HomeMy WebLinkAboutPV2023-0535 - PermitsEWPo City of Newport Beach iiiiuiiiiiiiiiiiuiiiiiiiiiiiuuiiiiiiiiiiiiiiiuuiq����
�� Rr P 2 0 2 3 0 5 3 5 sour Permit : PV2023-0535
O @ Community Development Department- Building Division
100 Civic Center Drive, NewportBeach, CA 92660 Plan Check No : 1711-2021
rh = Permit Counter Phone: (949) 718-1888 Work Class : Counter
cq('AN�P newportbeachca.gov/civic Issued Date : 10/11/2023
Final Date:
Permit Status: Issued
Inspection Area : 7
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays.
Job Address: 2750 W COAST HWY
Legal Desc
: N TR 919 BLK LOT A TR 919 LOT A FOR OF LOT
Description:
COMM `REPLACE EXPIRED PC2021-129`
SOLAR PHOTOVOLTAIC 35.4kw (90) ROOF MOUNTED PANELS
Owner:
ANMAR SABAN
Contractor:
MBL & SONS INC Architect
Address :
410 S WACKER DR., FLOOR 18
Address :
1698 ROGERS AVE Address
CHICAGO, IL 95112
SAN JOSE, CA 95112
Phone :
(917) 634-7993
Phone :
(408) 467-0150 Phone
Applicant: MBL & SONS INC
Address : 1698 ROGERS AVE
SAN JOSE, CA 95112
Phone: (408) 467-D 150
Owner/Builder :
Address :
Phone
Con State Lic : 831026
Lic Expire : 01/31/2024
Bus Lic: BT30076063
Bus Lic Expire : 07/31/2024
Workers' Compensation Insurance
Carrier: BERKSHIRE HATHAWAY HOMESTATE INS C(
Policy No : MBWC441299
W. C. Expire: 2/1/2024
Code Edition : 2019
Fire Sprinklers :
Type of Construction : V-B
Fire Hazard Zone
Occupancy Groups : U
No of Units :
Bldg Height:
No of Stories
Building Setbacks :
Flood Zone: X
Use Zone : MU-MM - Mixed -Use Mariners' Mile
Processed By:
SPECIAL CONDITIONS:
�OR
2
State Lic :
Engineer: ZACHERPAUL
Address : 1478 STONE PT DR, 1.9a
ROSEVILLE, CA 9566 r
Phone: (916)961-3965
Designer
Address
Phone:
Construction Valuation :
Type of Solar:
Kilowatt: 35
OWNER -BUILDER
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 items)
(Section 7031.5, Business and Professions Code. Any city or county that requires a pertnll 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).
0 I, as owner of the property,or my employees with wages as their sole compensation, will do I all of or (_) portions of the work, and [be structure is not intended or offered for sale (Section 7044,
Business and Professions CodeThe Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the properly, provided that the
improvements are not Intended or offered for sate. It, 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
improved for the purpose of sale).
❑ I, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
tt
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),
u I am exempt from licensure under the Contractors' State License Law for the following reason
By my signature below I acknowledgo that, except for my personal residence Li which I must have resided for at least one year prior to Completion of the improvements covered by this permit, I cannot legal
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 sfte:titlp:/1www leginto.ca.gov/calaw.html.
Signature of Propsrt/ ^v rer or Authorized Agent _ Date
LICENSED CONTRAC FOR'S DECLARATION
I hereby afirm under penally of perjury that i am licensed under provisions of Chapter 9 (commencing with Secti 70 01 of Division 3 of the $us�n7�ss and Professi da, and Ifcens s in full f ce
and effect L'censc Cia.,s License No Dat Contra/c3k\r Signature —
WORKPRS' COMPENSATION DECLARATION i
ING: 5AILURE TO IFGURt WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLAR 1$1ee.000), IN ADI)MON TO THE
CIF CO-APENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3704 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm undo- pen.!ty of perjury one of the following declarations:
I have and will mainh,in 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
orrryAnce of the work for which this permit Is issued. Policy No.
red Will mairtai» 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 polity number SIR:
e of Agent
Gritty that, in the performance of the
if I should. econle Sul)j�Ct D the wD
3tura of Appl ant l/
Policy Number
Date
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
compensation or ions Ions of Section 3700 of the Labor Code, I shall forthwith comply Mill those provisions. /
T- ' /1 -� /0 - ji 23
Ireby affirm under penalty of perjury that there Is a construction lend Ing agency for the performance of the work for which this permit is issued (Section 4097, Civil Code).
Idar's Name Lender's Address
my signature I7atUw, I eartify 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'drefirrances ::--,,tfAA���,',�d state I s ret Ing to building construction.
I authorize representatives of this city or cot [a me the aboJ�-idenlifi d pre y for inspection purposes. "� / GI LYE n
nature of Prnnerly Owner or Authorized Anent n Print Prooenv Owner's or Authorized Aoent's Name( rl K
ACTION I DATE BY ' REGi lAT IRON CF CO 1 LI NCE 4D AND CODE OF FEDERAL FOR OFFICE USE ONLY
PERMITEXPIRED
'.. LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CAA'CELLED
.._ .._ .. ._ _
MEPA
_
_.....❑� BLSI YON IS NOf APPLICABLE 70
CERT FICATE OF
PROPOSED DEMOLITION
OCCUPANCY ISSUED
SIGNATURE: