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Home My WebLink AboutX2022-0281 - PermitsCity of Newport Beach - Building Division `X2022-0281' 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 6a V Inspection Requests Phone (949)644-3255 I ee, � CT R rv'r+ananu Combination Type - BLDG ELEC 1 6.. COMB Permit: X2022-0281 Project No : 0250-2022 Issued Date : 02/1512022 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 02/15/2025 OR PERMIT WILL BE INVALID Construction Hours: Monday- Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 1221 BERKSHIRE LN NB Description: SFR ENERGY STORAGE SYSTEM Legal Desc.: N TR 3031 LOT 18 .... O (JOo Owner: PHAN PHUOC Contractor: SADLERSOLAR Architect: ®° Address: 3 GRASS VALLEY Address: 801 GLENNEYRE ST #A Address: IRVINE CA 92602 LAGUNA BEACH CA 92651 Phone: 714-478-7334 Phone: 949-584-4800 Phone: State Lic: Applicant: CONTRERRAS XAVIER Address: 801 GLENNEYRE ST STE A LAGUNA BEACH, CA 92651 Phone: 562-639-9457 Code Edit : 2019 Type of Construction: Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: - 0 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Flood Zone: X 11 Construction Valuation: $1 Building Permit Fee: $331.00 Plan Check Fee: $287.97 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $12.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $775.80 PROCESSED BY: ZONING APPROVAL: t VA Con State Lic: 982533 Lic Expire: 04/30/2023 Bus Lic: BT30073175 Lic Exp Date: 10/31/2022 Worker's Compensation Insurance Carrier: EXEMPT Policy No: NO EMPLOYEES Expire: Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WO Insp. Fee: Electrical W Mechanical %: Plumbing %: Rear: 6 Front: 20 Left: 6 Right: 6 irking Specf $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $43.33 $0.00 $0.00 0 Engineer: 000000 ° Address: 00 0 Phone: State Lic: Designer: CONTRERRAS XAVIER Address: 801 GLENNEYRE ST STE A LAGUNA BEACH, CA 92651 ° ° Phone: o o 00 Special Conditions: Fire Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PAN Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $52.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $48.50 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 Plan Check Fee : $409.63 Fee Due at Permit Issuance : $366.17 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: OD -1R 0 0 0000 0 0 ooaoo m ooaoo ooe°oo 0 0 0 0 000°oo ° o°oo° OWNER -BUILDER I 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 licensure 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 j not more than five hundred dollars ($500). ❑ 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 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-Builderwill have the burden of proving that it was not built or improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an %v*ne� o -property who builds or improves thereon, and who contracts far the projects with a licensed Contractor pursuant to the Contractors' State License Law). PPY f P Y P P 1 P ) .... I am exempt from licensure under the Contractors' State License Law for the following reason: B�Ihp signafylre W%v I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a structurEthat [*have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 9ro{essions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Si&Tature of Property Owner or Authorized Agent Date tJCPJNSED'C6MACTOR'S DECLARATION I htfeby affirrp updgr penalty of perjury that I am licensed under provision of Chypt r 9 (commencing with Section 7000)) of Division 3 of the Business and Profess ns Code, and my license is in full force endeffiect. Licdhgg Class C— 4 b License No �18Z 5 3 Date 2/ 15 /22- contractor Signature VIORKERS' COMPENSATION DECLARATION IIARMTi: FAILUR.E TO.SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUEUECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST COMPWSAYOM DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. :laerEby affirm under penalty of perjury one of the following declarations: U-1 ave ana*VR rrrintain 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 VH performance of the work for which this permit is issued. Policy No. 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' mnce carder and policy number are: Policy Number m of Agent certify that, in the performance of the work for which this permit is if I should become subject to the worlfers' comnPr'��Nr,n rrn ��ic.r of Date I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and ction 3700 of the Labor Code, I shall forthwith comply with those provisions. Date?/6/Z Z CLARATION REGARDING CONSTRUCTION LENDING AGENCY :reby 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). Ider's Name Lender's Address 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 state laws relating to building construction. I authorize representatives of this city or county to enter theabave..iderltified property for inspection purposes. , P Owner's or Authorized Aaent's Name A Q v I Co iq f e P145 ACTION DATE BY DECLARA ION OF C BI LIANCE WI4 TH CODE OF FEDERAL I FOR OFFICE USE ONLY D AQMD PERMITEXPIRED LJISUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMITFINAL I�b—j vw—e ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: Date z1