HomeMy WebLinkAboutPV2022-0399 - Permits�EWPORT City of Newport Beach 1111II1I 11111111111111111 ill 1111111111111111111111111 Ill 1111 Solar Permit : PV2022-0399
04 Community Development Department- Building Division
e 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-2911
Permit Counter Phone: (949) 644-3288 Work Class : Alteration
C9�/FO RN�P Inspection Requests Phone: (949) 644-3255 ! f s'�e q.,o 1•V. Issued Date: 12/19/2022
newportbeachca.gov/inspectionsd^a -�-'^r—) Inspection Area :1
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 : 116 41ST ST Legal Desc : A TR RIVER SECTION BILK 40 LOT 7
Description: MFR -SOLAR PV SYSTEM 8.64 KW (24) MODULES
Owner: GABRIELLA MARZOLA
Contractor : California Solar Installers
Architect
Address : 5162 MOUNTAIN VIEW AVE
Address : 2801 West Coast Highway, 200
2801 Address
YORBA LINDA, CA 92886
West Coast Highway
Phone:
Phone: (480)294-4691
Phone:
Con State Lic : 1038437
State Lic
Lic Expire : 1213112023
Applicant: CALIFORNIA SOLAR INSTALLERS LLC
Bus Lic : BT30069480
Engineer : RYAN MCPHERSON
Address : 2801 COAST HWY W
Address : 9240 LIMONITE AV
NEWPORT BEACH, CA
Bus Lic Expire : 10/31/2023
JURUPA VALLEY, CA 92509
Phone: (855) 346-3888
Workers' Compensation Insurance
Phone: (909) 569-2244
Carrier: SIRIUS AMERICA
Policy No : WC10670400
Designer: California Solar Installers
W. C. Expire : 10/9/2023
Address : 2801 West Coast Highway, 200 2801 West
Coast Highway
Newport Beach, CA 92663
Phone: (480)294-4691 _,•
Code Edition : 2019
Fire Sprinklers : NO
Construction Valuation : $14,995a00 • ' "
Type of Construction : V-B
Fire Hazard Zone : NO
• • •
Occupancy Groups : R-3
No of Units : 1
Type of Solar; MFP
Bldg Height:
No of Stories : 2
Kilowatt : 8 • ,_
\jC)
CONIS'! RUCTION NOISE
Building Setbacks: Front: 1 D, Side: 4, Side: 4, Rear: 5
Flood Zone: X
Use Zone : R-2 - Two -Unit Residential
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Processed By:
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SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reasons) 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, 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 ($50D).
❑ I, Be owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the 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).
❑ 1, 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' Stale License Law).
I am exempt from licensors under the Contractors' State 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 legally
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:hdp.11 w .leginfo.ca.gov/calaw.btmL
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7D00 of Di ision 3 of the Business and Professions Code, a my License is in full force
and effect. License Class License No Date N 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 ATTORNFY'S FEES.
I hereby affirm under penalty of perjury one of the following daclarations:
111 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 thf
performance of the work for which this permit is issued. Policy No.
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' compensatoor
raneeo carrier and policy nu/tuber are:
ter IeC P4+C UYt p Policy Number c t%C 161 %U y r70 Expiration Date 1 Q ^ 4-23
to of Agent Phoned Gig-2� y-S'f 4Y
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 lays of California, and agree
. if I should become subject to the worke s' compensation provisions of Section 3700 of the Labor Code, I strait forthwith comply with those provisions.
talure of Applicant_��l/�� .��-,,,_ Date ---
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
enders Name Lender's Address
Ty signature below, I certify to each of the followings
I am the prc9g¢y owner or authorized to act on the properly owner's behalf.
I have read this application and the Infomtation 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 rj, r3_cntalives of this city or county to enter the above -identified property for inspection purposes.
f ti.dure of Property Owner or Authorized Anent 'mi l/ � Print Properly Owner's or Authorized Anent's Name J7rx5/5f PfY1 eP,..
EXPIRED
PEW41TEXTENDE0
t
PERMIT FINAL
CERTIFICATE OFrLf
OCCUPANCY ISSUED
REGULATIONS PART 61 OF TITLE 40AND AQMD RULE.
LJ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION
FOR OFFICE USE
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