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Home My WebLink AboutXR2022-1863 - Permitso�aEWPoR a Community City of NDevelopment BPcent-Building Division II III I I I II I II I III II I II II II COMB Permit : XR2O22-1863 > - y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-1720 } ? Permit Counter Phone: (949) 644-3288 Issued Date : 09/08/2022 Inspection Requests Phone: (949) 644-3255 Inspection Area : 1 <inoR�` newportbeachca.gov/inspections Combination Type - 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 : 464 62ND ST Description: SFR INSTALL (2) 200A TESLA ESS Owner: Address Phone: Applicant Address : Phone: BRENTDUQUE R 772 LOT 7 BLK 22 AND NLY2.FT LOT 6 AND SLY 2 FT LOT 8 AL L IN BLK 22 SU RFACE AND RFACE :REEDOM FOREVER LLCArchitect 464 62ND ST Address: 7200 FENWICK LN Address : °... NEWPORT BEACH, CA 92663 WESTMINSTER CA 92680, CA 92680 ...... Phone: (888)i5576431 Phone: .. Con State Lie : 1029644 State Lie Lie Expire: :08/31/2023 FREEDOM FOREVER LLC Bus Lie: BT30064271 Engineer: .°.. 7200 FENWICK LN Bus Lie Expire : 08/31/2023 Address WESTMINSTER CA 92680, CA 92680 (888)557-6431 '- Workers' Compensation Insurance Phone: Carrier,: NATIONAL+CASUALTY+COMPANY Owner/Builder: Policy No: WCC334024A: Designer: FREEDOM FOREVERL>L•C Address: W. C. Expire: 6/112023 Address : 7200 FENWICK LN WESTMINSTERCA 92680,CA9269(3"°o Phone: Phone: (888)557-6431 • °°"° Code Edition: 2019 Fire Sprinklers : NO Construction Valuation : $2,000.00 Type of Construction : V-B I Fire Hazard Zone :. NO i Added/New/Ti sq. ft. Bldg : 0 Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height : No of Stories : .. Added/New sq. ft. Garage : 0 Building Setbacks : Front: 5, Front: 5, Side: 3, Side: 3 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: 6 SP =�� I hereby affirm under penalty of perjury that 1 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 -items) action 7031.5, Business and Professions Code: Any city: or county that requiresa: permitto construct. alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for permit to file a signed statement that he or she is licensed pursuantto the previsions of the Contractors' State License Law (Chapter 9 (Commencing with Section 7000)of Division 3 of the Business and rfessions Code) or that he or she is exempt from Room re and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the eppficant to a civil penalty of more than five hundred dollars ($500),- 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of ar (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, ;iness and Professions Code: The Contractors' Stale License Law does not apply to an owner of properly who, through employees or personal effort builds or improves. the. property, provided that the Irovements are not intended or offered for sale. If, however, the building or Improvement is sold within one year of completion, the Owner-Burlider will have the burden of proving that it was not built. or ,roved for the: purposeof sake). 1, as owner of the property, am exclusively contracting with licensed Contractors IQ construct the project (Section 7044, Business and: Professions Code: The Contractors' State License Lawdoes not gy to an owner of property who builds or Improves:themon, 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' State License Law for the following reason: _ 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 a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed Contractors. -I understand that copy of theapplicable law, Section 70" of the Business and rfessions Code,is available upon request when this application is submitted oral the following Also site:bttp:ftwww.leginfo.ca.govlcalow.html, nature of Property Owner or Authorized Agent. Date. hereby affirm under penalty ofat am licensed under provisions of Chapter 9 Scommencing with Section V000) oof ¢ivi ion 3;of the Business and Pr essions C e, a my lice ,is In full force nd effect License Class LL{.lo License No tOZ gf04 �'f Date SD /i� 22 ContractorSignatu RE TQ SECkTRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND: SHALL SUBJECT AN. EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS SE100,011l. IN ADDITION TO T NSATION, DAMAOFS AS PROVIDED FOR IN SECTION 37p6 OF THE LABOR CODE; INTEREST, AND ATTORNEY'S Fees, undw-; .welty of perjury oneof the following declarations: I will r1llaintain 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 Cade, for fififtiwull-forwhiththisperniitisissued, PoficyNo will mainiain workers' compensation insurance, as required by Section 3700 of the Labor Cade, for the performance of the work for which this permit is issued. My workers' compensa'. Tgprnu&y numa('jber • • • lfOtr.9L.1 illy Number vV C C 3a¢-TA �4 Expiration Date.. (:0 r It 2 �? that, in%e performance of the work for which this p "It is Issued, I shall not ern y any person in any manner so as to become subject to the workers' compensation laws of California, and agre, Could become s`blect to the workers cam nsatio rovisions of S coon 87fl0 eLabor Code, I shall forthwith comply with those provisions. • • • • `77`//' //f l of Applicarg€ Date/ g 2 -e neby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097,: Civil Code). Ider's Name - Lender's Address my signature below. I certify to each of the: following:: i am the property owner or authorized to act on theeproperty 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 courtly ordinances and state laws retail to building construction. I authorize representatives of this city or coup}'{ to entsr B ajy/�',ua.,j' ntifled prop for inspection purposes./� 1- �i /� n......, Vit ow.rt ornnoeh, n..,ne.e n.: a.�ehnr{saH annnt'r N.. Ao r k to - C FO ACTION DATE By I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY I REGULATIONS PART 61 OF TITLE 40 AND ADMIT RULE PERMI'TCANCELLEti f1EPA PER,VIT EXTENDED EIAOIMD PERMiFF(7'!At iSi Z L PROASBESTOS POSED DEMOLITION kONIS NOT APPUCABIE TO CERTIEICATEOf OCCUPANCYISSUED SIGNATURE: