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HomeMy WebLinkAboutPV2022-0418 - Permits€W�oRT City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 c9<�an" vP Inspection Requests Phone: (949) 644-3255 neWpDrtbeachca.gov/lnspections IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII����� Solar Permit : PV2022-0418 Plan Check No : PC2022-3034 Work Class : Alteration Issued Date : 0211312023 Inspection Area : 6 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 : 8 PAVONA Legal Desc : N TR 15337 BLK LOT 13 Description: SFR -SOLAR PV SYSTEM 10.0 KW, 25 MODULES Owner: GILDENHUYS ERIC W H TR Address : 8 PAVONA NEWPORT COAST, CA 92657 Phone: Applicant: BEN MEDINA Address : 31225 LA BAYA DR WESTLAKE VILLAGE, CA 91362 Phone: (818)735-7876 Owner/Builder : Address : Phone: Contractor: SWELL CONTRACTORS Address : 1515 7TH ST #49 SANTA MONICA, CA 90401 Phone: (310)340-0493 Con State Lie: 1021183 Lie Expire : 11/30/2024 Bus Lie: BT30080231 Bus Lie Expire : 12/31/2023 Workers' Compensation Insurance Carrier: SECURITY NATIONAL INSURANCE COMPAN' Policy No : SWC1354488 W. C. Expire: 9/10/2023 Code Edition : Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : YES Occupancy Groups : R-3,U No of Units : 1 Bldg Height: No of Stories Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone : PC - Newport Ridge Processed By: SPECIAL CONDITIONS: Architect Address: -- Phone: State Lie Engineer Address Phone Designer: SWELL CONTRACTOFj!S- Address : 1515 7TH ST #49 SANTA MONICA, CA 904b1" Phone: (310) 340-0493 Construction Valuation : $34,000.00 Type of Solar: SFP Kilowatt : 10 3 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasorts). 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 s permit to construct, after, improve, demolish, or repair any structure, 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 Licanso Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and rofesswns Code) or that he or she is exempt from iiconsura 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 o€more than five hundred dollars ($500)_ 1 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or ( ) portions of the work, and the structure is not intended or offered for sale (Section 7044, usiness and Professions Code The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the nprovements are not intended or offered for sale. It, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or nproved for the purpose of sale). „t I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section T044, Business and Professions Code: The Contrsetors' State License Law does not ly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt from licensure under the Contractors' State License Law for the following reason: if my signature below I acknowledge that, except for my personal residence in which I must ham resided for at [east one year prior to completion of the improvements covered by this permit, I cannot legail) all a structure that I have built as an owner -builder if it has not been constricted in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and `rofessions Code, is available upon request when this application is submitted or at the following Web sitahttp:Uwvrrr.leginto.ca:govfcalaw.html. ignature of Property Owner or Authorized Agent Cate .ICENSED CONTRACTOR'S DECLARATION hereby affirmunder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of CtF '$I n 3if a Business and Prof ssio. ' e, and m + 'c®Nee isfiffi it force nd effect License Class License No Date �odtractor Si nature WORKERS' CO;4PEN CATION DECLARATION. �` 'AfeING: Fr.ILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CnM1L PINES UP TO ONE HUNDRED THO DOLLARS 137 PV.4tl0), IN ADDITION TO THE Llbr OF CoMPENSATIG N, DA AG ES AS PROVIDED FOR IN SECTION 370e OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ PEES. hereby affirm undo: rrena,ty of perjury one or the following declarations: I I he It and will maintain a certificate of consent to self -insure for workers` compensation, issued by the Director of Industrial Relations as provided tot by Section 3700 of the Labor Code, for In erfennance of the work for which this permit is issued, Policy No. J; have and will maintain workers' compensation insurance, as requjred by Section 3700 of the Labor Cade, for the performance of the work for which this permit is issued. My workers' Compensation Is!:annre carriar and policy number are: a^in; Policy Number Expiration Date a1.73 3'.Sgent Phone it If certify that, in me oBrrhrmanee of the wor t>icn this permit is is�susd� ploy any person in any manner so as to became subject to the workers' ccrmpensatign law of California, and aprs ia., t 1 3auuld become su ct to the. ors' compensation bns of Seclurn 3700 of the Labor Code, I shall forthwith comply wllh those provisions. 6// �f ign rture of AppllL•.11 _ Date �� DECLARATION RE DING C ON LENDING AGENCY hereby affirm under en rY tfak there is a Construction lending agencyfor the performance of the work for which this permit is issued (Sactlon 309 foil Code}. ender's Name Lender's Address y my signature below, f Certify to each of the following; I am the property owner or authorized to Set 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 to laws relating to bu fe Sonstruction. I authorize representatives of this city or county Bnt the a n. roped ' pection purposes. �.i. nature of PropertyOwner or Authorized Agent Print Proee5z Owner's or Authorized Agent's Name t'/„L(/(,Gt Dat 1CTION DATE BY DECLARAT€O PLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY >&76 PART 930E TITLE44AND AQMO RULE PERPOIT CANCELLED PERMI7EXTENDED PERMITFINAL ta`AiSElESTOS I5NOT-RECARI.E TO CERTfFlCA7"E Of TQ-1i �ti..J�.. PROPOSED OCCUPANCY ISSUED Rar.NAITu _ i ,