this permit is issued. Policy No_
and 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`
carrier and policy number are:
Policy Number
of Agent
Date
certify that, in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the workers' compensafion laws of Califomia, and agre
t, if I should become subject to the workers' compe sation provisions of Section 3700of the Labor Code, I shall forthwith comply with those provisions.
nature of. Applicant-�e �� Dale Z /(�JZ1
CLARATION REGARDING -CONSTRUCTION LENDING AGENCY
areby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil ode).
ider's Name Lender's Address
my signature below, I certify 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 to enter t bove/jdentiged party for inspection purposes. `, �) D
nature of Prooedv Owner or Authorized Agent%% / Print Prooertv Owner's or Authorized Aoent's Name y I ✓�/l (�I�L ✓0 Date
ACTION DATE. BY - DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
I REGULATIONS PART 610E TITLE AO AND AQMD RULE
EXPIRED
CEATiFlCFINAQDED _____ :3�.Z3 PROP i4ICSNOLIITIONIONiSNOTAPPLICABU TO
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