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Home My WebLink AboutXR2023-1414 - PermitsWPORr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2U23-1414 D`r � Community Development Department - Building Division g> "� 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check NO : PC2023-1290 9 ul ?. Permit Counter Phone: (949) 718-1888 Issued Date : 06/05I2023 c r newportbeachca.gov/civic Inspection Area : 6 •�.?<!�naN,�s, 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 : 1027 GOLDENROD AVE Legal Desc : N TR 2202 BLK LOT 48 Description : SFR INSTALL 57.6 KWH ENERGY STORAGE SYSTEM. (X2021-1284) Owner: JOELCALDERON Address: 1027 GOLDENROD AVE CORONA DEL MAR, CA 92625 Phone Applicant: RENEWABLE ENERGY ADVANTAGE Address: 2815 JUNIPERO AVE #115 SIGNAL HILL, CA 90755 Phone : (888) 416-1415 Owner/Builder : Address: Phone Contractor: RENEWABLE ENERGY ADVANTAGE Address : 2815 JUNIPERO AVE #115 SIGNAL HILL, CA 90755 Phone: (888)416-1415 Con State Lic : 982201 Lic Expire : 03/31/2025 Bus Lic: BT30076463 Bus Lic Expire : 09/30/2023 Workers' Compensation Insurance Carrier: STATE FUND Policy No: 9221975 W. C. Expire : 11/30/2023 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: 8, Side: 6, Side: 6, Rear: 6 Architect Address Phone: State Lic Engineer Address Phone Designer: RENEWABLE ENERGY ADVANTAGE Address: 2815 JUNIPERO AVE #115 SIGNAL HILL, CA 90755 Phone : (888) 416-1415 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 Flood Zone : X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS: 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 is permit to rile 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 Irofessions Code) or that he or she is exempt from licensors and the basis. forthe alleged exemption. Any. violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of of more than rive hundred dollars ($500), 1 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, lusiness 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 nprovements are not intended or offered for sale. 11, 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 Rproved for the purpose of sale). I, as owner or ihe-property,. am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate License Law does not ..poly to an owr,ar of property who builds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), a 1 an exempt tom itcensure under the Contractors' State License Law for the following reason: ly my signato.a bbluw t 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 oil a structure thit I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of theapplicable law, Section 7044 of the Business and 'rolsasions Coils Is available upon request when this application is submitted or at the following Web site:http:/iwww.leginfo.ca.govfcalow:html. 4gneture of P. ooRrtv Owner or Authorized Agent Date .ICIFNSED CONTRACTOR'S DECLARATION hereby affirm penalty of perjury. that I am licensed under provisions of Chapter g (commencing with Section 7000) of Division 3 of the Business and Professlo • , ode and uly.ficense is in full force and effect License Class License No Date -S Z'S'Contractor-Signature z VORKERS' COMPENSATION DECLARATION rAhNING' FAILURS TO 7ECJRE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS t$100.000), IN ADDITION TO THE OST OF COMPENSy,T.ON, I AMAGES AS PROv10ED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY-S FEES. hereby affirm Lnder penalty of perjury one of the following declarations: 5 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, forth, erformance of the work for which this permit is issued. Policy No, I have 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 Isuuance carrier and polic}-number are: 1 :arrier S; T-"`^-i Policy Number Z Z. I qL �' i Expiration Date 1 (3>S 12� lame of Agent Phone # 3 certify the(, 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 agree tat, If I should become subject to �the workers' c/oomperrsation provisions of Section 3700of the Labor Code, I shall forthwith comply with those provisions. IignatureofApplicant ��_L ��gI�- C� Data 6�r�23 / Alf AT,/1A.11. Il1I4,�11AlOTDIf/TlflY r.CA1tHAlY] A^Mk[PV I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for whichthispermit is issued (Section 3097, Civil Code) enders Name Lenders Address ty 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 1 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 eriipr the above-Identifled property for inspection purposes. of ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY 1403 REGULATIONS PART 91 OF TITLE 40 AND AOMD RULE ASBESTOS NOTIFICATION TO PERMITEXFENRER _ -qMO PERMIFFINAL ASBESTOS NOTIFICA1ION 15 NOT APPLICABLE TO CERFIRCAIE OF / PROPOSEDDEMOLITI0 OCCUPANCYISSUER I (r SIGNATURE: K$fi