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HomeMy WebLinkAboutXR2022-2219 - PermitsCity of Newport Beach D�2EWPORT Community Development Department- Building Division > - - 100 Civic Center Drive, Newport Beach, CA 92660 i ems. Permit Counter Phone: (949) 644-32BB Inspection Requests Phone: (949) 644-3255 c94FonN`P newportbeachca.gov/inspections Combination Type - SFP ELEC Work Class - Other X R 2 0 2 2 2 2 1 9II COMB Permit : XR2O22-2219 Plan Check No : PC2022-2058 Issued Date : 1110112022 Inspection Area : 2 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 : 116 EMERALD AVE Description : SFR (2) ENERGY STORAGE SYSTEMS Owner: PRADEEP BAKSHI Address : 24821 LOS ALTOS DR VALENCIA, CA 91355 Phone Applicant: CA SOLAR INSTALLERS Address: 3424 VIA OPORTO UNIT G204 NEWPORT BEACH, CA 92663 Phone : (B55) 346-3888 Owner/Builder : Address: Phone: Legal Desc : A TR BALBOA ISLAND RESUB SEC 1 BILK 3 LOT 18 Contractor: CA SOLAR INSTALLERS Address : 3424 VIA OPORTO UNIT G204 NEWPORT BEACH, CA 92663 Phone: (855)346-3888 Con State Lie : 1038437 Lie Expire : 12/31/2023 Bus Lie: BT30069480 Bus Lie Expire : 1013112022 Workers' Compensation Insurance Carrier: ROCKINGHAM INSURANCE COMPANY Policy No: RCAA30094504 W. C. Expire: 3/12/2023 Architect Address Phone: State Lie Engineer: MCPHERSON RYAN JAMES Address : 6169 SUNNY CIR MIRA LOMA, CA 91752 . Phone: (909)569-2244 Designer : CA SOLAR INSTALLERS Address : 3424 VIA OPORTO UNIT G204 NEWPORT BEACH, C492663 Phone: (855)346-3888 Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : s10,000,oU y Type of Construction : V-B Fire Hazard Zone : NO Added/New/Tl sq. ft. Bldg Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 2 Added/New sq. ft. Garage : 0 TOTAL sq. ft. Bldg: 0 Building Setbacks : Front: 8, Side: 3, Side: 3, Rear: 5 Flood Zone : AO 1 Use Zone: R-BI - Two -Unit Residential, Balboa Island ! PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate 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 not more than five hundred dollars ($500 f 1:11, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure Is notintended or offered for sale (Section 7044, Business and Professions (lode: 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). 71 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 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). 3 1 am exempt from licensure under the Contractors' State License Law for the following reason By my signature below t 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 legall; sell a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site;httpllwww.leginfo.ca.gov/colaw.html. Signature. of Property Owner or Authorized Agent Date. LICENSED CONTRACTOR'S DECLARATION �'' ///��� I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 70A0) of Di ision 3 of the Business and Professions Lase an y license is In full force and effect License Class License No Date z` Contractor Signature ez IMORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGESAS PROVIDED FOR IN SECTION 3706 of THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, hereby affirm undcrpanrlly of perjury one of the following declarations: ::I..c3 and wilt.maintain 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 th Vokformance of the ,nail. Dr which this permit is issued. Policy No. _ and will miintain 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' carrier and nolicy number are: Policy Number Date dame of Agent Phone # .�I oe'Ry that, in the pe,'formance of the work for which this permit is issued. I shall notemploy any person in any manner so as to become subject to the workers' compensation Laws of Califomia, and Agra hat, if I should beccme subject to the ^workers' compensation provisions of Section 3700 of the Labor Code. I shall forthwith comply with those previsions. iignalurr. of Applicant rr`-(—/ f! V Data.,"', 4TION ReGARDING CONSTRUCTION LENDING AGENCY ngreh" affirm under pa.ralty 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). pander's Name Lender's Address iy my signature below. I certify to each or 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 ordinarrc s a b state laws ing to building construction. I authorize representatives of this city or county to a the be -ide property f5r inspection purposes. ii nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name /t Date d� / ACTION DATE BY ( DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY vREGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED I I ,UI SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED _ LJAOMD PCRN1rT ElNAt �ASaFSTO5 NOIIHLAtION IS NOT APPLICABLE TO OCCUPANCY O€ '`� P POSED DEMfJt{TIO �( / OCCUPANCY ISSUED !/4 ! IGNATURE: / ��