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HomeMy WebLinkAboutXR2022-2611 - Permits�a6WPp�T City of Newport Beach p d Community Development Department - Building Division t Fy 100 Civic Center Drive, Newport Beach, CA 92660 i Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 ogt�roa"�P newportbeachca.gov/inspections Combination Type - SFP ELEC Work Class - Other IIIIIIIIIII111111111111111111111111111111111111111111111111COMB Permit : XR2022-2611 Plan Check No : PC2022-2442 Issued Date : 01/19/2023 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 : 242 HAZEL DR Description: SFR - 28KW ENERGY STORAGE SYSTEM Owner: BARKER SCOTT J TR Address : 242 HAZEL DR CORONA DEL MAR, CA 92625 Phone : (714) 745-6984 Applicant : Vyankatesh Barde Address : 10713 NORWALK BLVD SANTE FE SPRINGS, CA 90670 Phone : (619) 728-6511 Owner/Builder: Address : Phone Legal Desc : N TR 673 BLK A LOT 42 TRACT NO 673 BLK A LOT 42 AND FOR ABAN D STIR (GLEN Contractor: SEMPER SOLARIS CONSTRUCTION Address : 10713 NORWALK BLVD SANTA FE SPRINGS, CA 90670 Phone: (619)715-4054 Con State Lic : 978152 Lic Expire : 10/31/2024 Bus Lic : BT30075814 Bus Lic Expire : 07/31/2023 Workers' Compensation Insurance Carrier: MIDWEST EMPLOYERS CASUALTY CO Policy No: BNUWC0155108 W. C. Expire : 10110/2023 Code Edition : 2019 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : YES Occupancy Groups : U No of Units : 0 Bldg Height: No of Stories : 2 Building Setbacks : Front: 1, Side: 4, Side: 4, Rear: 10 Flood Zone : X Use Zone: R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: Architect Address: A Phone: State Lic Engineer: Address: Phone: Designer: Vyankatesh Barde Address : 10713 NORWALK BLVD SANTE FE SPRINGS, CA 90670 Phone: (619)728-6511 Construction Valuation : $20,000.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage c 0 TOTAL sq. ft. - 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State license Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable tennis) (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 Iicensure 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). El 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of Or U portions ofthework, 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) - El 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 ra�pTply to an owner Of property who builds or improves thereon, antl who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). LI I am exempt from liconsure under the Contractors' State License Law for the following reason: By my signature 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 legalb sell a structure that I have built as an owrior-builder if it has not been constructed in its entiroty, by licensed contractors. I understand that a copy of the applicable law. Section 7044- of the Business and Professions Code, isavailable upon request when this application is submitted oral the following Web site:http:dwww.laginfo.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent., Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 {commencing with Section 00 of Z iO 3 D�the Business an rofessioq�Gode, ar�d my license is In full force and effect. License Class License. No Do Contractor Sign re WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 19 UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND Civil UP TOONE HUNDRED THOUSAND DOLLARS (E100,0001.IN ADDITION TO THE COST OF COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 3T06 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES, hereby affirm under penalty of perjury one of the following declarations: 1 have and will maintain a oerlificate 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, forth Derformance 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' compensation nsu. nce carrier and policy number are: Policy Number 1e of Agent _ Date certify that, In the Darien rice of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California. and agree L If I should becom s b' ct to the kern' rAmpB anon provisions of Section 3700 of the Labor Code, I shall forthwith comply Alto those provisions. nature of Applicant - Dat rt( CLARATION REG ING CONSTRUCTION TRUCTION LENDING AGENCY areby affirm under penaty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Clvi Code). Ider's Name Lenders Address my signature below, I oartffy to each of the following: I am the property owner or DiTc), L-J 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 r.l:, .0 applicable city and I;Q�Unt ordinances and state laws relating to building construction. /' q ,/ I authorize representatives of'he city or couel enter yj,0 above--�antified property for inspection purposes. �/ /, u- or PERMIT CANCELLED BY v' DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXTENDED JAQM D PERMIT FIPIAL BESTS TIFICATION IS NOT APPLICABLE TO CERTIFICATE OF I y- 5 _ Z � �// - / PROPOSED OL OCCUPANCYISSUE0 y/- 7/✓`� ,SIGNATURE a( \ / a k t � � w U z , / LU q # z � w \ a a » 0 w S f LULL 2 m 2 & E CL U) o Lii �z �* � ®0 ■ U %LIt � $ 2 ` � 9 �S � \ � � a \ 0 \ F- / w = d J } § } \ \ § [ y i _ $ 2� 0 \ ) u e \ / � t 2 k 7 � \ / \ o/ k e 2 �; r 3 G / a t = . j} E 2 0 _ m a cu j \ k 0 $� § [ \ / / �2 $ / $ g 0 k \ } / E - � - § \ \ j ( © / E E k / ) @ t LO F OD 3 U O m Z o E• O o O [i] III/��-�111 0 N C0 L @ Wz N a Z Z r n A Q m� O 0 0 0 m� E N aL)s z > ()-- QI py�1(0rn OC7�L Z� Wr� o 1D �QMo a'U F woo OLL (b C) W o Oa,)>_a LU ti Q O F W co U O > 0 CD U o co o U a 3 0 a O U a z , a U N 0 o o L ai L a) a a a @ (D 0 c (D N t sp `L°m N @EFL A 7 'C d N O C M� O N N ia Q'a) N 6 N "" a) GI @ L -Cp N (D fL6Y� C a 03y o((D . mOw d-o 'p y o O L @ Q C@ O O •O "O N E = U N 5 (D@ N R L O .O Lo 0 (D L N .@C 'X p w O E 0 M n p c o _ 3 p U d C• E U N @ O a) " 7 O) E@ N � d C Uoc 3 Na) 4- � c a)N E@ � () N O p E N C �_ O a N d U @ N 0 00 N N 7� N 7 CL -O . 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