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HomeMy WebLinkAboutXR2023-0851 - Permits�tiWPoRr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2U23-U851 Community Development Department- Building Division X R 2 0 2 3 0 8 5 1 F 100 Civic Center Drive, Newport Beach, CA 92680 Plan Check No: PC2023-0737 G S Permit Counter Phone: (949) 644-3288 Issued Date : 04/03/2023 .s. Inspection Requests Phone: (949) 644-3255 Inspection Area : 8 �q(tFOpN�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 : 1307 SUSSEX LN Legal Desc : N TR 1896 BLK LOT 65 Description: SFR INSTALL 27KWH ENERGY STORAGE SYSTEM. Owner: Michael & EDEN Manning Address : 20151 SW Birch, 150 Newport Beach, CA 92660-0773 Phone : (949) 250-4200 Applicant: JOJO COLLINS Address : 20104 STATE RD CERRITOS. CA 90703 Phone : (310) 795-6453 Owner/Builder : Address : Phone Contractor: URBAN ENERGY SOLAR INC. Address : 10192 CONSTITUTION DR HUNTINGTON BEACH, CA 92646 Phone : (310) 795-6453 Con State Lic : 944115 Lic Expire : 12/31/2023 Bus Lic: BT30064588 Bus Lic Expire : 09/30/2023 Workers' Compensation Insurance Carrier: STATE COMPENSATION INSURANCE FUND Policy No: 9021421 W. C. Expire: 6/1/2023 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: 20, Side: 4, Side: 4, Rear: 10 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: /op Architect : L Address Phone: State Lic: -- Engineer Address Phone : Designer: URBAN ENERGY SOLAR INC. Address: 10192 CONSTITUTION DR HUNTINGTON BEACH, CA 92646 Phone : (310) 795-6453 Construction Valuation : $9,000.00 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 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 theprovisions 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.S 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 (_) 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 wilt have the burden of proving that it was not buIli or improved for the purpose of sale). 1:11, 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 Improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), I am exempt from licensure under fire Contractors' State License Law for the fallowing 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 covered 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 o€the Business and Professions Code, is available upon request when this application is submitted or at the following IAleb site: httpliwvny.leginfo.ca.govlcalaw.html, Signature of Property Owner or Authorized Agent _.._._._. Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Sectio O) of ivi ion3 oI the Business and Pr sions Cade, a d my license is In full force and effect. License Class License No Da ' 2 Contractor Signatur WORKERS' COMPENSATION DECLARATION WARNING; FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLYWFUL. AND SHALL SUBJECT AN EMPLDYER TO CRIMINAL PENALTIES AND CIVIL FINES UP To ONE HUNDRE THOUSAND DOLLARS t6tODi0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION ATNI OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES. I hereby affirm under penalty of perjury one of the following declarations: IU I have and will maintaina certificate of consent to saiNnsure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for thl Ka ormance of the Work for which this permit is issued. Policy No. I ve 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' compensatior )insurance carrier and policy number are: (Carrier S�'a f'e- i.�N^� �'^$ Policy plumber r/c 2-1 r{rd-( Expiration Date (Name of Agent Phone If 101 certify that in. the perfo once 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 workepensation laws of California, and agre, that, If I should becom ject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. !Signature of Applicant_.w-rX.wu_ 17 �.3 DECLARATION REGA DING -CONSTRICTION LENDING AGENCY' II 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). !Lender s Name Lender's 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 Witt) all applicable ditty and couniVdinarees and state laws relating to building. construction. I authorize representatives of this city or county to ar the. bove-Identifled property for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorizetl A ent's Nam ��J r, VDII t'AI Da. 4 3 a9 ACTION I DAT€. BY I DECLAR ION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS. PART 51 OF TITLE 40 AND AQM D RULE i^ 1403 PERMIT EXPIRED LJ I SUBMITTED ASBESTOS ^IOTIFICATION To PERMITCANCELLED —LIEPA — - PERMIT EATENDED OMD PERNIITFINAL O�ZS Y w/ ASSES705 NOTIFICATION IS NOT APPLICABLE TO CERTIRCATE OF �(� PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: