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Home My WebLink AboutXR2022-3234 - PermitsCity of Newport Beach o��EtliaoRr d Community Development Department- Building Division - 100 Civic Center Drive, Newport Beach, CA 92660 = Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 C4C/rppN�P newportbeachca.gov/inspections Combination Type - SFP ELEC Work Class - Other 11111111111111111111111111111111111111111111111111111111l 11 COMB Permit : XR2022-3234 Plan Check No : PC2022-3096 Issued Date : 01/11/2023 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 : 1315 SANTANELLA TER Legal Desc : N TR 1700 BILK LOT 42 Description: SFR - (2) 10.5 KW ENERGY STORAGE SYSTEMS; 400A MAIN PANEL UPGRADE AND (1) 200A SUB -PANEL Owner: TRACY PULLIAM Address : 1315 SANTANELLA TER NEWPORT BEACH, CA Phone: (714)745-4797 Applicant: AMPS ELECTRIC AC/DC INC Address : . 3141 BRAY LN COSTA MES, CA 92626 Phone: (949) 573-4133 Owner/Builder : Address : Phone: Contractor: AMPS ELECTRIC AC/DC INC Address : 3141 BRAY LN COSTA MES, CA 92626 Phone: (949)573-4133 Con State Lic : 1060783 Lic Expire : 11/30/2023 Bus Lic: BT30080265 Bus Lic Expire : 12/31/2023 Workers' Compensation Insurance Carrier: STATE COMPENSATION INSURANCE FUND Policy No: 9309303 W. C. Expire: 11/30/2023 Architect Address Phone: State Lic Engineer Address Phone LU Designer: AMPS ELECTRIC AC/DC INC Address : 3141 BRAY LN COSTA MES, CA 92626 Phone: (949)573-4133 Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $30,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg: 0 Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 1 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks : Front: 26, Side: 4, Side: 4, Rear: 10- Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: . ` - - y�Y OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors.' Slate License Law for the resson(s) indicated below by the checkmark(s) I have placed next to the applicable items) 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 he permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'rofessions 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 lot more than five hundred dollars ($500). 1 1, as owner of the property, or my employees with wegas as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiness 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 mprovements 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 '.. reproved for the purpose of sale). '.. 3 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 Ipply 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). 1 am exempt from licensore under the Contractors' Stale License Law for the following reason: ____. 3y 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 legally Oil a structure that I have built as an owner -builder if it has EDT been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:!(www.leginfo.ca,gov/calaw,btmi, 3gnature of Property Owner or Authorized Agent Date -ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 4 of Division 3 of the Business and Prof sons C Icense is In full torte Ind effect. License Class License No Date ' il- o 2 1 Contractor Signature �\ < VORKERS' COMPENSATION DECLARATION 1ARNING: 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 (S100,000), IN ADDITION TO THE :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR 1N SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 3 1 have and will 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 IN <ormance of the work for which this permit Is issued. Policy No. 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' carrier and oolicv number are: Policy Number Date tame of Agent Phone M ]I certify that, in the performance 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 tat, if I should become s�gbject to the compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. iignalure of Applicant,_/% __ Da ` � ? `J 2 7 IECLARATION REGA DING CONSTRUCTION LENDING AGENCY / hereby 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). onder's Name Lender's Address ly 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 court ordinances and state laws relating to building construction. 11o- y �(.pMpr 1 authorize representatives of this city or counly44enter thg-aboue-uleDflfied property for inspection purposes. d mature of Property Owner or Authorized Agent Print Property Owner's or Authorized AGent's Name Date D%II DATE I BY PERMITCANCELLED PERMtTEXTENDEO PERM7T FINAL CERTIFICATE OF DCCUPANCYISSUED REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE TO L-,IASBSICSNOiIFICAI'IONISNOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: FOR OFFICE USE ONLY