HomeMy WebLinkAboutPV2021-216 - Permitso�aEWno?T City of Newport Beach
Community Development Department- Building Division
/> 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
J Inspection Requests Phone: (949) 644-3255
C"9<'Fe"1, newportbeachca.gov/inspections
II II I II I II I II I III II III II Solar Permit : PV2021-216
Plan Check No : 2600-2021
Work Class : Other
Issued Date : 10/05/2022
Inspection Area: 5
PERMITS EXPIRE 180 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 : 207 EVENING CANYON RD Legal Desc : N TR 1116 BLK LOT 123
Description: SFR SOLAR PV SYSTEM. 54 MODULES. 1998.KW
Owner: SENK MARSHALL TR AMS LIVING TR
Address : PO BOX 824
CORONA DEL MAR, CA 92625
Phone:
Applicant: T M GRADY BUILDERS
Address: 1294-D SOUTH COAST HWY
NEWPORT COAST, CA 92657
Phone: (949)607-6062
Contractor:
T M GRADY BUILDERS
Address :
1294-D SOUTH COAST HWY
NEWPORT COAST, CA 92657
Phone:
(949)607-6062
Can State Lic
: 485749
Lic Expire :
08/3112024
Bus Lic :
BT30068084
Bus Lic Expire : 07/3112022
Workers' Compensation Insurance
Carrier: INSURANCE+COMPANY+OF+THE+WEST
Policy No: WSA506329600
W. C. Expire : 1/1/2023
Code Edition : 2019
Fire Sprinklers :
NO
Type of Construction : V-B
Fire Hazard Zone :
YES
Occupancy Groups : R-3,U
No of Units :
0
Bldg Height:
No of Stories :
2
Building Setbacks : Front: 15, Side: 6, Side: 6, Rear: 6
Flood Zone : X
Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
Processed By:
SPECIAL CONDITIONS:
Architect
Address
Phone:
State Lic:
Engineer: MCPHERSON RYAN JAvIES
Address : 6169 SUNNY CIR
MIRA LOMA, CA 91752
Phone: (909)569-2244 ,
Designer:
Address
Phone:
Construction Valuation : $45,744.00
Type of Solar : SFP
Kilowatt: 19
I L-C*T
OWNER -BUILDER DECLARATION
I hereby Sillier under penalty of perjury [hat I am exempt from the Contractors' Slate License Law for the leason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
3eclion 7031.5. Business and Professions Code. Any city or county that requires a permit to construct, alter, improve, demolish, or repair anystruc[ure, prior 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 License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
'rofessions Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Any violation of Section 7034.5 by any applicant for a permit subjects the applicant to a civil penalty of
of more than five hundred dollars ($500).
1 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Iuseess and Professions Code: The ContractorsState License Law does not apply to an owner of property who, through employees' or personal effort, builds or Improves 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).
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 Licens-e.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).
i am exempt from licensure under the Contractors' State License Law for the following reason
ty 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 of the improvements covered by thisparmlt I cannot legally
all a structure that I have built as an owner-bulider if it has not boon constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
'rofessions Code., is available upon request when this application Is submitted or at the following Web site:http://"w.leginfo.co.gov/calaw,h[ml.
ligna[ure of Property Owner or Authorized Agent Date
.ICENSED CON RACTOR'S DECLARATION
hereby Dili" under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 O) of ivisio 3 of the Business and Profe of n license is in Rill force
Ind erfect License Cass License No Date Contractor Signature \ 15�I11 1 F-d�J
VORKFRS' COMPENSATION DECLARATION
'A9NINr: -AILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS IS100.0001, IN ADDITION TO THE
OST OF COMPENSATI TI', J'.MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby a'5rm under ,-rally of perjury one of the following declarations:
] I hp, and Wid 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(
6ipl'liranoo of the wo. h for which this permit is. issued. Policy No.
^.nd 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'
•,arrier?rid po q number are:
Policy Number Expiratie
rf Agent _ Phone N
Dale
I certify that, in the performance of the work for which this 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 agre
rat, if I should become subject to the jj rs' comper sq ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignaturs of Applicant X, Dater t%
ECLARATION REGARGDINCONST CTION LENDING AGENCY
hereby aiFrm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Cade).
onder s Name Lenders Address _
y 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.
1 agree to comply withall applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county to e rrtCgte aloe relIkII ified property for inspection purposes. ,r7
of
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
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