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Home My WebLink AboutXR2023-1286 - Permits�EX'PORT City of Newport Beach II IIIII I IIII IIII III IIIIIIII II IIIII II COMB Permit : XR2023-1286 Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 u i Permit Counter Phone: (949) 718-1888 Plan Check No : PC2023-1142 newportbeachca.gov/civic Issued Date °g4vonN�A Combination Type - SFP ELEC Final Date: Permit Status: Applied Work Class - Alteration 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 : 170 SIDNEY BAY DR Legal Desc : N TR 16269 ELK LOT 6 Description: SFR ENERGY STORAGE SYSTEM (PV2023-0288) Owner: DENISON THOMAS R BAYARDELLE TR Address : 170 SIDNEY BAY DR NEWPORT COAST, CA 92657 Phone: (949)939-4090 Applicant: XAVIER CONTRERAS Address : 801 GLENNEYRE ST, A LAGUNA BEACH, CA 92651 Phone: (562)639-9757 Owner/Builder : Address : Phone Code Edition : 2022 Type of Construction : V-B Occupancy Groups: U,R-3 Bldg Height: TR ELIZABETH Contractor: SADLER SOLAR Building Setbacks: Flood Zone : X Use Zone : PC - Newport Coast PROCESSED BY: Address : 801 GLENNEYRE ST #A LAGUNA BEACH, CA 92651 Phone: (949)584-4800 Con State Lic : 982533 Lic Expire : 04/30/2025 Bus Lic: BT30073175 Bus Lic Expire : 1013112023 Workers' Compensation Insurance Carrier: STATE COMPENSATION INSURANCE FUND Policy No: 9311933 W. C. Expire: 1/26/2024 Fire Sprinklers : NO Fire Hazard Zone : YES No of Units : 1 No of Stories : 2 pA s Architect:, Address Phone:-j State Lic Engineer: MUNYANZIZA,EUGENE Address ; 250 WILKERSON AVE APT 130 PERRIS, CA 92570 Phone: (951)355-3348• Designer: SADLER SOLAR Address : 801 GLENNEYRE ST #✓. LAGUNA BEACH, CA 92651• Phone: (949)584-4800 Construction Valuation : $5,000.00 , Added/New/TI sq. ft. Bldg : 0 , Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 , TOTAL sq. ft. : 0 " SPECIAL CONDITIONS: _ 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 lieensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of 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 (_) portions of the work, and the structure is not Intended or offered four safe (Section 7044, BUSInPSS and Professions Coda: The Contractor%' 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 bulls 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 net 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). ❑ I am exempt from licensure under the Contractors' Slate 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 coveead by this. permit, I cannot legally sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed Contractors.) 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;http:liwww.leginfo.ca.gov/calaw.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 Septic, 7 o0) of Divfsian 3 of the Business and Profe s' ns Code, and. m license is In full force and effect. License Class License No Date / ez Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKER%' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100,000), IN AUCTION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY FEES_ I hereby affirm under penalty of perjury one of the fallowing declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' r,Dmpansation, issued by the Director or Industrial Relations as provided for by Section 3700 or the Labor Code, for IN pilaormance of the work for which this permit is issued. Policy No. IC have and will'mgwtain 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' compensatior Trance carrier Mod policy number are: no, Policy Number Expiration Date ne of Agent _ Phone # ce try that, in the per€ rmance 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 agre if I should b rC r bled to the workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / �/ / -7 nature of Applicant ,�Cn�ALL __ Date (, / 11 / (( Z PZ :. _.;RATION 2 GA.{51 OFiuF TION LENDING AGENCY �xJt �Ly 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, I I Code). ,da. < Name Lenders Address my signature hblow; I certify to each of the following: I am the property owner or authorized to act on the properly owner's behalf. I have; read tl pis application and the information I have provided is correct. I agree to coiaply pith all applicable city and county ordinances and slate laws relating to building construction. I authorize representatives of this city or counpp'o enter the above -Ida property for inspection purposes V9 it nature of Prooertv Owner or Authorized Agent �]�_ �� rr nr inspection pry Ters or Authorized Agents Name ACTION I DATE BY v RFGULAT SONS Or` COMPLIANCE 81 LI TILE I H ODEACTOF RU1 ERAL I FOR OFFICE USE ONLY PERMIT EXPIRED U7I �StUBMITTED ASBFSTOS NOTIFICATION TO PEAM17UNCELl ED DEP'A PER MIT EXTENDED CIMD ASBESTOS NOT 'ION 15 Nol APPLICABLE TO FICA CERTIFICATE OF --_-_ V "� W I PROPOSED DEMOLITIONI OCCUPANCY ISSUED SIGNATURE; __-_