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HomeMy WebLinkAboutXR2022-2846 - Permits��WPORT City of Newport Beach F D Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 .ate Inspection Requests Phone: (949) 644-3255 °9cikoaT'�P newportbeachca.gov/inspections Combination Type - SFP ELEC Work Class - Other COMB Permit Plan Check No: Issued Date : Inspection Area :5 : XR2022-2846 PC2022-2693 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 : 217 GOLDENROD AVE Legal Desc : A TR.. RESUB OF CORONA DEL MAR BLK 133 LOT 7 Description : SFR INSTALL (1) ENERGY STORAGE SYSTEM. Owner: H LAWRENCE WEBB Address : 217 GOLDENROD AVE CORONA DEL MAR, CA 92625 Phone: Applicant: BRIGHT LIFE REMODELING Address : 933 NEWHALL ST COSTA MESA, CA 92627 Phone: (908)489-3911 Owner/Builder : Address : Phone Code Edition : Type of Construction Occupancy Groups: Bldg Height: Building Setbacks Flood Zone: Use Zone : PROCESSED BY: Contractor: BRIGHT LIFE REMODELING Address: 933 NEWHALL ST COSTA MESA, CA 92627 Phone: (908)489-3911 Con State Lic : 1029267 Lic Expire : 07/31/2023 Bus Lie: BT30079739 Bus Lic Expire : 09/30/2023 Architect Address Phone: State Lic Engineer: MORALES DOUGLAS Address : 20751 KELVIN LN ALSO VIEJO, CA 92656 Workers' Compensation Insurance Phone : (949) 285-5104 Carrier: STATE+COMPENSATION+INSURANCE+FUN D Policy No: 9053332 W. C. Expire : 4/19/2023 2019 Fire Sprinklers : YES V-B Fire Hazard Zone : NO U,R-3 No of Units , 1 er t No of Ston s a3 Front: 10, Side: 3, Side: 3, Rear: 5 X R-1 - Single -Unit Residential SPECIAL CONDITIONS: Designer: BRIGHT LIFE REMODELING Address : 933 NEWHALL ST COSTA MESA, CA 92627 Phone: (908)489-3911 Construction Valuation : Added/New/TI sq. ft. Bldg Alteration sq. ft. Bldg : Added/New sq. ft. Garage TOTAL sq, ft. : $7,000.00 0 0 0 OWNER -BUILDER DECLARATION t hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(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 he or she is licensed pursuant to the provisions of the -Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from lioensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500), 13 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is notintended 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 Improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Budder will have the burden of proving that it was not built or improvod for the purpose of sale) - 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 70", Business and Professions Code; The Contractors' State License Law does not apply 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).. El I am exempt from Ilcensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except foamy personal residence in which 1 must have resided for at least one year prior to completion of the improvements covered by this permit, I -cannot legally sell a structure that I have buifl as an owner -budder if It has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable taw, Section 7044 of tho Business and Professions Code, is available upon request when this application is submitted prat the following Web site:httpJlwww.leginfo.oa.govtcalaw.html. Signature of Property Owner or Authorized AgentDate LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Ctlapter 8 (commencing with Section 7000) i "sion 3 of the Business and Pmfes o ode. and my license is in fail force and effect. License Class License No I t5 J_q Z6'� D 19J L ZZ Contractor Signaturo NORKERS' COMPENSATION DECLARATION NANNING: 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 ($100,000), IN AUDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FORIN SECTION 570& OF THE LABOR CODE, INTEREST, Me ATTORNEY's FEES_. hereby affirm under penalty of perjury one of the following declarations: —11 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 tit TeRNIance 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: $f _5_ C r'r...., J. Policy Number '(6 S 3 S z Expiration Date of Agent certify that, in the performance of the work for which this permit is issued. I shall not employ any person in any manner soas to become subject to the workers' compensation laws of Callfomia., and agree If I should become subject the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. lame of ApplicantA 6,-1 4 sienna ocn_eon1M rn exmrwTvnu r rxlnlMr nnrinv 3l F I hereby 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 Code), Lender's Name Lender's Address By 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 slate laws relating to building construction. I authorize representatives of this city or CO to enter h. cove-idarnified property for inspecbon purposes. Signature of Property Owner or Authorized A ern Print PropertyOwner's or Authorized A ent's Name V I Yt a ✓� s pate t L 1 ACTION i DATE. BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE 1 ino PERMIT EXPIRED ! 7t;—SURM'TTED ArPECTOS NOTI FICATON TO PERNt1TCANEE ED — PERMJT EXTENDER _ _ IJA4MD��_®vF. PERIvf7T fINAt (�(_ V2 �MAygE5TO5N£7TIFICAtION 15 NOT APPLICABLE TO CERnRCATE OF t PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: