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HomeMy WebLinkAboutXR2023-0681 - Permits�"*Po2T City of Newport Beach II IIII I II IIIII I IIIII IIII II IIII III I II COMB Permit : XR2023-0681 Community Development Department- Building Division X R 2 0 2 3 0 6 8 1 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0574 Permit Counter Phone: (949) 718-1888 Issued Date : 05/2312023 x newportbeachca.gov/civic Inspection Area : 6 °qc, Fuae`' 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 : 1306 OUTRIGGER DR Legal Desc : N TR.6634 BLK LOT 27 Description: SFR ADD ENERGY STORAGE SYSTEM TO (E) SOLAR PV SYSTEM Owner: CHEN TIM CHIUNG TR 2011 TR Address : 1306 OUTRIGGER DR CORONA DEL MAR, CA 92625 Phone: Applicant: VICTORIA AYALA Address : 43223 BUSINESS PARK DR TEMECULA, CA 92590 Phone: (951)331-3070 Owner/Builder : Address : Contractor: EPX GROUP, LLC Address: 43223 Business Park Dr Temecula, CA 92590 Phone: (951)331-3070 Con State Lic : 1100516 Lic Expire: 01/31/2025 Bus Lic : BT30080491 Bus Lic Expire : 01/31/2024 Workers' Compensation Insurance Carrier: CLEAR+SPRING+PROPERTY+AND+CASUAL TY+COMPANY Policy No : CWC00828700 W. C. Expire: 5/27/2023 Architect Address Phone: State Lic Engineer Address Phone Designer: Address : Phone: Phone Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Occupancy Groups : U No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 2 Added/New sq, ft. Garage: TOTAL sq. ft. : Building Setbacks : Front: 6, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: (LMT) IS NGTALLGINtp Fcrj SPECIAL CONDITIONS: Ens "nfQfi APPLICA l {G!`JS $15,000.00 0 0 OWNER -BUILDER DECLARATION i hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) 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 3a permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Low (Chapter 9 (commencing. with Section 7000) of Division 3.of the Business and Irofesstons Code) or that he or she is exempt from licensors and the bass for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penafty of of more than five hundred dollars ($500), 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 net intended or offered for sale (Section 7044, mr;mess 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 nprovemants 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 n roved for the purpose of sate). 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 poly 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 I am exempt from licensors under the Contractors' State License Law for the following reason _ _ _ _ ly 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 legail, ell a structure that I have built as an owner-euiidor if it has not been constructed in its entirety by licensad contractors, I understand that a copy of the applicable taw, Section 7044 of the Business and 'rotessions Code, is available upon request when this application is submitted or at the following Web site.http:liwww.leginfo.ca.govfcalaw.bhnl. tignalure of Property Owner or Authorized Agent pate .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section �7000)�f �Division 3 of the Business and Profess io � , zItGse is in full force rid effect. License Class License No Date�j �"L�Z�„ contractor Sign v� VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORXERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 15100,000i, IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE ]LABOR CODE, INTEREST, AND ATTORNEYS FEES, hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -Insure for workers' compensation, Issued by the Director of Industrial Relations as provided far by Section 3700 of the Labor Code, for 'ormance of the work for which this permit is issued. Policy No, have and w111 mairihso workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for whoh this permit is issued. My workers' compensa wance; arrter and policy number are Policy Number Expiration Date Agent Phone # _ �entfy that, in the pe mi mance of the work for which this permit Is issued. I Shell not employ any person in any manner s0 as to become subject to the workers' compensation laws of California, and agre r, if I snnutd become snblect to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith Comply with those provisions. 72 nature of Applicant_ Da (/ ��" Ct.ARATfpN R5orb piNG NSTRUCTiON LENDING AGENCY areay affirm under,oenalty of perjury that there is a construction lending agency for the performance of the work for which this permit Is Issued' (Section 97, Civil Code). 4'e", Name Lender's Address my signature b_law, lI certify to each of the following: Lr.l J.e property owner or authorized to act on the property owner's behalf. i.zvs read th's 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 CDunty, tq�nter th e-ide tifled property for inspection purposes. /I/ 1 ,, nature of Prooarty Owner or Authorized Acant ��.Z7 eo „ P4iht Procenv Owner's or Authorized ADente Nam �' 1 (AlT 5'SOl W lisle J Z��� By DECLARATION OF COMPLIANCE WITH CODE OK FFbERAL I FOR OFFICE USE ONLY I REGULATIONS PART 61. OF TITLE, 40 AND AQMD RULE TO PERMIT EXTENDED LJA D PERMIT FINAL ____w___. a1 �f ESTOS NOT3HGA'F1pN:IS NO1'ARpLICAaLE Ttl EERPFICAFE OF [�7-7— POSE6RE�MOUTTN OCCUPANCY ISSUED SIGNATll RE:7�/�i1N%r/ilyr