HomeMy WebLinkAboutPV2018-075 - PermitsCity o. Kev/p,)rl Beach - Building Divistion
E• PC box 2768 NewFart Beach, California 92658-8915
o
C a
SOLAR Permit: PV2018-075
Permit Counter Telephone (949)644-3288
Inspection Requestsrrelephone (949)644-3255
Job Adtl,-s-A- - 2128 Pe1ESAgIR NEI . e
Description:SFR -10 ADDITIONALe601-KR PANELS. 3.2 KW (DETACHED GARAGE)
Inspector Area: 8
Legal Desc.: 706 LOT 105
FOR OF LOT AND FOR LOTS 106 108 109 110 111 112
Owner: MORIARTY RICHARD A
Contractor:
FREEDOM FOREVER LLC
Architect:
Address: 2128 MESA DR
Address:
43445 BUSINESS PARK DR STE 110
Address:
NEWPORT BEACH CA 92660
TEMECULA CA 92590
Phone:
Phone:
888-557-6431
Phone:
Applicant: HORACK HOLLY
Con State Lic:
1029644
Engineer:
Address: 25819 JEFFERSON AV UNIT 110
Lic Expire:
0813112019
Address:
MURRIETA CA 92562
Bus Lic:
BT30064271
Phone: 951.239-4161
Lic Exp Date:
08131/2019
Phone:
Code Edit : 2016
Worker's Compensation Insurance
Designer:
Type of Construction: V-B
Carrier:
CA INS CO
Address:
Occupancy Group: U
Policy No:
822796610101
No of Stories: 1
Expire:
01/0112019
Phone:
Building Setbacks
Rear:
Use Zone:
Front:
Bldg Height: 0
Left:
Right:
Building Permit Fee
Plan Check Fee :
$240.00
$210.00
TOTAL FEE: $450.00
Plan Check Fee : $210.00
Project No : 1635-2018
issued
State Lic:
State Lic:
Record Management (8 1/2 X 11)
Record Management (Plans) :
Fee Due at Permit Issuance
PROCESSED BY: �1' PUBLIC WORKS APPROVAL:
ZONING APPROVAL: �y PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
mi -" `
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
INSTALL OR VERIFY SMOKE AND CARBON MONOXIDE DETECTORS ARE EXISTING PER CRCR 314.1 & 31&2
$0.00
$0.00
$240.00
)WNER-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 plated nrixt ?o the applicable it
s-T-(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 IS' Lan.: ,'also requires the applicant for
is 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 gf
of more than five hundred dollars ($500). ,
1 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 intenders or offered for sale (..jerbon 704G, '
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 ir.ipuves the prop3rty, PTovided'tnat 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).
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).
1 am exempt from licensure 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 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://w .leginfo.ca.gov/calaw. html.
;ignature 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 Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
nd effect. /�, !! j
icense Class License No D W Lam' �--1 Contractor Signature
IIORKERS' COMPENSATION DECLARATION
'ARNING: 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 ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
4I h ve 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 thi
mance 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
ne of Agent _
Date
certify that, in the performs a 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
if I should become /�. 7 sub je to the orkers' opmpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. o�tA% '7 /
lature of ADDIICant( 1 / /2 — - -1 GI"/J
hereby affirm under pemilty of pefdury thaf,ttfere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
ender's Name Lender's Address
y 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 orpances and state laws relating to building construction.
I authorize representatives of this city or coun t e r th�e� b--o�ve-idnt�f n`d property for inspection purposes.
ignature of Property Owner or Authorized Agent y Print Property Owners or Authorized Agent's Name rL✓�/�% V r e ��1�J Date
ACTION
DATE
BY
DECLARATION OF COMPLIANCE fMTN CODE OF
1 FOR OFRCF USE ONLY
FEDERAL REGULATIONS PART 61 OF TITL.E40 AND
AQMD RULE 1403.
PERMITEXPIRED
❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
PERMIT CANCELLED
PERMITEXTENDED
0 ASBESTOS
OPOSED EMOU ON 7ION15 NOTAPPLICABLE TO
PERMIT FINAL
4 /06 20(-PROPOSED
CERTIFICATE OF
pc sw
SIGNATURE:
OCCUPANCYISSUED