HomeMy WebLinkAboutPV2021-150 - Permits�hr} City of Newport Beach - Building Divistion
r;. v PO Box 1768 Newport Beach, California 92658-8915
Job Address: 2 LIMOGES NB
Description:SFR SOLAR PHOTOVOLTAIC 13.Skw, (Zv) ROOF MOUNTED PANELS
Inspector Area: 6
Owner:
DAVIES JOHN
Address:
2 LIMOGES
NEWPORT COAST CA 92657
Phone:
Applicant:
MEDINA BEN
Address:
1515 7TH ST #49
SANTA MONICA CA 90401
Phone:
818.735-7876
Code Edit:
2019
Type of Construction:
VB
Occupancy Group:
R3/U
No of Stories:
2
Use Zone:
Bldg Height: 0
Legal Desc.:
SOLAR Permit: PV2021-150
Permit Counter Telephone (949)644-3288
Inspection Requestsfrelephone (949)644-3255
Contractor: SWELLONTRACTORS
Address: 1515 7TH ST #49
SANTA MONICA CA 90401
Phone: 310-340-0493
Con State Lic:
1021183
Lic Expire:
11/30/2022
Bus Lic:
BT30072279
Lic Exp Date:
06/30/2022
Worker's Compensation
Insurance
Carrier:
SECURITY NATIONAL
Policy No:
SWC1354488
Expire:
09/10/2022
Building Setbacks Rear:
Front:
Left:
Right:
'PV2021-150'
Project No : 1927-2021
Issued Date
: 1010412021
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Architect:
J=
Address:
Phone:
State Lic:
Engineer:
ZHU YONG
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Address:
3055 CLEARVIEW WAY
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SAN MATEO CA 94402
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Phone:
650-638-1028 State Lio:C-081774
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Designer:
WOOLEY SIMON
Address:
1515 7TH ST #49
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SANTA MONICA CA 90401
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Valutaion: $81,000.00
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:
ZONING APPROVAL:
GRADING APPROVAL:
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
INSTALL OR VERIFY SMOKE AND CARBON MONOXIDE DETECTORS ARE EXISTING PER CRCR 314.1 6 315.2
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 gems) -
(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
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-Builderwill 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).
I 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.html.
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 a P as t ns Code, and ia is in full force
and effect.
License Class • • • • License No Date Contractor Signatur
$f,QFJURS' CQVPJENSATION DECLARATION
*ARNING!FAILURE 10 S%CLRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE H NDRED THOUSAND DOLLARS I$100,000I, IN ADDITION TO THE
COST Of COMPENSM&N, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
Ch �g4yaffirm under penalty of perjury one of the following declarations:
! h2ye 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 the
e *ante of the work forwhich this permit is issued. Policy No.
*000
• •Wave and will pMain 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' compensatior
ITSttitfte carrier and policy number are:
c'gam- Policy Number Expiration Date
a oT Agent*_,,• •
of Applicant
Ice of the wo r w ' Is permit is issued, I shall not employ any person in any manner so as to become subject to the worker ' compensation laws of California, and agree
to the work e *pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Date
TION LENDING AGENCY
=.reby affirm under penalty ofperjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, ivil ode).
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 county rdmance nd state na gtt o building construction.
I authorize representatives of this city or county t ter the ab ntified property for inspection purposes. ��}
(nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Dat V
ACTION
DATE
V BY
DECLARATIONOF COMPLIANCE MTN CODE OF
FOR OFFICE USE ONLY
FEDERAL PEGULATIONSPART 61 OF T17LE40AND
AQMD RULE 1403.
PERMIT EXPIRED
❑ / SUBMITTEDASBESTOS NOTIFICATION TO:'.
❑ EPA
PERMITCANCELLED
PERMITF3.'TENDED
❑ ASBESTOS NODFICADON IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMITFINAL
CERTIFICATE OF
SIGNATURE.,
OCCUPANCYISSUED