HomeMy WebLinkAboutXR2023-0890 - PermitsCity of Newport Beach
WP
p v A Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
$ Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
cg4FoaN�P newportbeachca.gov/inspections
Combination Type - SFP ELEC
Work Class - Other
11111111111IIII���1111111111111111111111111111111111111111COMB Permit : XR2023-0890
Plan Check No : PC2023-0786
Issued Date: 04/06/2023
Inspection Area : 6
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: 12 CAVALLERI Legal Desc :
Description: SFR-2 ENERGY STORAGE SYSTEMS 10KW/27 KW
Owner: TAVAKOLI HAMID BAHMAN TR
Address : 113 VERMILLION
IRVINE, CA 92603
Phone
Applicant; BEN MEDINA
Address : 31225 LA BAYA DR
WESTLAKE VILLAGE, CA 91362
Phone: (818)735-7876
Owner/Builder :
Address :
e
Contractor: SWELL CONTRACTORS
Address : 1515 7TH ST #49
SANTA MONICA, CA 90401
Phone : (310) 340-0493
Con State Lic :
1021183
Lic Expire :
11/30/2024
Bus Lic:
BT30080231
Bus Lic Expire :
12/31/2023
Workers' Compensation Insurance
Carrier: SECURITY NATIONAL
COMPANY
Policy No: SWC1354488
W. C. Expire: -9/10/2023
Architect
Address
Phone:
State Lic
Engineer:
Address :
Phone
INSURANCE
Designer: SIMON WOOLEY
Address :
Phone:
Phone:
Code Edition :
2022
Fire Sprinklers :
NO
Construction Valuation :
$25,721.00
Type of Construction :
V-B
Fire Hazard Zone :
YES
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
TOTAL sq. ft.
0
Building Setbacks
Flood Zone :
X
Use Zone :
PC - Newport Coast
PROCESSED BY:
SPECIAL CONDITIONS:�4��'
✓ " a A
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of penury 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 ftem(s)
Section 7031.6, Business and Professions Code: Any city or county that requires a permit to construct, after, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
is permit to file a signed statement that lie or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3.o£ the Business and
'rafossions Code) or that his or she is exempt from f6cansure and the basis for the alleged exemption. Any violatlon 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).
1 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or ( ) portions of the work; and the structure is not intended or offered for sale (Section 7044,
•usiness and Professions Code: The Contractors' State License Law does not apply to an owner of properly who, through employeesor personal effort, builds or improves the property, provided that the
upowements 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).
3 1, as owner of the property, aria exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
pp€y 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 Lave),
I am exempt from licensors under the Contractors' State License Law for the following reason:
.y 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 severed by this. permit, I Cannot legally
oil a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed Contractors. ) understand that copy of the applicable law, Section 7044 of the Business and
'rofesslons Code. is available upon request when this application is submitted or at the following Web site:htlp:/Mww.leginfo.eagovlcalow.html.
signature of Property Owner or Authorized Agent _ [Sate
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under ponatly of perjury that I am licensed under previsions of Chapter 9 (commencing with Section 700 ) o ivisi n 3 f the Business and Pr rs ns CodyaDdmy+iGetlsa s n full force
nd effect License Class License No Date Contractor5ignat
PORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CR NNAL PENALTIES AND CIVIL FINES UP TO ONE HU THOUSAND DOLLARS (E100,000). IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE INTEREST, AND ATTORNEY'S Fees
hereby affirm under penalty of perjury one of the following declarations;
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 tht
elpmiance of the work for which this permit is issued. Policy No.
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"
carrier and policy number are:
Policy Number Expiration Date
of Agent Phone It _
It certify drat, in the performance of the work for which this permit is issued, I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California, and agrar
hat, if I should become subject to the workers' compensation provisions of Section 370 e Labor Code; I shall forthwith comply with those provisions,
Signature of Applicant Da fill
DECLARATION REGARD., CONS11 N IS Af3ENCY
hereby affirm under penalty of ertu is a construction landing agency for the performance of the. work for which this permit is issued (Section 3097, Civil Code).
_tinder's Name Lenders Address
3y my signature below, 1 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 an state laws relating to building construction,
I authorize representatives of this city or county to enter t ave-identihed p�erty-for inspection purposes. Z
Sl nature of Property Owner or Authorized A ant Print Property Owner's or Authorized A ent's Name 0 i/1^Gi Date
ACTION DATE BY T€ON OF COMPLIANCE WITii CODE OF FEDERAL FOR OFFICE USE ONLY
7 .GULATIONS PART 61 OF TITLE 40 AND AQMD RULE
EXPIRED
FICATION TO
PERMIT FINAL -8'� ION IS NOT APPLICABLE TO
CERTARCAE PROPOSED DEMOLITION
ij
OCCUPANCY ISSUED SIGNATURE;