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Home My WebLink AboutXR2022-2013 - Permitsa_WPO City of NewportCOMB Permit : XR2022-2013 Beach II III I I I II I II I III I II II II Community Development Department - Building Division @ 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-1849 Permit Counter Phone: (949) 644-3288 Issued Date : 10/0512022 Inspection Requests Phone: (949) 644-3255 Inspection Area: 2 °,c,FoaN`r newportbeachca.gov/inspections Combination Type - SFP ELEC Work Class - Alteration 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 NO GONSTRUCTiON NOISE Job Address : 74 LINDA ISLE Legal Desc : N TR 4003 BILK LOT 74 Description: SFR- 100 AMP PANEL, ENERGY STORAGE SYSTEMS (2) Owner: MUMMA JULIE A TR Contractor: URBAN ENERGY SOLAR INC. Address : 513 DRAGON GATE CT Address : 10192 CONSTITUTION DR HENDERSON, NV 89012 HUNTINGTON BEACH, CA 92646 Phone: Applicant: JOJO COLLINS Address : 20104 STATE RD CERRITOS, CA 90703 Phone: (310)795-6453 Owner/Builder : Address : Phone : Code Edition : Type of Construction Occupancy Groups: Bldg Height: Building Setbacks Flood Zone Use Zone : Phone : Con State Lie : 944115 Lie Expire : 12/31/2023 Bus Lie: BT30064588 Bus Lie Expire : 09/30/2023 Workers' Compensation Insurance Carrier: STATE FUND Policy No : 9021421 W. C. Expire: 6/1/2023 2019 Fire Sprinklers : V-B Fire Hazard Zone: U No of Units : No of Stories Front: 10, Front: 25, Side: 4, Side: 4 X R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: ON THE WEEKEND Architect Address Phone: State Lie Engineer: TRUONG PHONG Address : 3000 E BIRCH ST BREA, CA 92821 Phone: (949)254-2751 Designer Address c _-"FA a➢ e5a Phone NO Construction Valuation : $20,000.00 NO Added/New/TI sq. ft. Bldg 0 Alteration sq. ft. Bldg : 1 Added/New sq. ft. Garage: 0 TOTAL sq. ft. Bldg : 0 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 io the applicable items 3eclion 7031.5, Business end Professions Code: Any city or county that requires a permit to construct. aller,. improve, demolishr or repair any structure, poor to its issuance, also requires the applicant for is 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 rofesslons 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 of more than five hundred dollars ($500). 1, as owner of the property, ormy employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, usiness 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 nprovements 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 nproved for the purpose of sale). 1 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 poly to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 7 I am exempt from licensure under the Contractors' State License Law for the following reason __ �y 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 legall, all a structuro that I have built as an owner -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 'rofessions Code, is available upon request when this application is submitted or at the following'Neb site;http:liwww.leginfo.ca.go\,/calaw.html. ignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of Dfuisi n 3 of the Business and Prof 9s9fo� deo�y h�nse is In full force rid effect. License Class License No Date Contractor Signature jx' t/t� 44 JORKERS' COMPENSATION DECLARATION ARNING' FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUHJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (3100,000}, iN ADDmON TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706. OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: I I 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 Cade, for [h �rformance of the work for which this permit is issued. Policy No. 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' rance carrier and policy number are ter 5*Ai-4E, C.OW117 1Nd. F1Af 4 Policy Number 30J,Iga-/ Expiration Date is of Agent E Phone # certify that, in the performance of the work for which this parrnil is issued, I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California. and agre if I should become subject to the work rs' compensation previsions of Section 3700 of the Labor Code, I shall forthwith comply Win those provisions. OCr�I. 611_1A_YnA TOIIlTIf1 A11 C\�I IYIAT DQf O Talure of Applicant a- 3reby 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 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. I authorize representatives of this city or county to anNte� nn[Ike above -identified property for inspection purposes. _ �� O Cn((IVI$ ILA .nature of Property Owner or Authorized AgeAt �10j" aT Print Property Owner's or Authorized Aoent's Name ACTION ( DATE BY VDECLARATION. OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 6t OF TITLE 40 AND AQNID RULF. 1403 FOR OFFICE USE ONLY PERMIT EXPIRED LJ ISURMITTF.D ASRESTOS NOTIFICATION TO PDWI T CANCEL LED � EI�I pA ....._ ...... P€KNIT FJ,7ENDED .. . _.0 a1.__._ .... . __.. L QMD.___...... PERMIT fINAi .......____.. _... _.._._ _ ___..__. ASBESTOS NO] FICA'IION 15 NOT APPLICABLE To CERTIFICATE OF I��f^�� Q�%� ! PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: Date ID1S1