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Home My WebLink AboutXR2022-2771 - Permits��EWPO.gT City of Newport Beach o Community Development Department- Building Division F 100 Civic Center Drive, Newport Beach, CA 92680 Permit Counter Phone: (949) 644-3288 u S Inspection Requests Phone: (949) 644-3255 cgC�rnpN�P newportbeachca.gov/inspections Combination Type - SFP ELEC Work Class - Alteration iiiiiiiiiiiiiiiii II COMB Permit: XR2022-2771 Plan Check No : 1882-2021 Issued Date : 0210712023 Inspection Area : S 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 : 2216 PACIFIC DR Legal Desc : Description: SFR - (2) 10 KW ENERGY STORAGE SYSTEM Owner: VADEN ANDREW T TR VADEI\ REVOC TR Address: 220 NEWPORT CENTER DR #11-384 NEWPORT BEACH, CA 92660 Phone : Applicant: XAVIER CONTRERAS Address : 801 GLENNEYRE ST, A LAGUNA BEACH, CA 92651 Phone: (562)639-9757 Owner/Builder : Address : Phone FAMILY Contractor: SADLER SOLAR Address : 801 GLENNEYRE ST#A LAGUNA BEACH, CA 92651 Phone: (949)584-4800 Con State Lie : 982533 Lie Expire : 04/30/2023 Bus Lie: BT30073175 Bus Lie Expire : 10/3112023 Workers' Compensation Insurance Carrier: STATE COMPENSATION INSURANCE FUND Policy No : 9311933 W. C. Expire: 1/26/2024 Architect : u. Address Phone: State Lie Engineer: Address Phone: Designer: SADLER SOLAR Address: 801 GLENNEYRE ST #A LAGUNA BEACH, CA 92651 Phone : (949) 584-4800 Code Edition : 2019 Fire Sprinklers : YES Construction Valuation : $20,000.00 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 : 2 Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 Building Setbacks Flood Zone Use Zone : 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 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 that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 70315 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred. dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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 will have the burden of proving that it was not built or improved for the purpose of sale). 1, 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 improves: thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). El I am exempt from licensure under the Contractors' State License Law for the following 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 legal sell a structure that I have built as an ownor-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 or at the following Web site:http:ftwww.leginfo.ca.gaalcalaw.html. Signature of Property Owner or Authorized Agent ___ Date LICENSED CONTRACTOR'S DECLARATION i hereby affirm under penalty of penury that I am licensed under provisions of Chapter 9 (commencing with Section 70 of Division 3 of the Business and Prof Selo Code, and my license is In full force and effect. License Class License No - _ Date Contractor Signature COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (STO6,000). IN ADDITION TO COST OF COMPENSATION, DAMAO€SAS PROVIDED FOR IN SECTION 3T06 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 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, for kI mance of the work for which this parrnit is issued. Policy No. ave 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' componsa nce carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone q 01 comfy that, in the perfo mance of the work for which this permit is issued, shall not. employ any person in any manner 5o as to become subject to the woXCMICoda). 'mpensation laws of California, and egret that, if I should become u ject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply of lh those provisions. Signature of Applicant C�z �,1 2 b 2,3 DECLARATION REGA IN DNS ltC L DING AGENCY I hemay affirm under p. alty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309 Lenders 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 with all applicable city and coVy ordinances and state haws relating to building construction. I authorize representatives of this city or county enter the above-identlfi d property for ins action purposes. �j Signature of Property Owner or AuthorizedA ant Pant Property /t- Owner's or Authorized Agent's 4 V-I i C0 �(P 7Q DEt --3 ACTION DATE. By € DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY I REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PE.RMiT EXPIRED I SUBMCTEO ASBESTOS NOT IFIr:ATION TO PFRWT—OiNCELLED ®El A .................._.__.._ ....r�--rIt_ _ — ____ — ._.._ PERfNiT FXTFNOFD LJAQMD PERNNT-P71N i L 'k?--ZH J¢ ASBESTOS NOTIFICASICIN 15 NOT APPLICABLE TO CERTIFICATE OF PROPOSEO DEMOLITION OCCUPANCY ISSUED I SeGNATUAE.