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Home My WebLink AboutXR2022-2981 - Permits�gwaoRr City of Newport Beach p`` s Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 r Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Combination Type - SFP ELEC Work Class - Other IIIII IXII�IR II� II II� 0�II� II�I� II I II�II� II�I� I�I�I I1 II COMB Permit : XR2O22-2981 Plan Check No : PC2022-2837 Issued Date : 12/13/2022 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 PAVONA Legal Desc : N TR 15337BLKLOT 13 Description: SFR INSTALL (2) ENERGY STORAGE SYSTEMS AND A/C DISCONNECT Owner: GILDENHUYS ERIC W H TR Contractor: SWELL CONTRACTORS Address : 8 PAVONA Address : 1515 7TH ST Architect NEWPORT COAST, CA 92657 SANTA MONICA,CA, CA 90401 Address: Phone: Phone: (310)340-0493 Phone: Con State Lie : 1021183 State Lie Applicant : BEN MEDINA Lie Expire : 11/30/2024 Address : 31225 LA BAYA DR Bus Lie : BT3001#22i080Z3I Bus Lie Expire : QW494q� j2-31.?p2Z Engineer WESTLAKE VILLAGE, CA 91362 Address Phone: (818) 735-7876 Workers' Compensation Insurance Phone Carrier: SECURITY NATIONAL INSURANCE Owner/Builder: COMPANY Address : Policy No:.. SWC1354488 Designer: SWELL CONTRACTORS W. C. Expire : 9/10/2023 Address : 1515 7TH ST #49 Phone- SANTA MONICA, CA 90401 Phone: (310)340-0493 Code Edition : 2019 Type of Construction : V-B Fire Sprinklers : NO Construction Valuation $30,000.00 Occupancy Groups : U,R-3 Fire Zone : YES No of Units Added/New/TI sq. ft. Bldg 0 : Bldg Height : : 1 No of Stories : 2 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 10 TOTAL sq. ft.: 0 Flood Zone: X - - Use Zone : PC - Newport Ridge , PROCESSED BY: �-S , SPECIAL CONDITIONS: " OWNER-SU3LDER DECLARATIONhe hereby of under penalty of penury that 1 am examRt tram the CD IT Utoes a tsermit to cos cloralterf emProve, tlernnl sIr�orfspa many structure, {pnor tia its pissul noeXalso t to hequp'Ir lscilbeearppmcasnt for IS 'I that ,5sDtion 7031.5, Businesro s and Professiana Codd: Any ply or Dounty the q Rto the Penn "It do Profeasiolnto s Code) og that hVSnO$S and ero she is exiempt from slicansura aad nd the basis fe the lapagedfexemoftene Any v oiationlof Section 7031.5 (Chapter any applicant for a permitsubjectsthe applicantivision 3 lataf IBv! penalty of or not more Phan fhra hundred dollars {$540). portions of the work, and the structure is not. intended or offered for sale (Section 7044, ❑ i, as owner of the property, or my employees with wages es fiha[r sole aompensait an ownerr of property wh, through employees' cr personal effort, builds or improves the property, provided that the Business and Professions Code: The Contractors' Stato Ltoenss Law does not apply improvements are not intended er offered far sate. if. however, the building or improvement is Sold within one year of completion, the Owner�Buiider will have the burden of proving that It was not built of improved for the purpose of sale). '0 li to an ownerOfproperty, am who builds aor improves thereon, and who contracts for the projects w'lrs to construct eih a lliect (Section 7044, icensed Contractor pursuant t nthe Contractors' State Licenser Law). State License Law does not r y 4..1 d am exempt from licensors under the, Contractors` Slate License Law For the following reason; _.._ By my signature below i acknowledge that, e except for it y personal balm silence in which I must have by licensedresided for ontraotors� I understand thatoa copy of thlow, Saction 7044tof the Business and sga9i sell a structure that I have built as DR owner -builder Data Professions Code, is available upon request when this application is submitted or at the following Web site:http:ltwnnw.lsginfo.ca.gnvldalaw,html. Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that t am licensed under provisions D# Chapter g {commencing with SeaDateT00 ).bf va of tCQNra Ito- S gnatu Signature ode, and my license is In full force and effect. License Class License No WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 19 UNLAWFUL, AND MALL SUBJECT AN EMPLOYER TO CRINANAL RENALTIEs AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS tStOQ,OQ0).4N ACJDn10N TOT COST OF COMPENSATION, DAMAGES AS PROVIDED Pon IN SECTION ST9e OF THE LABOR LODE, INTEREST, AND ATTORNEy'S PEES. I hereby affirm under penalty of perjury one of the following declaration$: 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 th erformance of the work for which this permit is issued- Policy No. I have 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' compensells insurance carrier and policy number are: Expiration Date Carrier. Policy Number Phone # Name cF Agent 1 nartity that in the pedorma "the work for which thf its issued',-i-sFlatd.-rtot employ any person in any manner so as to become subject to the workers' domr�Ransa/t�lD(n laws of California, and agree that, if I should become subj t to the war ensation provisions of Section 3700 of the Labor Code, I shalt Forthwith comply With those provisions. Date `_„_ �, •,`_...��"�/ lgnature of AlI III IECLARA NS0R6CT90N LBNDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency forLthe p ender's Arddress of the work For which this permit is issued (Section 3Q97, Civil Code). enders Name fy my signature below, I certify toeach of the fol€awing: I am the property owner or authorized to act on the property owner's behalf. I have reed tni'i nppticabcn and the information I have provided is correct. I agree to comply with all applicable city and county ordin .,es-arTdstate laws relating to authorize ,eprsadntafives of this Dlfy or county to an e abavedd ifie a for inspection Pirrit Purposes Prnna�V Owner's or Authorized. Agent's Name v I r fT�ON GATE ATION OF COMPLIANCE WITii CODE OFfEQERAt FOR OFFICE USE 1 REGULATIONS PART 610E TITLF4}AND AOMD RULE { 1400 FERMI i ExplvD I SUBMITTED ASBESTOS NOTIFICATION TO .. _ _._...._... �. _._._ EPA. PERK'T CANC l,EG_ _ Q_ EPA PERMlTExTENVi __ ---- TRWT FINA! i aASBESTOS NOTIFICATION IS NO1 APPLICABLE TO CERTIFICATE OF -.i o.r]2 j!�"� PROPOSED DEMOLITION