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Home My WebLink AboutXR2023-0659 - Permits��WPo�T City of Newport Beach 111IIIpIII111111111111111111111111111111111111111111111111COMB Permit: XR2023-0659 Community Development Department- Building Division X R 2 0 2 3 0 6 5 9 d r 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-0550 Permit Counter Phone: (949) 718-1888 Issued Date : 05/09/2023 .�.� newportbeachca.gov/civic Inspection Area : 3 �'9�iFoa"�P Combination Type -SFP ELEC Work Class - Other 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 : 20111 BAY VIEW AVE Legal Desc : N TR1507 BLK. LOT 4 Description: SFR 2 ENERGY STORAGE SYSTEMS r' Owner: CLARK MICHELLE L TR 2007 Contractor: ORANGE COUNTY CONTRACTING Architect Address : 20111 BAYVIEW AVE Address : 24 EXECUTIVE PARK STE #230 Address: NEWPORT BEACH, CA 92660 Phone : IRVINE, CA 92614 Phone : (714) 514-1517 -" Phone : C) Con State Lie : 1023627 State Lie : 1 Lie Expire : 02/28/2025 7 Applicant: ORANGE COUNTY CONTRACTING Bus Lie: BT30061755 Engineer: MORALES DOUGLAS Address : 24 EXECUTIVE PARK STE #230 Bus Lie Expire : 01/31/2024 Address : 20751 KELVIN LIN IRVINE, CA 92614 ALISO VIEJO, CA 92656 Phone: (714) 514-1517 Workers' Compensation Insurance Phone: (949) 285-5104 Carrier: STARNET INS CO Owner/Builder : Policy No: BNUWC0159546 Designer: ORANGE COUNTY CONTRACTING Address : W. C. Expire : 4/B/2024 Address : 24 EXECUTIVE PARK STE #230 IRVINE, CA 92614 Phone: Phone: (714) 514-1517 Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $20,000.00 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: 20, Side: 5, Side: 5, Rear: 25 Flood Zone : X Use Zone : SP-7 - Santa Ana Heights Specific Plan —ic PROCESSED BY: a Fq __ FCFi �(V)�) j p9 Al-S GVVE J {)T SPECIAL CONDITIONS: „�` jr OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that t am exempt from the Contractors' State License Law for the reason(s) indicated below by the eheckmark(s) I have placed next to the applicable item(s) (Section 7031.5, Business end Professions Cade: 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 theprevisions 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 licensors and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).. rl 1, as owner of the property, or my employees with wages as their sole compensation, will do U Fill of or (_) portions of the work, and the structure Is notintended 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. 11, 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). 0 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 properly who builds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law) I am exempt III ecensure under the Contractors' State License Law for the following reason By my signature below I acknowledge that, except foamy personal residence in which I must have resided For at least one year pnor to completion of the improvements covered by this permit, I Cannot legal) %all a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. j understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:h4liwww ieginio.ca,govlc law,htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am Aeensed under provisions of Chapter 9 (commencing with Secton 7 0) f DI sd 3 of the Business and Pr C do, and my license is in full force and effect. license Class Cleanse No Date' ConfractorS4gnetur aall WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS` COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOU DLIARS ($100,000)., IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370 OF THE LABOR CODE, INTEREST, Me ATTORNEYS PEES, I hereby affirm under penalty of perjury ogre of the following declarations: I have and will maintain a certificate of Consent to solf-insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, forth( Dilirpformance of the work for which this parent: is issued. Policy No, have 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' Compensator Insurance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone a I certify that, in the rfanomp(be ftlr which tY7is permit is fssuBd, I shall not employ any parson in any mannorso as 4d bawme sutiject to I+Is work rs' compensation laws of California, and ogrethat, if I should becom to t' compensation provisions of Section 3700 of the Labor Code, I shall forthwith complyA4lh those provisions. 2Signature ofApplicant DA "-�DECLARATION RE INt3 ON LENT1[NO AOENCYI hereby affirm under penalty ofere is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code). Lender's Name Lenders Address By my signature below, I certify to each 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 coup praline s and state taws relating to building construction. 1 authorize representatives of this city or court 1 a art ve�fdemlfied property for inspection purposes. Signature of P22ortyy owner or Authorized Rent Print Pro ertOwner's or Authorized Agent's Nam ate ACTION DATE: DY V D CLA ION OF OOMPLIANCE w1TH CODE Or FEDERAL FOR OFFICE USE ONLY . RFGULors PART 61 OFTITLE 40ANDAQMDRULE 1403 _ PERMIT EXPIRED 1711 SUBM'TTrD.75a7stos Non FICA`10N TO PEM EPAh PERM77'EMENPEP n 11-1-11-1 CERrrFICATE OF '/, �j' PROPOSED EMOLITION NOTIFICATION 13 NOT APPLICABLE TO____. OCCUPANCY ISSUED SIGNATURE: