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HomeMy WebLinkAboutXR2022-3285 - PermitsCity of Newport Beach 11 Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 CgCipti pN�P newportbeachca.govfinspections Combination Type - SFP ELEC Work Class - Other 111111111111111111111111 ������������������������������� 11COMB Permit: XR2022-3285 Plan Check No: PC2022-3157 Issued Date: I //• ZPV5 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 : 16 JARDEN Description: SFR -1 ENERGY STORAGE SYSTEM Owner: JAMES KORMOS Address : 16 JARDEN NEWPORT COAST. CA 92657 Phone: Applicant: FELICIA RONQUILLO Address: 2500 WHITE RD, A IRVINE, CA 92614 Phone : (602) 738-9080 Owner/Builder : Address : Phone : Legal Desc : N TR 15540 BLK LOT 15 Contractor : SUNRUN Address : 2500 WHITE RD UNIT A IRVINE, CA 92614 Phone: (949)460-3433 Con State Lie : 750184 Lie Expire : 06/30/2024 Bus Lie: BT30066837 Bus Lie Expire : 04/30/2023 Workers' Compensation Insurance Carrier: AMERICAN ZURICH INSURANCE CO Policy No: WC614287600 W. C. Expire : 10/1/2023 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 : 1 Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone : PC - Newport Ridge PROCESSED BY: SPECIAL CONDITIONS: Architect Address Phone: State Lie Engineer: EUGENEMUYANZIZA Address: 23833 COPPER COURT WILDOMAR, CA 92595 Phone : Designer: Address Phone: Construction Valuation : $13,500.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicate Section 7031115, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demoll,. is permit to file, a signed statement that he or she is licensed pursuant to the previsions of the Contractors' State License Lev 'rofessions Code) or that he or she is exempt from ifoensure and the basis for the alleged exemption. Any violation of Section of more than five hundred dollars ($500), *1 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the rosiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through am nprovements are not intended or offered for gale. If however, the building or improvement is sold within one year of completl aproved for the purpose of sale). 3 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Bu pIV to an owner of property who builds or Improvesthereon, and who contracts for the projects with a licensed Contractor pu I am exempt from ecensure under the Contractors' Stale License Law for the following reason: V my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one yea oil astructure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I urtdel 'rofessions Code„ is available upon request when this application is submitted orat the following Web site:http:liwww.ieginfo.( signature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of pelfUNtOjatj am licensed under provisions of Chapter 9 ( encing with Sectio 7 0 f D nd effect. License Class �Lii�r��`�f' License No % �`j 1'b'''� Do s COMPENSATION DECLARATION below by the checkmark(s) I have placed next to the applicable item(s) , or repair any structure, prior to its issuance, also requires the applicant for hapter 9 (commencing with Section 7000) of Division 3 of the Business and )31.5 by any applicant for a permit subjects the applicant to a Civil penalty of k, and the structure is not intended or offered for sale (Section 7044, ees' or personal effort, builds or improves the property, provided that the the Owner -guilder will have the burden of proving that it was not built or and Professions Code: The Contractors' State License Law does not to the Contractors' State License Law). to completion of the improvemen' that a copy of the applicable law, 3of the Business and Contractor Siona M. In full farce ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUN6R%eTHOUSA 1 DOLLARS ($100,900), IN AUCTION TO THE DST OF COMPENSATION, DAMAGES AN PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. ✓ L hereby affirm under penalty of perjury one of the fallowing declarations: I I have and Will maintain a cedifeale of consent to self -insure for workers' compensation, Issued by the Director of In ustrial Relations as provided for by Section 3700 of the Labor Code, for th heormance of the work for which this permit is issued. Policy No, ve a. d will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the icei. and policy number arilit M,se a a I f Policy Number7C� , Z 0 of Agent certify that, inthe performance of t A for which this permit is issued. I shall not employ any person in any manner so if I should become Subject to the r corn nsatfon pro ons of 'a0 3700 of the Labor Code, I shall forthwith c Iature of Applicant /`C_ \ ..,- hereby affirm under penaltyoj,,�erjury that there is a cons ction lending -enders Name ������ 3y my signature below, I certify to each of the foligrfg: I am the property owner or authorized to ant an the prope/,ive I have read this application and the information I have pr I agree to comply with all applicable city and county ordin I authorize representatives of this city or county to enter t iignaiure of Property Owner or Authorized Ager' AC71ON DATE I BY�I—TD@ WRAT€ONO PERMIT EXPIRED PERMIT CANCEUED e� for ther#e�ce of the work for which Lender's Address _ to building construction. x inspection purposes. ONIPLIANCE WIr LSPeVF FEDERAL FOROFFICE 61 OF TITLE 40 AND AQMD RULE reHrvlrr VINAL I I,,,JASRE5T05 NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF-{0 �.1 ��� PROPOSED DEMOLITION OCCUPANCY ISSUED % SIGNAFL1.RE7 of the work for which this permit is issued. My workers' Date 1c). to to become subject to the workers' comp nsatfon laws of California, and agre ply with those provisions. penult is issued (Section 3097, Civil Cade). ONLY Date