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HomeMy WebLinkAboutXR2023-0108 - Permits�EWPOkT City of Newport Beach �'< Community Development Department- Building Division r Y �� �11 Y 100 Civic Center Drive, Newport Beach, CA 92660 � U � S Permit Counter Phone: (949) 644-3288 > Inspection Requests Phone: (949) 644-3255 °gcicon`'�P newportbeachca.govlinspections Combination Type - SFP ELEC Work Class - Other 111111111111111111111111111111111111111111111111111111111111COMB Permit: XR2023-0108 Plan Check No: PC2023-0116 Issued Date : 0310212023 Inspection Area : 4 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: 1939 PORT NELSON PL Legal Desc : N TR 7028 BILK LOT 49 Description: SFR - 2 ENERGY STORAGE SYSTEM 10.5 KW ADAM VALI Contractor: SUNTREK INDUSTRIES INC Architect Owner: Address : 1939 PORT NELSON PL Address : 5 HOLLANDDRIVE #215 Address NEWPORT BEACH, CA 92660 IRVINE, CA.92618 Phone: Phone : (714) 904-6398 Phone : (949) 348-9276 State Lie Con State Lic: 859460 Lie Expire : 05131/2023 BT30077361 Engineer : TRUONG PHONG Applicant : JANE WINSTON Bus Lie : Bus Lie Expire : 12/31/2023 Address : 3000E BIRCH ST Address : 5 HOLLAND, 215 BREA, CA 92821 IRVINE, CA 92618 Workers' Compensation Insurance Phone : (949) 254-2751 Phone: (714) 493-8473 Carrier: MIDWEST EMPLOYERS CASUALTY COMPANY Policy No : BNUWC0157683 Designer Builder : W. C. Expire : 9/1/2023 Address Address : Address Phone: Phone: Code Edition 2022 : Fire Sprinklers : NO Construction Valuation Added/New/T1 sq. ft. Bldg Type of Construction : V-B Fire Hazard Zone : NO 1 Alteration sq. ft. Bldg : Occupancy Groups : R-3 No of Units : 2 Added/New sq. ft. Garage: Bldg Height: No of Stories : TOTAL sq. ft. Building Setbacks : Front: 20, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone : PC - Harbor View Hills PROCESSED BY: SPECIAL CONDITIONS: 1 i 1i::i $30,820.00 0 0 0 I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law Tar the reason(s) indicated below bythe checkmark(s) I have placed next to the applicable item(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 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 ofSection 7031.5 by any applicant for a permit subjects the applicant to a civil penafty of not more than five hundred dollars ($500). © I, as owner of the property, or my employees with Wages as their sole compensation, will do Business and Professions Code: The Contractors' State License Law doss not apply 4a an owner _}ail of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, 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 aria year of completion, the Owner-Suilder will have the burden of proving that it was not built. or Improved for the purpose of gale). 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 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). 0 I am exempt from ticensure under the Contractors' State License Law for the fallowing reason: By 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 pf fho improvements £oveoed by this permit, i cannot legalP sell a structure that I have built as an owner -builder E if has not been constructed in Its entirely contractors. I understand that a copy of the applicable law, Section 7044 of the Business and y by licensed Professions Code, is available upon request when this application is submitted or at the following Web site:hUpllwww.leginfo.ca.gov/caiaw.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 7000) Di sio 3 the Business and a e, d. ` ICWe �ffor,, and effect License Class incense No Date L Contractor Sign ore NORKERS' CONIPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE "UN SAND DOL(StW.000j, :DST OF COMPENSATION, BAMAGES As PROVIpE4 FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, LARS IN ADDITION TO THE hereby affirm under penalty of perjury one at the following declarations:. 1 have and will maintain a certificate of consent to sel4insure for Workers' compensation, issued by .the Director of Industrial Relations as provided for try Section 3700 of the. Labor Code, forth. ierfonnance of the work for which this permit is issued. Policy No, va and will maintain workers' compensation insurance, as required by :Section 3700 of the Labor Cade, for the Performance of the work for which this permit is issued, My workers' compansatio um ce canter and policy number are: Policy Number me of Agent Expiration Date Phone IS I certify that, in the performance of the work for is permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and ogre t, if I should beconje t he pens liejiiii'prowsionn Of Section 3700 of the Labor Code,: I shelf forthwith comply With those provisions. nature of Applicant D-3 Date ` �J CLARATION REGA G CO STRU T1ON LENDING AGENCY ---- ineby affirm under p aftyof perjury that there is a construction lending agency for the performance of the work for which this permit. is issued ISECtiOn 3097, Civil Code). hders Name Lender's Address my signature below, I cartl. y to aacn 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 d s ate aws relating to building Construction, I authorize representatives of this city a ON n to-eriL he o e•Id 1t" led props for inspection purposes. 3 nature of Pra e Owner or Authorized Pr±nt Pro City Owner's or Authorized A aril's NamD�Data �3 TION RATE B. DECLARATION OF COMPLIANCE WITH CODE FEDERAL FOR OFFICE USE ONLY REGULATIONS. PART 61 OF TfTLE 40 AND AOMD RULE TO I LJ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTfFICAf EQF PROPOSED ]DEMOLITION OCCUPANCYaSJ€L , 1 c4rmemue.