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Home My WebLink AboutXR2022-2842 - Permits�EwvoR„ City of Newport Beach Community Development Department - Building Division F �'•r_ 100 Civic Center Drive, Newport Beach, CA 92660 u s Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 �gcrForN`P newportbeachca.gov/inspections Combination Type - SFP ELEC Work Class - Other COMB Permit : XR2022-2842 Plan Check No : PC2022-2690 Issued Date : 11/30/2022 Inspection Area : 2 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 : 105 VIA QUITO Description: SFR -10 KW ESS IN GARAGE Owner: MICHAEL GRAY Address : 105 VIA QUITO NEWPORT BEACH, CA 92663 Phone : Applicant: DINOCRIFASI Address: 34411 VIA SAN JUAN CAPISTRANO BEACH, CA 92675 Phone: (949)939-7507 Owner/Builder : Address : Phone Legal Desc : N TR907 BILK LOT 137 Contractor: BELMONT ENERGY Address : 27441 MONFORTE MISSION VIEJO, CA 92692 Phone : (949) 793-5544 Con State Lic : 963824 Lic Expire: 05/31/2023 Bus Lic : BT30067504 Bus Lic Expire: 05/31/2023 Workers' Compensation Insurance Carrier: STATE COMPENSATION INSURANCE FUND Policy No: 9046646 W. C. Expire : 2/27/2023 Architect Address Phone : State Lic Engineer: JENNIFERKEMME Address : 12273 11TH ST YUCAIPA, CA 92399 Phone : (909) 754-8300 Designer: BELMONT ENERGY Address: 27441 MONFORTE MISSION VIEJO, CA 92692 Phone : (949) 793-5544 Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $13,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U No of Units : 1 Alteration sq. ft. Bldg : Bldg Height : No of Stories: 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft.: 0 Building Setbacks : Front: 10, Front: 4, Side: 3, Side: 3 Flood Zone: X ' Use Zone : R-1 - Single -Unit Residential , Nth CONSTRUCTION NOISE_. PROCESSED BY : oi� SPECIAL CONDITIONS: ON THE WEEKEND ., , OWNER -BUILDER DECLARATION 1 hereby anion tinder penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the oheckmark(s) I have placed next to the applicable tte rl ;action 7030.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, Improve, demolish. 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 Licenser Law (Chapter 9 (commencing With Section 7000) Of Division 3 of the Business and rofesslons Code) or that he or she is exempt from licensors 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 Density of at 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 t ) Ponlons 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 improvers 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). 3 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 ply 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). 1 i am exempt from licensors under the Contractors' State License Law for the following reason y nay signature below II. 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 legail; ell a structure that I have built as an owner -budder if R has not been constructed in its entirety by licensed contractors. I understand that a copy ofthe applicable law, Section 7044 of the Business and TOfesslons Code, is available upon request when this application Is submitted or at the following Web site:htip:/lwwvr.leginfo.ca.gov/calaw.html. ignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and C and my license is in full force nd effect. License Class License No Date +- !� -oZ.z Contractor Signature VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CARL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000), IN AD mli TO THE OST OP COMPENSATION, DAMAGES AS PROVIDES FOR IN SECTION 7T00 OF THE LABOR CODE, INTEREST, AND ATTORNEYS F€es, hereby affirm under penalty of perjury one of the following declarations: I 1 have and will mamem 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 odormanee of the work forwhich this permit is issued. Policy No. 2t'iiave and will maintain workers' compensation Insurance, as required by Section 3700 of the Leber Code. for the performance of the work for which.. this permit is issued. My workers compensatiol Isurance carrier and policy number are: Policy Number Expiration Date c(Agent certify that,in the performance of the work for which this permit is issued,. I shallnot employ any person in any manner so as to became subject to the workers' compensation laws of California, and , if I shooct bece;WLsubject A the porkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Date I �� hereby affirm under penalty of perjury that there is a construction lending agenoyfor the performance of the work for which this permit is issued (Section 3097, Civil Code) ondon••s Name Lender's Address ry my signature below, I certify to each of the following: I am the property owner of 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 *vith all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or coo' !Y, c entar jibe aboe•identifled property for inspection purposes. ACTION DATE BY fWECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY [ REGULATIONS PART HI OF TITLE 4DAND AKIMD RLI LE PERJT1I Expato I I I LJi5ORMtTTKn A5BE5TOSNCTIF{CATlONTO 1-Erv:AIT EMENDED____ J LIAQMD _ __ _ FCd1N1T F7NAC 9ESTD5 NUTIFiCAT1ON IS Nt`T PLICA9LE TO CE r I iCP.TF DF PROPOSE't§'i N OCCU^4NCYISSUE'Ctclt4� 7 SIGNATURE: