HomeMy WebLinkAboutPV2021-044 - Permits�.� City of Newport Beach - Building Divistion
w PO Box 1768 Newport Beach, California 92658-8915
Job Address: 417 EDGEWATER PL NB
Description:SFR SOLAR PHOTOVOLTAIC 4.kW (10) ROOF MOUNTED PANELS
Inspector Area: 1
Owner: HOME SWEET HOME LLC
Address: 21731 VENTURA BLVD 9206
WOODLANDHILLS CA 91364
Phone
Applicant: MEYERS SEAN
Address: 933 NEWHALL ST
COSTA MESA CA 92627
Phone: 949-326-3162
Code Edit, 2019
Type of Construction: V-B-SPR
Occupancy Group: R31U
No of Stories: 3
Use Zone:
Bldg Height:
Legal Desc.:
SOLAR Permit: PV2021-044 II�PIVIII0II�III��I0 44�IIIIII
Permit Counter Telephone (949)644-3288
Inspection Requests/Telephone (949)644-3255 Project No: 0654-2021
NO CONSTRUCTION NOISE
Contractor:
BRIGHT LIFE REMODELING
Architect:
Address:
933 NEWHALL ST
Address:
COSTA MESA CA 92627
Phone:
908-489-3911
Phone:
Con State Lic:
1029267
Engineer:
Lic Expire:
0713112021
Address:
Bus Lic:
BT30060552
Lic Exp Date:
09130/2021
Phone:
Worker's Compensation Insurance
Designer:
Carrier:
STATE FUND
Address:
Policy No:
9053332
Expire:
04/2212022
Phone:
Building Setbacks
Rear:
Front:
Left:
Right:
Issued Date : 04/2912021
State Lic:
MORALES DOUGLAS
20751 KELVIN LN
HUNTINGTON BEACH CA 92656
949-285-5104 State Lic:C-069163
Valutaion : $24,000.00
Building Permit Fee $240.00 Record Management (8 1/2 X 11) $0.00
Plan Check Fee : $210.00 Record Management (Plans) $0.00
TOTAL FEE: $450.00 Plan Check Fee: $210.00 Fee Due at Permit Issuance : $240.00
PROCESSED BY: i^ PUBLIC WORKS APPROVAL:
ZONING APPROVAL: PLAN CHECK BY:
GRADING APPROVAL: • •APPROVAL •ISSUE,.
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PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
INSTALL OR VERIFY SMOKE AND CARBON MONOXID EDETECTOR3 ARE EXIS,�T7XC PER CRCR 314.1 & 315.2
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IWNER-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 applicable item(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 applicant for
ie 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 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
of more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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. 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 I, 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
pply 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).
[am exempt from licensure under the Contractors' State License Law for the following reason:
1y 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
ell 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 7000) of Division 3 of the Business and Pro essions Code, and my license is in full force
nd effect.
!cerise Class License No Date ZC Contractor Signatu
VORKERS' COMPENSATION DECLARATION
DARNING: 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
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
] 1 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 th,
el?n6ance of the work for which this permit is issued. Policy No.
have and will maintain workers' ompensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatior
Trance carrier licy numb ar
Tier P li N er Expiration Date
ne of Agent Phone #
certify that, in the performa ce of the work for which this pe it 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,
I, if I should bec a su t to(�the workers' c/oJmpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applic /�-o-.��In l%LC-<-G�-e- -Dot
CI ARATIr1N RFr:ARrnNb . RTRI IOTION I FN INr9 Ar9FNCY -T
weby 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 owners behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and coun lordinances and state laws relating to building construction. -
I authorize representatives of this city or coun ente�(r�' he above -id tified property for inspection purposes. �//Cy
nature of Property Owner or Authorized Agent r .�-�.-a2AM / n�i[.C� Print Property Owner's or Authorized Agent's NaMA�. ), P Dat 2
ACTION
DATE
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FOR OWICE USE ONLY
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