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Home My WebLink AboutXR2022-2346 - Permits"2'-wpo T City of Newport Beach p @ Community Development Department- Building Division Fy 100 Civic Center Drive, Newport Beach, CA 92660 u * s Permit Counter Phone: (949) 644-3288 a.. °9<.rEoaa`" Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Combination Type - SFP ELEC Work Class - Other II III I I I II I II I III III IIII II COMB Permit : XR2022-2346 Plan Check No : PC2022-2193 Issued Date : 09/15/2022 Inspection Area : 5 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 : 280 EVENING CANYON egal Desc . N TR 1116 BLK LOT 49 Description : SFR- 1 BATTERY ESS 3gf applicable: Owner: ROACH O TR S L TR 'Contractor: URBAN ENERGY F 80D%o or �+ 6°dp:refund Address : 1851 ALEXANDER BELL DR STE410,,o Address : 10192 CONSTITUTION DR Address RESTON, VA 20191 1 HUNTINGTON BEACH, CA 92646 Phone : Phone: (562) 447-4971. '' to WhOrn. Phgpg Con State Lic : 944115 State Lic Applicant: JOJO COLLINS Address : 20104 STATE RD CERRITOS, CA 9( Phone : (310) 795-6453 N' Owner/Builder : Address : Phone Code Edition : 2019 Type of Construction : V-B Occupancy Groups: U Bldg Height: Lic Expire: 12/31/2023 Bas-Ltp: e; BT30064588 - Engineer: TRUONG H P Bus Lic Expire : 09/30/2022 Address : 3000 E BI H BREA,CA 28 Workers' Compensation Insurance Phone: (949) 254- 5 Carrier: STATE FUND Policy No: 9021421 Designer: MARK MEP W. C. Expire: 6/1/2023 • �+ pp ddkasA >� 4 STA 11 1a,6 E RITOS Scan � Phohe (no work started) (work Stal"WWprinklers : NO Construction Valuation Fire Hazard Zone : NO Added/New/Ti sq. ft. Bli Note: §§ No of Units : 1 Note: nes Building Setbacks : Front: 0 -4T Flood Zone : X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS: E RD CA 90703 $10,000.00 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjuy that I ant exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next io the applicable Items) (Section 7031.5, Business and Professions Code: Arty city or county that requires a permit to construcL 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 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 not more than five hundred dollars IS500).. 131, as owner of the property, or my employees with wages as their sole compensation, will do (—) all of or L) 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 improvements 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), ❑ 1, as owner of the property, am exclusively contracting with license Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not apply to an owner of propertywho'�Ids drtrlrprdtres: tFTi?fAiip; bind'Wh4contracts for the projects with a licensed Contractor pursuant tothe CortttactoWs ate.,4_lcense Law), am exempt from licensors under the Contra to s' a L'rc rise a r Ih lowiny reason: y my signature below I acknowtadge--U1ot, exce f r p ,rise id ,tc 'n ch must have resided for at least one year pnor to completion of the in all a structure that. have butltas an a..... =trrnf< �' ha nits "broly-by+consed contractors I understand that a copy of the app. 'rofessions Code, is available upon request when this pplicabon 4submitted or at the following Web sitethltp DwwviJeginfo.ca,govlcalaw.html. signature of Property Owner nr AUkttoii? Agen� .ICENSED CONTRACTOR-'S DEG RAT ^1, - +, hereby affirm under penalty of pequry I('h t. I a 3,ensd u Er provisions of Chapter g (commohcingwilh Section 0 0 of Division 3vof the Business and not effect. License 'Eanse No Contractor Signa 'ARNING FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED :s covered by this permit, I cannot Section 7044 of the Business and Date and my license is In full force DOLLARS 1S100,000t, IN ADDITION TG THE OSTOFCOMPENSATtONr p0.MAGESAa OTeti FORT NGeQ THE LA80R COpC, INTEREST AND ATTORNEY�gfEs. hereby affirm under penalty of',p a"Y +'" of lh 1rg decfar itlons :. I have and will maintain a r C sof co nJ: a self Inaure for Workers' compens-t[JOH., issued the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for foemanca of the work for wMi it is policy Net "'� "• = ' IT 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` compensa rsuran carrier and policy numb are: :anler 5 oA ^ rid S Policy Numb a ExpiIrtion Date lame of Agent r A -- h- 3 f m n It certify that. in the perfdr a work for which this pe R is issued, I shall not emp person in any manner so as to be hn subject to the workers' dmpensaiion laws of California, and al tat, if I should becom su jact to the works} retarlrtiiI of Section 3700 of the Labor C�qno t;WUIfiagr(prtylh those provisions. , denature of Applicant 4 LPh'P9J[M9- _ D �A5.6•a^ hereby affirm under panaty tbpLender's Address _enders Namenr ma umrx rnr wnir•n m e arm _ _ _ are. Int c \ 3y 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 e 4444444444i I core—' I agree to comply with all applicable city and cou 1I. rdinances and state lases relating to building construction. I authorize representatives of this city or county o nter a DID �e�-identified property for inspection purposes. ��-iJ�O �DI 1 NOS N S Signature of Property Owner or Authorized Agent. l.o""� 1 Print Property e Owner's or Authorized A nt's Nam ACTION DATE. BY r DECL N OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RFGULATIONS PART 61 OF TITLE 40 AND ARNID RUtE '�h?W f ETIRED I SUBMITTED ASBESTOS NOTIFICATION TO __..__..._ ....... .............. .....__._.�. PFFAVT.ANCELLEO __ . ..r_.p�'___.______ L1EPA _�OMD NA PCmNYT rinrAL PFA i a AyBE5T05 N0I IHLATIUN IS NOT APPLICABLE 't0 CERrrF ATEOF PROPOSFD DEMOLITION l SSUFJ SIGNATURE