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Home My WebLink AboutXR2023-0853 - PermitsE City of Newport Beach 111111p11111111111p11111p111111111111111111111111p1ll 11 COMB Permit : XR2023-0853 aQ Community Development Department -Building Division X R 2 0 2 3 0 8 5 3 rn100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-0740 Permit Counter Phone: (949) 718-1888 Issued Date : 0513112023 newportbeachca.gov/civic Inspection Area : 4 Foa� Combination Type - SFP ELEC 1.2 Work Class - Other 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 : 900 ALMOND PL Legal Desc : N TR 4705 BLK LOT 10 Description: SFR INSTALL 27 KWH ENERGY STORAGE SYSTEM. Owner: GARY SMITH Contractor: URBAN ENERGY SOLAR INC. Address: 900 ALMOND PL Address : 10192 CONSTITUTION DR NEWPORT BEACH, CA 92660 HUNTINGTON BEACH, CA 92646 Phone: Applicant: JOJO COLLINS Address : 20104 STATE RD CERRITOS, CA 90703 Phone: (310)795-6453 Owner/Builder Address : Phone Code Edition : 2022 Type of Construction : V-B Occupancy Groups: U,R-3 Bldg Height: Phone: (310)795-6453 Con State Lic : 944115 Lic Expire : 12/3112023 Bus Lic : BT30064588 Bus Lic Expire : 09/30/2023 Workers' Compensation Insurance Carrier: STATE FUND Policy No: 9021421 W. C. Expire : 6/1/2023 Fire Sprinklers : NO Fire Hazard Zone : NO No of Units : 1 No of Stories : 2 Building Setbacks : Front: 10, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: 4V SPECIAL CONDITIONS: Architect Address Phone : State Lic: Engineer: Address Phone PHONG TRUONG 3800 E BIRCH, 201 BREA, CA 92821 (844)783-5423 Designer: URBAN ENERGY SOLAR INC. Address: 10192 CONSTITUTION DR HUNTINGTON BEACH, CA 92646 Phone : (310) 795-6453 Construction Valuation : $10,000.00 Added/New/Ti sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that t 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 ltem(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 rile a signedstatement 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 licensors and the basis for the alleged exemption. Any: violation of Section 7031.6 by any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 111, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portionsofthe 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 properly, 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 B was not built or improved for the purpose of sale). D 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). U 1 am exempt from licensors 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 most have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legalit 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 drat the following Web site:http:IAw .leginfo.ca.gov/calaw.htmi. 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 7 OQ a D)'v" •ion'3 of the Business and PropssioJC-�od,,��, andlpy license is In full force and effect. License Class License. No Da 31 Contractor Signator tll- WORKERS' COMPENSATION DECLARATION (V WARNING: FAILURE TO SECURE WORMERS` COMPENSATION COVERAGE 19 UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ 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 thI �ance of the work for which this permit is issued. Policy No. Lave and wilt 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' compensatior Vnce carrier and policy number are: r Policy Number Expiration Date Name of Agent Phone # DI 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 agrel that, If I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant y{d,ZT.� � �3I,�7.3 DECLARATION REGAR➢�CCONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that theca is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code). Lender's Name Lenders Address By 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 applicablecity and county ordinances and slate laws relating to building construction. I authorize representatives of this city or county to ent the bova•, erdlfied property for inspection purposes. .i to J JoJ� Signature of Property Owner or Authorized Agent J Print Prdbertv Owner's or Authorized Aaent's Nair ACTION DATE By JF �U3 LATTOONN OF S PART 6t LIANCE WITH 40 ANCODE D Ag OF FEDE ER1L I FOR OFFICE USE ONLY V rcmmfr thnety I LJ I SUBMI rTED A59FSTO` NOTIFl ATION`O PERMI7CANCELL€U i UEPA PERM1TEJfTENpEO pMD NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSEDD OCCUPANCY ISSUED �IzAbikZ_-) 15 GNAlURE: