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HomeMy WebLinkAboutXR2022-3185 - Permits,_ �tiW'P0", City of Newport Beach 0� '�I" 6 Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92680 u'c'e. Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 CgGr F00.N�P newportbeachca.gov/inspections Combination Type - SFP ELEC Work Class - Other COMB Permit : XRZOZZ-3185 Plan Check No : 1609-2022 Issued Date : 12/08/2022 Inspection Area : 3 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 : 1207 SUSSEX LN Legal Desc : N TR 1896 BLK LOT 21 Description: SFR INSTALL 9.8 KWH LG CHEM RESU ENERGY STORAGE SYSTEM 5KW (PV2022-186) Owner: FALLIERS JOHN C TR Address : 1207 SUSSEX LN NEWPORT BEACH, CA 92660 Phone: Applicant: MORRIS SUMMER Address: 2500 WHITE AV, A IRVINE, CA 92614 Phone: (951)425-8684 Owner/Builder Address : Phone : Contractor : Sunrun Installations Address : 2500 WHITE RD UNIT A IRVINE, CA 92614 Phone: (949)460-3433 Con State Lie : 750184 Lie Expire: 06/30/2024 Bus Lie: BT30066837 Bus Lie Expire : 04/30/2023 Workers' Compensation Insurance Carrier: AMERICAN ZURICH INSURANCE COMPANY Policy No: WC614287600 W. C. Expire : 10/1/2023 Architect: Address : Phone: State Lie Engineer: ZACHERPAUL Address : 1478 STONE PT DR 190 ROSEVILLE CA 95661, CA 95661 Phone : (916) 961-3965 Designer: Sunrun Installations Address : 2500 WHITE RD UNIT A IRVINE, CA 92614 Phone : (949) 460-3433 Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $8,000.00 Type of Construction : V-B Fire Hazard Zone : NO 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 : 1 Added/New sq. ft. Garage: 0 TOTAL sq. ft.: 0 Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 10 Flood Zone: X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: NJ SPECIAL CONDITIONS: I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasonts) indicated below by the checkmark(s) I have placed next to the applicable items) (Section 7031.5. Business and Professions Code: Any city or county that requires a perrnit to construct, alter, improve, demolis or repair any structure, prior to its issuance, also requires the applicant for Life permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law ( hapter 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 7 31.5 by any applicant for a. permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). U 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 w Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through empl improvements are not intended or offered for sale. If. however, the building or improvement is sold within one year of completlo improved for the purpose of sale). © I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Busl apply to an owner of property who builds or improves thereon, and who contracts for the projects with a. licensed Contractor PUP ❑ I am exempt from licensors under the Contractors' Stale License Law for the following reason: By my signature below 1 acknowledge that, except for my personal residence in which I must have resided for at least one year sell a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed contractors. I unders Professions Code, is available upon request when this application is submitted or at the following Web site:http11www.legmfo.cs Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION.. I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0) of Div and effect. License Class License No Date — COMPENSATION DECLARATION ARNING: FAILURE TO SECURE WORKERS" COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 7 I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Int errformance of the work for which this permit is issued. Policy No. , :ll have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the perfol Isurance carrier and policy number are: Policy Number of Agent S, and the structure is not intended or offered for sale (Section 7044, ees' Or personal effort, builds or improves the property, provided that the the Owner -Builder will have the burden of proving that it was not built or and Professions Code: The Contractors' State License Law does not to the Contractors' State License Law). to completion of the Improvements covered by this permit, I cannot that a copy of the applicable law, Section 7044 of the Business and Date Ti0f the Business and Professions q900, and license is n fur ce Contractor Signature CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLAR ($100,000), IN ACDOION TO THE Relationsas provided for by Section 3700 of the Labor Code, for of the work for which this permit is issued. My workers' 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 al to become subject to the workers' compensation laws of California, and agre If I should become subjenf to the kegs' comp sation provisions of Section 3700 of the Labor Code, I shall forthwith co r ply with those provisions. j lature of Applicant_5 �..�� �� _ _ Date,,.L� I hereby 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). Lender's Name Lender's Address By my signature below, I certify to each of rite following: I am the properly 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 county ordinances and state laws relating to building construction. authorize representatives of this city or county to enter the ove-id nfied property far Inspection purposes. / A' n I ^ '\ _ Slaature of Property Owner or Authorized A ent Prknt Pro e Owner's or Authorised A enl's Name \w` LY r V I) I �J Date ACT,ON DATE BY ZtCLARATION O COM tIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 51 OF TITLE 40 AND AOMD RULE 1403 PERMIT EXPIRED I sUBMITTF.D ASBESTOS NOTIFICATION TO PF4V T CANCELLtO� _r�tEPA PERN' T EXTENOEO v -p L�AQMD "CQL.7 FINAL I-i;-Z '3p, r1 5/iLl7ygESTDS NOTIFICATION IS MO PPLICABLE TO 'FR IFiCATEOF PROPOSED DEMO N OCCUPANCY 1551'0 .i uAs SIGNATURE: