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 ,