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Home My WebLink AboutXR2022-2029 - Permits-Wpo", City of Newport Beach II III I I I II I II I III I III III II p� -x A Community Development Department- Building Division COMB Permit:XR2U22-2U29 > ''' "➢' 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-1865 S Permit Counter Phone: (949) 644-3288 Issued Date : 09/01/2022 c w \P Inspection Requests Phone: (949) 644-3255 Inspection Area : 6 "9t."..' newportbeachca.gov/inspections Combination Type - SFP ELEC Work Class - Other 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 AVV HOLIDAYS IN ALL AREAS y Job Address : 11 PORTICA Legal Desc : j Description: SFR 27KW ENERGY STORAGE SYSTEM Owner: SHIPLEY ROBERT R TR Contractor: TESLA ENERGY OPERATIONS Architect Address: 11 PORTICA NEWPORT COAST, CA 92657 _ Address..: 2102 ALTON PARKWAY #B'IRVINE, CA Address -92606 Phone : Phone: r (650),638-1028 '- Phone : Con State Lic : 888104 State Lie Applicant: SAM STABLEIN Lic Expire: 12/31/2022 Address: 2102 ALTON PKWY, B IRVINE, CA 92606 Bus Lic:; 'BT30026827 Engineer : RYAN ATWELL Phone: (714) 496-0688 Bus Lic,Expire : 02/28/2023 Address Workers' Compensation Insurance Phone: Owner/Builder: Carrier: <ZURICH AMERICAN INS CO Address : Policy. No: EWS107458504 : Designer : JESUS SVIATOSLAV Phone: W. C. Expire :_. 10/31/2022. Address : 2102 ALTON PKWY, B IRVINE, CA 92606 Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $17,000.00 Type of Construction : V-B FireHazard Zone : ". Yes, as determined by the state. Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U. No of Units : 1 .Alteration sq. ft. Bldg: Bldg Height : No of Stories : " 2 Added/New sq. ft. Garage: 0 .... Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 10 °o 0 Flood Zone : X ° ®• Use Zone: PC - Newport Ridge • • a •... PROCESSED BY: •®•••• •°°• SPECIAL CONDITIONS: • ° VYVrSCR^pVIL VLR ucLL rxi k1ININ hereby affirm under penalty of perjury that) am exempt from the Contractors' State License Law for the reasen(s) indicated below by the checkmark(s) I have piaced.. next to theapplicable items) :lion 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 permit to fire 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 'essions 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 more than five hundreddollars ($500): 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions 0 :the work'; -.and the structure is not intended or offered for sale (Section 7044, mess and Professions Code: The Contractors' Slate License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property; provided that the ,ovements are not intended or offered for sale. If, however, the building or improvement Is sold within one year of car pletion, the Owner-Buitder will have the burden of proving that it was not: built or 'avedfor the purpose. of sale).. 1, as owner of the property, am exclusively contracting with licensed Contractors to Construct the project (Section 704. Business and Professions Coder. The Contractors' State License Law does not y 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), I am exemptfrom licensure under the. Contractors' Stale License law for the fallowing reason: ®_ _ ny signatures below 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 legal a structure that I have built as an owner -builder it it has not been constructed in its entirety by licensed contractors. I L riderstand that a copy of the applicable taw, Section, 7044 of the Business and essions Code, is available upon request when this applicationis submitted or at the following Web site:hitp:/Iwi wlegl'nfo.ca.gov/calaw.htmi. inture of Property Owner or Authorized Agent. . Date hereby affirm under penalty of perjury that..I am licensed under provisions of Chapter.9 (commencing with Section 00 nd effect. License Class License No Date' VORKERS' COMPENSATION DECLARATION 'ARNING< FAILURE TO SECURE wORRERS' COMPENSATION COVERAGE IS UNLAwFUt; AND: SHALL SUBJECT. AN EMPLOYER TO CRIMINAL. PEN DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm. under penalty of perjury one of the following declarations; 7 I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director rf�ormance of the work for which this patmlt is issued.. Policy No. �fhand will maintain workers compensation insurance, as required by Section 3700 of the Labor Code, for the: isurance carrier and policy number are: amer. policy Number ne of Agent' certifythat, in the performance of , if I should become Wbfect to the hereby affirm under ..:am the thave re • I agree t • • I authors: ..4.04 •• Is aconstruction lending T authorized to act On the: property owner's behalf. n and the information:I have provided. is correct applicable city and county rdinances and state Is s of this c€ty er county tornterthis �fiec fvls€on 3 of the Business and Prole ris C d IH y lice •ei�n full force 77 Contractor Signature / SAND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS ($100.e00), IN ADDITION TO THE Industrial. Relations as provided for by Section 3700 of the Labor Code, for of the: work for which this permit Is issued. My workers' Date any person in any marine, so as to become subject to the workers' mpensalian laws of California, and egret Labor Code; lsflall forthwith comply with those provisions. i Date Hance of the work for which this. permit is issued. (Section 3097,. Civil Code):: TO purposes. All required alarms; latches gates and fenceswhich serve: as part of pool/spa barrier, shall be m placerprior to approval to.fill 'pool/spa & shall remain in place & be maintained for the NOTIFICATION IS NOT APPLICABLE To life of the pool.