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HomeMy WebLinkAboutPV2022-0359 - PermitsCity of Newport Beach a��WPoRr p Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 C9��ORN`P Inspection Requests Phone: (949) 644-3255 newportbea chca, gov/inspection s IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII����� Solar Permit : PV2022-0359 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 " 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 D 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 _ ,�';� " __ _ _ ;iJ-i! Flood Zone : X _ 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). W 71_�AtAS?, 7/