HomeMy WebLinkAboutXR2022-1952 - PermitsEWvoRr,. City of Newport Beach II IIII I I II I II I II IIIII I I II
COMB Permit : XR2022-1952
Community Development Department -Building Division
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-1799
6 S Permit Counter Phone: (949) 644-3288 Issued Date : 0912112022
Inspection Requests Phone: (949) 644-3255 Inspectlon Area : 4
7�-IF00.0. newportbeachca.govlinspections
Combination Type - SFP ELEC
Work Class - Other
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address: 1707 NEWPORT HILLS DR W Legal Desc : N TR 7032 BLK LOT 2
Description: SFR (1) ENERGY STORAGE SYSTEM
Owner: CANDACE QUARTARARO
Contractor: SOLAR SYMPHONY
Architect
Address : 1707 NEWPORT HILLS W
Address: 1291 PACIFIC OAKS PL#117
Address
NEWPORT BEACH, CA 92660
ESCONDIDO, CA 92029
Phone :
Phone : (760) 300-4141
Phone
Con State Lie : 988146
State Lic
Lic Expire : 10/31/2023
Applicant : Jose Gomez
Bus Lic : BT30075295
Engineer
Address : 1291 Pacific Oaks PI, Suite 117
Bus Lic Expire : 05/31/2023
Address
Escondido, CA 92029
Phone: (760) 300-4141
Workers' Compensation Insurance
Phone:
Carrier: STATE+COMPENSATION+INSURANCE+FUN
D
Owner/Builder:
Policy No: 9080648
Designer: SOLAR SYMPHONY
Address :
W. C. Expire: 12/1/2022
Address : 1291 PACIFIC OAKS PL #117
ESCONDIDO, CA 92029
Phone:
Phone: (760) 300-4141
Code Edition : 2019
Fire Sprinklers : NO
Construction Valuation : $8,000.00
Type of Construction : V-B
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg : 0
Occupancy Groups : U
No of Units : 1
Alteration sq. ft. Bldg :
Bldg Height :
No of Stories : 2
Added/New sq. ft. Garage: 0
Building Setbacks : Front: 21, Side: 5, Side: 5, Rear: 10
Flood Zone: X
Use Zone : PC - Harbor View Hills
PROCESSED BY: (1
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) 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 a permit to construct, alter. improve. demolish, or repair any structure, prior to Its issuance, also requires the applicant for
Te permit to fife 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
�.at 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 Dodo: 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 [hat 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
nt rnproved for the purpose of sale).
„d 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
''p'fpl y 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).
J I am exempt from licensors under the Contractors' State License Law for the Following reason _,,...... _ �_... _. __... .___.................
ly 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 legall,
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
Imfessions Code, is available upon request when this application is submitted or at the following Web site:bttp:liw .leginfo.ca.gov/calaw.html.
Agnature of Property Owner or Authorized AgentDate_^......___._.—_._.._..-._.........._..___.___
ACENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 o ivis' n 3 of the Business and Professio t , and mar ffcense is in full force
and effect. License Class License No Dnte Contractor Signature CiL� c
VORKERS' COMPENSATION DECLARATION
FARMING: 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 d100,000), IN ADDITION TO THE
OST OF COMPENSATION, DAMAGESAS PROMDEO FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, ANO ATTORNEY'$ FEES.
hereby affirm under penalty of perjury one of the following declarations:
] I 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
te ormance of the work for which this permit is issued. Policy No,
have and will maintain 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' compensation
isurance carrier and policy number are:
Policy Number
of Agent
Date
certify that, in the performance of the work for which this permit 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 subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
iature of Applicant rti"ze Dale
.1 .e.11....11.o . /I_.....__�._v...-....-._._._._. q44
1\I C 1 r 11 CIiM1IAIr+ AACAIPV
hereby 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).
ender'a Name Lender's Address
y my signature below, 1 certify to each of the following:
I am the property owner or authorized to act on the properly owner's behalf.
I have redo da,s application and the information I have provided is Correct,
I agree tc �on,ply with all applicable city and county ordinances and state laws relating to building construction. n/ /)
I aulhoriza Teprosentstives of this city or county to enter the above -identified property for inspection purposes, //j[/, '(/ > (2a lI v" (,/r
Jnnahim of Prwrtv Owner nr Aulhnrived Anent Print Prnnertv Owner's or Authnri7ad Anents Nmmn AA / 6 f Date 'I
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART bi OF TITLE 40 AND AOMD RU LE
ASBESTOS NOTIFICATION TO
PERMITFINAI P123 y�//iy/�"r�PROPOSED 1)
®ASD€STOSNOTIFICATIONISNOI'APPLICABLE 10
CEATIFICATE OFXCUPANCYSSUEO_ 1 1)'" SIGNATURE: E2
Fee Name
Transaction Date Payment Method
Building
Building Permit Fee -Valuation
Building Plan Check Fee
Electrical Permit Fee - Combo
Electrical Plan Check Fee - Combo
Green Building Fee
Fire
Fire Plan Check Fee
PERMIT FEE DETAILS FOR PERMIT XR2022-1952
Fee Amount Fee Paid Amount
Trans. Paid Amount Paid By
$217.00 $0.00
$188.79 $0.00
$15.19 $0.00
$13.22 $0.00
$1.00 $0.00
$57.00 $0.00
GRAND TOTAL: $492,20