HomeMy WebLinkAboutXR2023-0127 - Permits��EWPoRr
City of Newport Beach
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Community Development Department- Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
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Inspection Requests Phone: (949) 644-3255
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newportbeachca.gov/inspections
Combination Type - SFP ELEC
Work Class - Other
X R 2 0 2 3 0 1 2 7COMB Permit : XR2023-0127
Plan Check No: PC2023-0132
Issued Date : 02/0712023
Inspection Area :4
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 : 18 SEABLUFF Legal Desc : N TR 15478 BLK LOT 43
Description: SFR - (2) ENERGY STORAGE SYSTEM 13.5 KW EA. & 200A SUB PNL
Owner:
HEYLER RANDALL A TR
Address :
18 SEABLUFF
NEWPORT BEACH, CA 92660
Phone:
(949)322-8933
Applicant:
SOLAR OPTIMUM INC
Address :
614 W Colorado St.
GLENDALE, CA 91204
Phone:
(818) 804-3122
Owner/Builder :
Address :
Phone
Contractor:
SOLAR OPTIMUM INC
Address :
614 W Colorado St.
GLENDALE, CA 91204
Phone:
(818)804-3122
Con State Lic
: 972228
Lic Expire :
04/30/2024
Bus Lic:
BT30063259
Bus Lic Expire : 05/31/2023
Workers' Compensation Insurance
Carrier: STARNET INS CO
Policy No: BNUWC0157027
W. C. Expire : 5/18/2D23
Code Edition: 2022
Fire Sprinklers ;
NO
Type of Construction : V-B
Fire Hazard Zone :
NO
Occupancy Groups: R-3
No of Units :
1
Bldg Height :
No of Stories :
2
Building Setbacks : Front: 15, Side: 5, Side: 5, Rear: 5
Flood Zone : X
Use Zone : PC - Bonita Canyon
PROCESSED BY: 1— `
SPECIAL CONDITIONS:
Architect
Address
Phone:
State Lic
Engineer:
Address
Phone:
Designer:
Address :
Phone:
Construction Valuation :
$20,000.00
Added/New/TI sq. ft. Bldg :
0
Alteration sq. ft. Bldg :
,- Added/New sq. ft. Garage :
0
TOTAL sq. ft. : _
0
r `i
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that I am exempt from the Contractors' Slate License Law foT 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, oiler, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
he permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale 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 Iicensum 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 ponalty Of
iot more than five hundred dollars ($500).
D 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work; and the structure is not Intended or offered for sale (Section 7044,
Susiness 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
mprovements 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
mproved for the purpose of sale).
1 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
spply to an owner of property who builds or Improvesthereon; 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' Slate License Law for the following reason
Sy 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 lagall}
;ell a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed contractors. I understand thata 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:lMtivw.leginfo.ca.gov)calaw.btmi,
Signature of Property Owner or Authorized Agent. Date
LICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions ggf CYa p IAA ( mmencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force
sndeffect. License Class C% License. No ul ^� I Date Contractor Signature
NORKERS' COMPENSATION DECLARATION "IV777 Lz p
VARNING: 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 ($t00,000), IN ADDITION TO THE
:DST OF COMPFNSATION; DAMAGES AS PROVIDED FOR 1N SECTION 0TOS OF THE L OR CODE, INTEREST, AND ATTORNEY'S FEES,
hereby affirm unCar penc'.ty of perjury one of the following declarations:
1 P7ve and will maiptain 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, forth
)elrormanue Of the work fur which this permit is Issued. Policy No.
thrva rod will mz'ntain 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' compensmilol
nsuran carver and policy number are: n 1 fr �v S
:ama� I �Y� u I�Y'rruvlfr i .,..,f1 ,.w Policy Number v 1V V a C o I Intl � Expiration Date
Name of Agent A_[}y�Phone # If9 7
:1I cerhfv ,hat, in :r,L) performance of the work for which this permit is issued. I shall not employ any person in any mannor so as to become subjectto the workers' compensation laws of California, and agre
hat, If I should become subject to the workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. J
3icnalure of Appll,ant Dated
xCLARATION REGARLING coR S�TRUCTIQN LF-NjJING AGENCY
hurebv of firm under pe;,alty of perjury that there is a construction lending agency for the performance of the work for which this permit is. issued (Section3097, Civil Code).
_enchn s Name Lander's Address
3y 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 ordinances and state laws relating to building construction.
I authorize representatives of this city or county to enter the �aboy��I� a 4 fled property for inspection purposes. ,(,l� ,
;ionat,im of Prnoerly owner or Aulhorixnd Anant / f Print PhDDErtv Owner's or Authorized ADent's Name / t r1 P-- Date W N
PERMITCAMCELLED
PERMIT FXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
j REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
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