HomeMy WebLinkAboutPV2024-0090 - Permits�gWPpRT City of Newport Beach
p� a Community Development Department- Building Division p V 2 0 2 4 e e s e COMB Permit: PV2024-0090
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2024-0708
y. Permit Counter Phone: (949) 718-1888
o- newportbeachca.gov/civic Issued Date: 2024
Final /1412024
Cql/rORN�P Combination Type- Permit Status: Final
Work Class - Counter Inspection Area: 5
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 : 516 ACACIA AVE
Legal Desc : A TR CORONA DEL MAR BLK 529 LOT 18 CORONA DEL MAR
Description: DUPLEX SOLAR PV 6.16 KW, 14 PANELS
Owner: 516 ACACIA PARTNERS LLC
Contractor: INTEGRATED TECHNOLOGY ELECTRIC
Architect
Address: 601 4TH ST,#129
Address: 3423 REVERE RD
Address:
SAN FRANCISCO, CA 94107
RIVERSIDE, CA 92503
Phone:
Phone: (949)491-4144
Phone:
Con State Lic : 974125
State Lic
Lic Expire : 10/31/2025
Applicant: RAMON HERNANDEZ
Bus Lic : BT30075511
Engineer:
Address : 3423 REVERE RD
Bus Lic Expire : 06/30/2024
Address
RIVERSIDE, CA 92503
Phone: (909) 549-8034
Workers' Compensation Insurance
Phone:
Carrier: STATE FUND
Owner/Builder :
Policy No: 1AUICA160147268200
Designer: INTEGRATED TECHNOLOGY ELECTRIC
Address :
W. C. Expire: 12/9/2024
Address: 3423 REVERE RD
A 92503
Phone:
Phone: (949) qg - 14C4
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation : $44,352.00
Type of Construction : V-B
Fire Hazard Zone : NO
Added/Newfrl sq. ft. Bldg : 0
Occupancy Groups: U,R-3
No of Units:
Alteration sq. ft. Bldg : 0
Bldg Height :
No of Stories : 3
Add/New sq. ft. Garage: 0
TOTAL sq. ft.: 0
Building Setbacks : Front: 15, Side: 4, Side: 4, Rear: 5
Flood Zone : X
Use Zone: R-2 - Two -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS:
UNIVE
INSPECTOR
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that I am exempt from the Contractors' Slate 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 permit to construct, after, improve, demolish, or repairany 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 provislons 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).
❑ I, as owner of the property, or my employees with wages as their sole Compensation, will do (_) all of or U portions of the work, andthe structure is not intended or offered for sale (Section 7044,
Business 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
improvements 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
improved for the purpose of sale). 111. 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
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' Slate License Law).
❑ 1 am exempt from licensure under the Contractors' Stale License Law for the following reason:
By 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 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 site:http:tiw .leginfo.ca.govfcalaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affimt under penally 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
and effect. License Class License No Date Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: 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
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 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, forth(
performance of the work for which this permit is issued. Policy No.
❑I 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' compensatio
insurance carder and policy number are:
Carrier Policy Number Expiration Date
Name of Agent Phone #
❑I 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
that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions.
Signature of Applicant Date_
DECLARATION REGARDING CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a constructon lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Lenders Name Lenders Address
By my signature below, I certify to each of the following: _ 9
I am the property owner or authorized to act on the property owners behalf. 6 0 .J
I have read this application and the information I have provided is correct. •rr`as INSPECTOR
I agree to comply with all applicable city and county ordinances and state laws relating to building construction i
I authorize representatives of this city or county to enter the above -identified property for inspection purposes.
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Dale
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
1403
PERMIT EXPIRED 1 SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED Epp
PERMIT EXTENDED OMD
PERMIT FINALU ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
CERTIFICATEOF O.�Y•'� PROPOSED DEMOLITION
OCCUPANCY ISSUED SIGNATURE: