HomeMy WebLinkAboutPV2021-244 - Permitsw o City of Newport Beach - Building Divistion
PO Box 1768 Newport Beach, California 92658-8915
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Job Address: 1224 DEVON LN NB
Description:SFR SOLAR PHOTOVOLTAIC 6.46kw, (17) ROOF MOUNTED PANELS
Inspector Area: 3
Owner: HOROWITZ ERIC
Address: 1224 DEVON LN
NEWPORT BEACH, CA 92660
Phone:
Applicant: GRIMSHAW LINDSAY
Address: 10769 WOODSIDE AV
SANTEE CA 92071
Phone: 808-286.4939
Code Edit:
2019
Type of Construction:
V-B
Occupancy Group:
R31U
No of Stories:
2
Use Zone:
Bldg Height:
Legal Desc.: N TR 3000 LOT 33
SOLAR Permit: PV2021-244
Permit Counter Telephone (949)644-3288
Inspection Requests/Telephone (949)644-3255
II III I I u � IIII lu I IIII �I� Iu I I IIII I III IIII
Project No : 2816-2021
Issued Date : 0212212022
Contractor:
ENERGYSBC
Architect:
Address:
30262 CROWN VALLEY PKWY #B464 Address:
LAGUNA NIGUEL CA 92677
Phone:
949-324.3590
Phone:
State Lic:
Con State Lic:
1001745
Engineer:
HAJIHASHEMI ALI
- Lic Expire:
0313112023
Address:
111 RODEO
Bus Lic:
BT30078027
IRVINE CA 92602
Lic Exp Date:
02128/2023
Phone:
State Lic:C-084486
Worker's Compensation Insurance
Designer:
LAVENDER JOHN
Carrier:
NO EMPLOYEES
Address:
30262 CROWN VALLEY PKWY STE B464
Policy No:
LAGUNA NIGUEL CA 92677
Expire:
Phone:
949-324-3590
Building Setbacks
Rear:
Front:
Left:
-.
Right:
Valutaion : $38,760.00
Building Permit Fee $240.00
Plan Check Fee : $210.00
TOTAL FEE: $450.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Record Management (8�112 X 11)
Record Management (Plans) :
Plan Check Fee : $210.00 Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
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PERMITS EXPIRE 180 DAYS iSFa�R)$SUANCEAR LrVST VAL/elI9 SPECTION.
INSTALL OR VERIFY SMOKE AND CARBON MONOXIDE DETECTORS ARE EXISTING PER CRCR 314.1 & 315.2
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$0.00
$0.00
$240.00
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicabizj fem(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 app icant for
the 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
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
not more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended 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. 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
improved 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 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).
❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason:
By 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 this permit, I cannot legally
sell 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, is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.htmi.
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 7000) of Division 3 of the Business and Profession;i o e, and my license is in full force
and effect. �J 2�22�2 Z
License Class ` License No Date Contractor Signature,JCT
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 THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
1 hereby affirm under penalty of perjury one of the following declarations:
111 have 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 thf
perforyance of the work for which this permit is issued. Policy No.
have and will a tain workers' ensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatiol
rance carrier a poljcy numb r a e:
s
-ier 'cy er Expiration Date
� ie of Agent w Phone #
certify that, in the performance of the for which this permi 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
, if I should become su ct to the wo ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /
iature of Applicant �_ t�0 �Z°% Z Z(Z Z
:reby affirm 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 Code).
ider's Name Lender's Address
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 county rdina es and state laws relating to building construction.
I authorize representatives of this city or county to ter ve-identified property for inspection purposes.'
(nature of Property Owner or Authorized Agent Print Property Owners or Authorized Agent's Name M2 �GGLIn
ACTION
DATE
By
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