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Home My WebLink AboutXR2023-0386 - PermitsaEWPORT City of Newport Beach IIIII IIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIII III II COMB Permit : XR2023-0386 D4 Community Development Department- Building Division X R 2 0 2 3 0 3 8 6 �y 100 Civic Center Drive, Newport Beach, CA 92650 Plan Check No: PC2023-0297 n Permit Counter Phone: (949) 644-3288 Issued Date : 03/24/2023 fir+ Inspection Requests Phone: (949) 644-3255 Inspection Area : 6 Cy<�FopN�P newportbeachca.gov/inspections Combination Type - SFP ELEC 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: 53 CLERMONT Legal Desc : N TR 14902 ELK LOT 6 Description: SFR INSTALL 27 KW ENERGY STORAGE SYSTEM. Owner; SOHRAB SHAHRAM TR Address : 53 CLERMONT NEWPORT COAST, CA 92657 Phone: (949)838-7676 Applicant: SAM STAB LEIN Address : 2102 ALTON PKWY, B IRVINE, CA 92606 Phone: (714)496-0688 Owner/Builder : Address : Phone : contractor: TESLA ENERGY OPERATIONS Address : 2102 ALTON PARKWAY #B IRVINE, CA 92606 Phone : (650) 638-1028 Con State Lic : 888104 Lic Expire : 12/31/2024 Bus Lic : BT30026827 Bus Lic Expire : 02/28/2024 Workers' Compensation Insurance Carrier: ZURICH AMERICAN INS CO Policy No: EWS107458504 W. C. Expire : 10/31/2023 Code Edition : 2022 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : U,R-3 No of Units : 1 Bldg Height: No of Stories : 2 Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone : PC - Newport Ridge PROCESSED BY: SPECIAL CONDITIONS: Architect Address Phone: State Lic Engineer: CHILDS JAMES Address : 3055 CLEARVIEW WAY SAN MATEO CA 94402, CA 94402 Phone: (650)638-1028 Designer: TESLA ENERGY OPERATIONS Address: 2102 ALTON PARKWAY #B IRVINE, CA 92606 Phone: (650)638-1028 Construction Valuation : $18,000.00 Added/New/Ti sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 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 fat he or she is exempt. from Iidensure 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). rl I, 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 not intended proffered for sale (Section 7044, Business and Professions Code: The Contractors' Stale 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). 0 1, as owner of the property, am exclusively Contracting with licensed Contractors to constructthe project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or Improvesthereon, 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' Stale License Law for the following reason: By my signature belovr t acknowledge that, except for my personal residence in which I must nave resided for a; feast one year prior to completion of the improvements covered by this permit, LCannot legall, sell a structure that I have built as an owmer-builder 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 Professions Code, is available upon request when this application is submitted orat the following Web site;http:bWww.leginfo.ca.govlcalaw.html, Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Prof q�ionseyli�;en�e:is-in full force and effect. License Class License. No Date ?ij fl4l2? Contractor Signature NORKERS' COMPENSATION DECLARATION NARNING; FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE le UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINE 3 UP To ONE HUNDRED THOUSAND DOLLARS (5100,DOOj, IN ADDITION TO THE :DST OF COMPENSATION: DAMAGES AS PROVIDED FOR IN SECTION 3706OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: 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, forth �e mance of the work for which this permit is issued. Policy No. rave 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` compensatio ranee carrier and policy number are: NET Policy Number Expiration Date ne of Agent Phone # certify that, in the performance of the work for which this permit is issued''.; I shall 'employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre ,if I should become subject to the works pensatio rs s Ion 3700 of the Labor Code, I shall forthwith comply Win those provisions. Tatum of Applicant .LARATION REGARDING C I G AGENCY Date I Z4 areby affirm under penalty of perjurythat there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ider's Name Lender's Address 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 county ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter abov = reperty for Inspection purposes, nature of Prooertv Owner or Authorized .4aanef Print Prune , n,,—,. ,,, ACTION E BY DEC OF COMPLIANCE WITH CODE of FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQNID RULE 1403 PERMIT EXPIRED /� I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT fXTENDfD QMD PERMIT EFNAL SBESTD$NOTIFICATIUN IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCYISSUED B}GNA711REt