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Home My WebLink AboutXR2022-3034 - PermitsgWPO"" City of Newport Beach D - e Community Development Department- Building Division F 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 u Inspection Requests Phone: (949) 644-3255 cg4co0.N�P newportbeachca.gov/inspections Combination Type - SFP ELEC Work Class - Other ��111111111111111111111111111111111111111111111111COMB Permit : XR2022-3034 Plan Check No : PC2022-2900 Issued Date : 01/23/2023 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: 4721 CORTLAND DR Description: SFR 1 ENERGY STORAGE SYSTEM Owner: GREG PETERS Address : 4721 CORTLAND DR CORONA DEL MAR, CA 92625 Phone Applicant: PARAGON5UN Address : 7545 Irvine center dr 200, 200 Irvine, CA 92618 Phone : (858) 386-0463 Owner/Builder : Address : Legal Desc : N TR 3519 BLK LOT 4 TR 3519 LOT 4 ALL -EX SWLY 1 FT- 1 , Contractor; PARAGON5UN Address : 7545 Irvine center dr 200, 200 Irvine, CA 92618 Phone : (858) 386-0463 Con State Lic : 1025115 Lic Expire : 03/31/2023 Bus Lic: BT30080036 Bus Lic Expire : 11/30/2023 Workers' Compensation Insurance Carrier : Policy No: BNUWC0154103 W. C. Expire: 5/2/2023 a Architect : '{ Address Phone : State Lic: .' Engineer: MORALE9*00UGLAS Address : 20751 KELVIN LN ALISO VIEJO, CA 92656 Phone : (949) 285-5104 Designer: Address : Phone: Phone Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $2,500.00 Type of Construction : V-B Fire Hazard Zone : NO Added/Newts sq. ft. Bldg: 0 Occupancy Groups : U No of Units : 1 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 0 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks : Front: 35, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: �c\� 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 fteri (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 hoor 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), 13 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, 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). ❑ I, as owner of the property, am exclusively contracting wth licensed Contractors to construct the project (Section 7044, Business and Professions Cade: The Contractors' State License Law does not apply to an owner of property who builds or improvesthereon, and who contracts for the projects witha licensed Contractor pursuant to the Contractors' State License Law), i I am exempt from liaensureunder the Contractors' Stale License Law for the following reason: y 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 all a structure that I have built as an owner-buildor if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofesslons Code, is available upon request when this application is submitted or at the following'Neb site:http:Jiwww.leginfo.ca.gov)calaw.htmL ignahue of Property Owner or Authorized Agent __�_„^, _ Be ICEN'.SED CONTRACTOR'S DECLARATION hereby affirm under penalty' of perjury that I am licensed under previsions of Chapter 9 (commencing with Secti 000) f DjyisjpP �d}�e Business and Prof sjp s Cod .., and Tny lr nse Ilc� s m Full'R nd effect. License Class License No Dat G f `sontractor Signatur /I JORKERS' COMPENSATION DECLARATION IARNING: 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 ISID0,000), IN ADDITION TOT :DST OF COMPENSATION, DAMAGES As PROVIDED Pont A SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm underpenalty of perjuryone of the following declarations: I 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 ormanee of the work for which this permit is issued. Policy No. ,e 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' compensa. isurance carrier and policy number are: :arrler Policy Number Expiration Date ne Of Agent Phone # certify that, inthe performance o w k for which this per ue , I shall not employ any person in any manner so as to become subject to the workers' Drop nsat on laws of California, and agre if I should becpm subject t e work IS' compe n provisions of Section 3700. of the Labor Code. Ishall forthwith comply With those provisions. Tature of AUGIirm? Date /� Z3 ECLARAT[ON REGtMll CONSTRUCTION LENDING AGENCY hereby affirm under enalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, C it Co'). endar s Name Lenders Address y my signature below, I QBAify 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 provideJJ I agree to comply with all applicable city and rout. ify.ordin es and si laws relating to building construction. I authorize representatives of this city or county en the atove-id:,ryPied prcperty for irspection purposes. oettv ianature of ProOwner or Authorized Arent / /�' Print Pmcertv Owner's or Authorized Adept's Name /G [� ' Oat ACTION 3 DATE BY y DTC.LARATION OF CONIPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY / REGULATIONS PART 61 OF TITLE 40 AND AQNID RULE 1403 PERMiTEXPIRED _ ryI SU'A,NIL EDASSES'.OS KOTIFi-ATION TO PERMITCANCELLED — I LJEPA PERMIT RINAL yL 1_`�r �,( ;L_I ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERT(FICATEOF '. lu i PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: