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Home My WebLink AboutXR2022-2047 - Permits04'. City of Newport Beach Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Combination Type - SFP ELEC Work Class - Other Ili iii iiiii iiiii iiiii iiii iiiii iiiii iiiii 7 II COMB Permit : XR2022-204% Plan Check No : PC2022-1878 Issued Date : 1210712022 Inspection Area : 2 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 : 1900 SEADRIFT DR Legal Desc : N TR 2813 BLK LOT 8 Description: SFR 11.4 KW ENERGY STORAGE SYSTEM Owner: TING SZ LLC Address : 11720 EL CAMINO REAL STE250 SAN DIEGO, CA 92130 Phone Applicant: Savanna M Ray Address : 1447 N El Camino Real San Clemente, CA 92672 Phone: (949)412-0505 Owner/Builder : Address : Phone Contractor: GROUNDED ELECTRIC Address: P.O. BOX 73548 SAN CLEMENTE, CA 92673 Phone: (949)498-9988 Con State Lie : 782387 Lie Expire : 10/31/2023 Bus Lie: BT30079041 Bus Lie Expire : 06/30/2023 Workers' Compensation Insurance Carrier : Policy No: W. C. Expire: Architect Address Phone: State Lie Engineer: TRUONGPHONG Address: 3000E BIRCH ST BREA, CA 92821 Phone: (949)254-2751 Designer: GROUNDED ELECTRIC Address : P.O. BOX 73548 SAN CLEMENTE, CA 92673 Phone: (949)498-9988 Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $18,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U No of Units : 1 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 1 Added/New sq. ft. Garage : 0 TOTAL sq. ft.: 0 Building Setbacks : Front: 10, Side: 4, Side: 4, Rear: 10: Flood Zone: X ' Use Zone : R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the reason(s) Indicated below by the checkmark(s) I have placed next to the applicable items) iechon 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 ie permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stato License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and rofessions 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 of more than five hundreddollars ($500). 7 1, 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, usiness 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, 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 nproved for the purpose of sale). 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 �pl y 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)` — I am exempt from licensure under the Contractors' Slate License Law for the follmAng 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 legal all a structure that I have built as an owner -builder if it has not boon constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7 the Business and 'rofessions Code, is available upon request when this application Is submitted or at the following Web site:hltp://www.leginfo.ea.gov/calaw.html. ignalure of Property Owner or Authorized Agent Da e ! -- .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section i 000) of Division of the Business and Prof ns C a, d Or Icens rce nd effect. License Class License No Dale Z- Contractor Signature VORKERS' COMPENSATION DECLARATION EARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: TO THE have and will maintain a certificate of consent to self -Insure for workers' compensation, issued by the Director or Industrial Relations as provided for by Section 3700 of the Labor Cade, for armance of the workfor which this permit is issued. Policy No. have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for whichthis permit is Issued. My workers' componse ranee carrier and policy number are: Policy Number Date la of Agent Friona n Eaattify that, in the performanc4that hich his permit Is Issued, I shall not employ any person in any mannor so as to become subject to the workers' compensation laws of California, and agre tal, if I should become 'ect top stion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions, signature of Applicant _ IECLARATION Rr=GA I CE DING AGENCY hereby affirm under pe ally f pa onstruction lending g ncyfor the performance ofthe work forwhlch this permit is Issued (Section 3097, Civil Cade). enderm s Nae Lander's Address sy my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner' half. I have read this application and the information I have provide s come) I agree to comply with all applicable city and county ordinanc and state aws relating to building construction. I authorize representatives of this city or cou y to nter the ovn—i-Ide ' ied property for inspection purposes. DATE I BY I REGUI.AT I 0 R'rO61 OF TITLE 4CE 1TH pOMD REUDIEAAL ( FOR OFFICE USE ONLY 1403 PERM T EXTEN9�0LJACLMD PERMIT FINAL A BESTOS NOTIFICATION IS NOT C 1DO WCATE OF —. 5'xH P,L.7.. P OSEDrPMOLIUTION/� CJCCUrAPICVlS UED I SIGNATURE