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HomeMy WebLinkAboutXR2023-0135 - PermitsD�2gWPO�T City of Newport Beach II III I III IIII III IIIIIIIII IIII I III II COMB Permit : XR2023-0135 6 Community Development Department- Building Division X R 2 8 2 3 e 1 3 5 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0139 Permit Counter Phone: (949) 718-1888 Issued Date : 05/17/2023 newportbeachca.gov/civic Inspection Area : 4 Cq4/Fp0.N\P Combination Type - MFP ELEC Work Class - Other PERMITS EXPIRE 180 DAY: NO CONSTRUCTION RELATED Job Address: 2661 VISTA ORNADA _ Description : SFR 2 ENERGY STORAGE SY Owner: Address Phone: Applicant Address Phone: t/ V I I ECTION, BUT o0 NOLATER NO W�TV'SCJ DAYOAND HOLIDAYS INISSUAC DATE LLL AREAS ❑ 80% or ❑ 100% refund Legal Desc : N TR 7082 BILK LOT 43 t .... ; o whom: BROCK LANIER 2661 VISTA ORNADA _ �cJgr : ress'd SOLAR TECH: ENERGY-SYSTEM&I,NC 9410 BOND AV NEWPORT BEACH, CA 9266 : EL CAJON, CA 92021 ' (619)743-9193 Owner/Builder : Address : Phone Code Edition : 2022 Architect: SOLAR TECH ENERG1jSYSTEMS INC Address: 9410 BOND AV EL CAJUN, CA 92021 Phone : (619) 743-9193 Con State Lie : 865321 State Lie: Lie Expire : 06/30/2023 Bus Lie: BT30080040 Engineer: IIRYAN VCPHERSON !Bu' �fG�11c it�i1l�pp/ 3 "a¢lTf 2`�1 11JAV P 1e,/ 1 6.A 0 `v„ tic UP L'LL'Y, CA 9 5Q: Workkers' Co pensation Insurance Pho C�Q ) 569-2244 ,F (w0fke&t )T EMPLOYERS CASUALTY Q'qo wol K gl.kte� Policy No: BNUWC0159023 Designer: W. C. Expire : 2/3/2024 Address Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : U,R-2 No of Units : 4 Bldg Height: No of Stories : 2 Building Setbacks Flood Zone : X Use Zone : R-1 - Single -Unit Residential A rn g PROCESSED BY: K104 SPECIAL CONDITIONS: PiF1 �3'. initials: Added/New/Ti sq. ft. Bldg Alteration sq. ft. Bldg : Added/New sq. ft. Garage TOTAL sq. ft. : kt l.i IS fVJT ' t 0V';ED FC'f 0 0 OWNER -BUILDER I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reascri indicated below by the checkmark(s) I have placed next to the applicable ftem(s) 3ecllon 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 re permit to file a signed statement that lie 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 Businoss and Tofessions Code) or that he or she is exempt from licensors 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 of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions cLf,lha. en�edor offered for sale (Section 7044, .uslness and Professions Code: The Contractors' State Loans Winer Of`propbrty who, ihrough employees' or personal effort, builds or improves the property, provided that the nprovemenfs are not intended or . r waver, tjjjlb�il rig or I pravemant is sold within one year of completion, th@ Own@r7Bulder will have the burden of proving that it was not built or nprovod for the purpose of sale). f� 2 I'( �i!"jp!lCafJl2• i, as owner of the property, am clusi��rACting with li eaPls'trvcttht��ojecT{Seclien 7044, Business and Professions Coda: T�hg Contractors' Stela License Law does not pply to an owner of property who b 'Ids o m roves thereon, and contracts For the projects with a licensed Contractorpurg5olp on rd trnse Law). I am exempt from licensors and the Contractors' State Li Law the f Wi re ficFn�lrLJ �y my signature below € acknowladg that, y per a ids w s ve retyear prior to completion of the improvements covered by this permit, cannot legalh ell a structure that I have built. as a wno builder has boon eo u d i t e b IIun�ff��(55�� co of tho apo11 =hieIAw, Section 7044 of IhD Businoss and 'rofessions Code, is available upon qua wenopc n i'It r th D yinib`.$a". 0 ca aw.hip signature of Property Owner or Auth izedw` �. Date .ICENSED CONTRACTOR'S D CLA hereby affirm under penalty of perju that I am licensed uEder.ttl,{t}2sion: of Chi 4J (corn meneTng va`t5rWei.IIe 70Id5b) ff Division the Business and Preto$at od and my license is In full force nd effect. License Class L�isl'1s'�'No Jute` Contractor Signature PORKERS' COMPENSATION D C' I-- 'ARNING. FAILURE TO SECURE wORKERb' MPE ATI AOE rLNLAwFUL, ANO ShAll SUBJEi'.T AN EMPLOYER To CPIM1IINAL FEHALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS 15100,000E IN ADOrfION TO THE OSTOFCOMPENSATIOW DAMAGESASPR ICED 3T09 RE-CAS0a CODE, INTEREST, AND ATTORNEYS FEES hereby affirm under penalty of perju one of a following declarations: .t I have and will maintain a Carl to consent to self -insure for workers' compensation. Issued UP e! f•In usttf1' ,.jI s Section 3700 of the Labor Code, for th eerfor�mance, of the work for which this a d. Icy No. V6A!r nave and will maintain workers' c ED s nstan "r I b7 i J of the Labor tT�a Part rmaxe of the yrodo f which this permit is issued. My workers' Campensatiol Isurance carrier and policy number ar : (no work starrEed� arrfer PoliMiq l;trsta r ted ) Expiration Date lame of Agent \ Phone 0 ca i,fy that. I:n'hB performance a k f r which this ,permit is issued. I shall not. employ an 8rso jest to the wank nsation laws of California, and afire tat, if I should uecome 5ubje` the rc$hp o.. a Labor Code, I shall forthwith comply with thos@ ri�y'stu igoF I, -re of Applicant.. ....._._.._ _ iil$p-f� ;ill Da /�%/Z� I 'lerebv affirm under penalty of perjury at there is rice tthe work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By n,y slrnalure JJlow, I certify to each of the following: I am the property owner or authorized to act on the propertyowners behalf. I have read thi, application and the Information I have provided is correct. I agree to comply witI all applicable city and county or ' es and state laws relating to building construction. C• 1 aalnofize renreser.latives of this city Or county to,Affier t above -ids ' 'ed properly for Inspection purposes. Si r.a;ure of Propr.r,y O.aner or Authorized A enl Print Property Owner's or Authorized Agent's N e Dale ACTION DATE BY j' DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY 3 RFGUt.ATIONS PART 61 OF TITLE 4D AND AQMO RULE 1403 PERMIT EXPIRED f,, SURDAITTED ASBESTOS NOTIFICATION TO PERMr(CANCELLED EPA ---��— _._. ...._..._.._._�.— FEAMiTEXTENDED_IJgQMp PEAMJT FINAL PROPOSEDDEMOLITION ION 15 NOT APPLICABLE TO CERTIFICATE OF OCCUPANCY ISSUED SIGNATURE: