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HomeMy WebLinkAboutX2022-1182 - Permits2EwaoRr City of Newport Beach II III I II I II I III II11111 I In 82 p`r d Community Development Department - Building Division COMB PerMlt : X2U22-1 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 1082-2022 S Permit Counter Phone: (949) 644-3288 Ypv' cK Inspection Requests Phone: (949) 644-3255 Issued Date : 08/04/2022 Cgt�FORN�P newportbeachca.gov/Inspections e � Inspection Area :6 Combination T id e - SFP ELEC N 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: 25 SAN MATEO WAY Legal Dose: N TR7844 BLK LOT 20 Description: SFR (1) ENERGY STORAGE SYSTEM (PV2022-106) Owner: NEFFPAULATR Contractor: PEAK POWER SOLUTIONS. INC.. Architect: Address : 14 CORPORATE PLAZA DR STE200 Address : - 360 E 1ST STREET #947 TUSTIN, CA Address NEWPORT BEACH, CA 92660 92780 Phone: 'Phone: (800)265-6357 - Phone: Con State Lie : 973253 State Lie: Applicant : LINDSAY GRIMSHAW Lie Expire :. 05/31/2024 Address : 10769 WOODSIDE AVE SANTEE, CA 92071 ;: Bus Lie: BT30053975 '::Engineer : HAJIHASHEMI ALI Phone: (808) 2864939 - Bus Lie Expire : 02/28/2022 - Address : 111 RODEO IRVINE, CA 92602 Workers' Compensation Insurance ... Phone: Owner/Builder : `" Carrier: STATE COMPENSATION INSURANCE FUND Address: Policy No i 9204002: - Designer: PEAK POWER SOLUTIONS INC Phone: W. C. Expire: 2/1/2023 - Address : 360E 1ST STREET #947 TUSTIN, CA 92780 -- Phone: (800)265-6357 aeaa Code Edition: 2019 - Fire Sprinklers : NO Construction Valuation: $10,000.00° Type of Construction : V-B Fire Hazard Zone : :No - Added/New/Tl sq. ft. Bldg : 0 Occupancy Groups : U,R-3 - No of Units : 1 - Alteration sq. ft. Bldg : Bldg Height : No of Stories 2 Added/New sq. ft. Garage : 0 f YHi Building Setbacks : Front: 6, Side: 5, Side: 5, Rear: 105-130- �oo� c Flood Zone: X a¢a¢ Use Zone: PC - Harbor View Hills Y eU PROCESSED BY: J SPECIAL CONDITIONS: a w ¢ ¢ „ 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 apptcant 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 Ilcensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a dvll penalty of not more than five hundred dollars ($500). 111, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions ofthe work, and the structure is not Intended oraffered 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). �. 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 Lew does not apply to an owner of property who builds or improves thereon, and wtLo contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), © I am exempt from tieensure under the Contractors' State License Law for the folimving reason: By my signature below I acknowledge that, except for my personal residence in which 1 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 owner -builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable taw, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http:/Aw .leginfo.ea.govic law.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby afirm under penalty of perjury that I am licensed under provisions of Chapter9 (commencing with Section 7000) of iv[si n 3 of the Business and Professions Cod my license is in full force and effect, License Class License No Date/yC08 O Z Z Contractor Signaturel'C WORKERS'COMPENSATION:DECLARATION WARNING: FARURETO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN, EMPLOYER TO CRIMINAL PENALTIES AND CIVIL. FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100.000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION JTOS OF THE LABOR CODE, INTEREST. AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: U I have and will maintain a certificate of consent to selfArisure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th perfomvance of the work for which this permit Is issued. Policy No. 19 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' compensaliol Insurance Carl i�erlantl �r-L poll y numb r are. Carrier ,ITRGt�% Policy Number ` Z �7 B� Z Expiration Date Name of Agent Phone # ©I certify that, in the performance of the rk 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 agre tltal, if I should become subject to the wy�vy/Y�r/mom ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �c Sit nalureof HP i-1-0nI t 't % [/�— p Dat'b=f%8f O`T�(� 2 • DECLARAtful 2GARDING CON11TRUCTION LENDING AGENCY • • e gereby 41IIrgPer der penalty of perjury that there is a construction lending agencyfor the performance of the work for which this permit Is Issued (Section 3097, Civil Code), Lenders Name• 0 Lender's Address e • By my signature below, I certify to each of the following: I am th%Wo.perty owner or authorized to act an the property owner's behalf. . e , I hav2J;I Lida application and the Information I have provided is correct. • • I egreto comply with all applicable city and county Ordinance and state laws relating to building construction. •.- % � I authodz� representatives of this city or county to enter the o e-ldengfied property for inspection purposes. "' • Si nature o7 pr•o ertOwner or Authorized Agent Print Prop,Sri Owner's or Authorized A ent's Name ':\CTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY • •9. REGULATIONS PART 610F TITLE 40 AND AGMD RULE s e• • 'ee ' 1403 • e > 'PER4070plam.* Ul SUBMITTEDASBESTOS NOTIFICATION TO PERMIT PilRCE1[ED EPA All r@gUICEd alarms, latches gates and f@nC@4 which 5@Ne a5 pall of a pO0ij5pd barrier, shall PERMli EA4ENDE0 ENCIMp be in place prior to approval to fill pool/spa &shall remain In place & be maintained for the PERMITPlNAE ASBESTOS NOTIFICATIO N TAPPLfCABLE TO life of the pool. 0-7-2Z. �[ .re CERTIFICATE OF PROP05ED DEN OLRION OCCUPANCYNSUED SIGNATUREt X