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Home My WebLink AboutXR2022-2654 - Permits42�WPOQr City of Newport Beach O d Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 U Inspection Requests Phone: (949) 644-3255 °b4p�nN`P newportbeachca.gov/inspections Combination Type - SFP ELEC Work Class - Other COMB Permit : XR2022-2654 Plan Check No : 2600-2021 Issued Date : 10/05/2022 Inspection Area : 5 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: 207 EVENING CANYON RD Legal Desc : N TR 1116 ELK LOT 123 Description: SFR - ENERGY STORAGE SYSTEM 15 KW TESLAWALL Owner: SENK MARSHALL TR AMS LIVING TR Contractor: T M GRADY BUILDERS Address: PO BOX 824 Address : 1294-D SOUTH COAST HWY CORONA DEL MAR, CA 92625 NEWPORT COAST, CA 92657 Phone Applicant: T M GRADY BUILDERS Address: 1294-D SOUTH COAST HWY NEWPORT COAST, CA 92657 Phone : (949) 607-6062 Owner/Builder : Address: Phone Phone : (949) 607-6062 Con State Lie : 485749 Lie Expire : 08/31/2024 Bus Lie : BT30068084 Bus Lie Expire : 07/31/2022 Workers' Compensation Insurance Carrier: INSURANCE+COMPANY+OF+THE+WEST Policy No : WSA506329600 W. C. Expire: 1/1/2023 Architect : ^ Address Phone: o� State Lie Engineer: MCPHERSON RYAN JAMES Address: 6169 SUNNY CIR - MIRA LOMA, CA 91752 Phone: (909)569-2244 Q. Designer Address: Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : Type of Construction : V-B Fire Hazard Zone : YES 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. Bldg: Building Setbacks : Front: 15, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS: .1 $32,000.00 0 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I are exempt from the Contractors' State License Law for the reason(s) indicated below by the eheckrnark(s) I have placed next to the applicable items) (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 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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' Stale License Law does not Iar''��p'77ply 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), u 1 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 owmar-buildor if it has not been constructed in its entiroty 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://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent -_ _ Date LICENSED CON CRA(TOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Cilifisionlif of the Business and Prbfei�5i S a, aylicense is In full force and e4o,t. Licens �;LSS License No Date111aContractor Signature '1 r INORKFRS' COfv'cI4SATION DECLARATION NAARING: FAILURE TO 64CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($I D0,000)• IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY-3 FEES- . hnreby affirm under penalty of perjury one of the following declarations: J I have and w,d Fool,llain 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 th kan - of thin we 1, for which this permit is Issued. Policy No. I rmo I ,P and will maintain workers' compensation insurance, as required by Section 3700 or the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatiol i]suo.nce carrler at,d pcli y number are: Policy Number of Agent Date certify that, in the performance of the work 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 t, if I should become subject t rkef(s�' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply wllh those provisions. nature of Applicant 11 �ti 111 � ) _ Datay, �- < 17 CLARATION RE10 RDING COF RI�C�t N LEf 7NCV areby 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 Lenders Address 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 applicablecity and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to a abo a=idkrtifled properly for inspection purposes. r i t N �'�� C µytt� nature of Property Owner or Authorzed ADenl 9C \ �..an.r—a..�---�> Print Prooertv Owner's or Authorized Aaent's Name,/\V " `1' 1'L f"? Data �� ACTION DATE III BY DECLARATION OF CO6l COMPLIANCE OFTITL40 WITH DFEDE E OF FEDERAL FOR OFFICE USE ONLY REGIL 1403 PERMIT EXPIRED I II LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED PERMIT FINAL W ASBE5TO5 NOTIFICA IS NOT APPLICABLE To CERTIFICATE OF /�j i R SED OEMOLIT . '1 — OCCUPANCYISSUED •0,•23 Y 1 SIGNATURE: L i I LS