HomeMy WebLinkAboutPV2022-0359 - PermitsCity of Newport Beach
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Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
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Inspection Requests Phone: (949) 644-3255
newportbea chca, gov/inspection s
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Plan Check No : PC2022-2694
Work Class: New
Issued Date : 04/03/2023
Inspection Area : 3
PERMITS EXPIRE 1 BO DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays.
Job Address: 621 MICHAEL PL
Legal Desc : N TR 4106 BILK LOT 4
Description : SFR SOLAR PHOTOVOLTAIC 3.6 KW (9 PANELS)
Owner: 11 MARBELLA LLC
Contractor : PRIME TIME COASTAL DEVELOPMENT
Architect
INC
Address : 31 NEEDLE GRASS
Address : 5366 RURAL RIDGE CIR
Address
IRVINE, CA 92603
ANAHEIM, CA 92807
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Phone:
Phone: (714)313-6309
Phone:
Con State Lic : 1077067
State Lic
Lic Expire : 06/30/2023
,
Applicant: DUTCHMEN CONSTRUCTION
Bus Lic : BT30077730
Engineer : SCOTT WYSSLING
Address: 5433 BRODERICK CT.
Address : 76 N MEADOWBROOK DR ,
HEMET, CA 92544
Bus Lic Expire : 01/31/2024
ALPINE, UT 84004
Phone: (951) 570-8706
Workers' Compensation Insurance
Phone: ,
Carrier: STATE+COMPENSATION+INSURANCE+FUN
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Owner/Builder :
Policy No: 9311976
Designer : .., • , : '
Address :
W. C. Expire : 1/2712024
Address
Phone:
Phone:
Code Edition : 2019
Fire Sprinklers : NO
Construction Valuation : $12,900.00
Type of Construction : V-B
Fire Hazard Zone : NO
Occupancy Groups : R-3,U
No of Units : 1
Type of Solar: SFP
Bldg Height :
No of Stories : 2
Kilowatt : 3
Building Setbacks : Front: 8, Side: 4, Side: 4, Rear: 10
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Flood Zone : X
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Use Zone: RUnit Residential
Processed By:
EA. TOR
SPECIAL CONDITIONS
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable itemi 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 applicant for
.he permit to file a signed statement that he or she is Rearmed 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
rot more than five hundred dollars ($500).
1 I, as owner of the property, or my employees with wages as their sale compensation, will do (_) all of or (_) portions of the work, and the structureisnot intended or offered for sale (Section 7044,
3usiness 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 theproperty, provided that the
mprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder wilt have the burden of proving that It was not built or
mproved 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 Law does not
apply 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).
D I am exempt from licensure under the Contractors' State License Law for the following reason:
3y my signature below I acknowledge that, exceptfor my personal residence in which I must haveresided for at feast one year prior to completion of the improvements covered by this permit, I cannot legail)
soil 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 a copy of the applicable law, Section 7044 of the Business and
Professions Code, isavailable upon request when this application is submitted or at the following Web site:httpalw".leginfo.ca.govlcalaw.html.
Signature of Property Owner or Authorized Agent —�_— _— --__— Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (Commencing with Section 70 ) of tvi on 3 f e Business and Profess' s rid nc is to II force
and effect. License Class License No Date contractor Signature
WORKERS' COiOPFNbATION DECLARATION
MANNING'. FAILURE TO SECURE WORRIERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100.000), IN ADDITION TO THE
COT T OF Co9PEN5ATION, IAMAGES AS PROVIDED FOR IN SECTION 370A OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES.
hereby :affirm under penalty of perjury one of the following declarations:
Niave 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 Code, for
rcrmence of the work icr which this permit is Issued. Policy No.
Ae 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'
Iue carrier Rod poilcy number are:
to or Agent ___, — -
certify that., in th) perfi
if I sn^uld become rL
lature of Applicant _k i
Policy Number
Date
Is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and
;ions of Section 3700 of the Labor Code, I shall forthwith comply A th those provisions.
----- mm Date
hereby affirm under penalty of perjury that there is a construction lending agencyfor the performance of the work for which this permit is issued (Section 3097
enders Name Lenders Address
ly my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property o a behalf.
I have read this application and the information i have p ded i correct.
agree to comply coot all applicable city and county mane and relating to building construction.
I authorize representatives of this city or sou. ty t nor abo delalffjdd pro y for inspection purposes. /
lidnature of PmDedv Owner or Authorized Apart —Mil owner's or Authorized Apart's Nam
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
i REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
1403
PERMITEXPIRED I I I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED LIEP_A
PERMITEXTENDED 1fL-t44MD
PERMlTFINAL / ,IC t-,-I ASBESTOS NOTIFICATION IS NOT APPLICABLE To
CERTIFICATEOF I/S�%S ¢v-,Z. 33 PROPOSED DEMOLITION
OCCUPANCYISSUEO CAC I SIGNATURE:
Civil Cade).
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