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HomeMy WebLinkAboutXR2023-0302 - PermitsCity of Newport Beach y Community Development Department- Building Division y.. 100 Civic Center Drive, Newport Beach, CA 92660 u _ r Permit Counter Phone: (949) 644-3288 InspectionRequests Phone: (949) 644-3255 newportbeachca.gov/inspections Combination Type - SFP ELEC Work Class - Other 11111111111111111111111111111111111111111111111111111111111COMB Permit : XR2023-0302 Plan Check No : PC2023-0238 Issued Date : 02/13/2023 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 : 1720 SKYLARK LN Description : SFR 1 ENERGY STORAGE SYSTEM Owner: OLGA BETZLER Address : 1720 SKYLARK LN NEWPORT BEACH, CA 92660 Phone Applicant: ORANGE COUNTY CONTRACTING Address: 24 EXECUTIVE PARK STE #230 IRVINE, CA 92614 Phone : (714) 514-1517 Owner/Builder : Address : Phone Legal Desc : N TR 3097 BILK LOT 7 Contractor: ORANGE COUNTY CONTRACTING Address : 24 EXECUTIVE PARK STE #230 IRVINE, CA 92614 Phone : (714) 514-1517 Con State Lie : 1023627 Lie Expire : 02/28/2023 Bus Lie : BT30061755 Bus Lie Expire : 01/31/2024 Workers' Compensation Insurance Carrier: STARNET INS CO Policy No : BNUWC0156509 W. C. Expire: 4/8/2023 Architect Address Phone: State Lie Engineer : MORALES DOUGLAS Address: 20751 KELVIN LN ALISO VIEJO, CA 92656 Phone: (949)285-5104 Designer : ORANGE COUNTY CONTRACTING Address : 24 EXECUTIVE PARK STE #230 IRVINE, CA 92614 Phone: (714)514-1517 Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : Type of Construction : V-B Fire Hazard Zone : NO 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. Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) s PROCESSED BY: SPECIAL CONDITIONS: $8,000.90 ; 0 0 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 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 L) all of or U 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). El t, as owner of the property, am exclusively contracting with licensed Contractors t0 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 improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), El I am exempt from licensure under the Contractors' State License Law for the fallowing reason: -- ------------ By my signature below l acknowledge that, except for my personal residence m 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 buull 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 70" of the Business and Professions Code„ is available upon request when this application is submitted or at the following Web site http:liwvnv.leginfo.ca..gov)calaw.html. Signature of Property Owner or Authorized Agent _ _ Date LICENSED CONTRACTOR'S DECLARATION I hereby affi••rm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section Q).of ivisi n 3 of the Business and Pr a ions €. y license' Y.terca and effect. License Class License No Daft Contractor Signatur WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO GRfMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS f6100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COME, INTEREST, AND ATTORNEV'S FEES - I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 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 Code, for ih f�rf ma co of the Work for which this permit is issued. Policy No.. I 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' compensabo it urance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone ti MI certify that, in the perfor a of the work !to ieh this permi is issued', I shall not employ any person in any manner so as to become subject to the worke compensation laws of California, and agre That, if I should become u 'act to the k mpensalion p isions "action 3700 of the labor Code, I shall forthwith comply with those provisions. Signature of Applwant i DCC'-'1RAT€0N REQA - CONSTRU N LENf7. ENCY I hereby affirm uroer eo . Ity D erjury that there is traction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). L ea,der � Name Lender's Address By m;-Ignature below, I certify to each of the following: I am the propery owner of authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct Pgree to comply with all applicable city and coply,6rdinaricas and stsittifelaws relattlig to building construction. j t authorize representatives of this city or count to r nterthe7dn �1ified prop ffe ,on purposes. LUnPture of Pro arty Owner or Authorized A ent rint ProProperty Owner's or Authorized A ent's me y` q/r oat g ACTION ! DATE BY rIEZECIARATICN COMP CE Vr ITN ODE OF FEDERAL FOR OFFICE USE ONLY 1 R. ULATIONS PART 6t FTITLE40 ANDAQNID RULE 1403 PERMIT ENPIPE7 Of SUBMITTED ASBESTOS NOTIFICATION TO PEAMITCANCELEEO I CPA PEPoNiT EXTEN0E0 __I LJAQMD PERMIT FINAL A�-IS$E5T05 NOT IFICATION 15 NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY155UEA .:SIGNATURE: