HomeMy WebLinkAboutPV2023-0178 - Permits4��WPoRr City of Newport Beach piiiiiiigiiq���� Sour Permit : PV2023-0178
0 e Community Development Department- Building Division
r n 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-0697
Permit Counter Phone: (949) 644-3288 Work Class : Alteration
Inspection Requests Phone: (949) 644-3255 Issued Date : 03/28/2023
newportbeachca.gov/inspections Inspection Area : 2
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 : 110 APOLENA AVE Legal Desc : A TR BALBOA ISLAND SEC 3 BILK 6 LOT 25
Description : MFR SOLAR PV SYSTEM 8 PANELS 3.2 kw
Owner: CLINT BURNS
Address : PO Box 5917
Balboa Island, CA 92662
Phone: (714)366-2273
Applicant: SUNTREK INDUSTRIES INC
Address: 5 HOLLAND DRIVE #215
IRVINE, CA 92618
Phone: (949)348-9276
Owner/Builder :
Address :
Phone
Contractor:
SUNTREK INDUSTRIES INC
Address :
5 HOLLAND DRIVE #215
IRVINE, CA 92618
Phone:
(949)348-9276
Con State Lie
: 859460
Lie Expire :
05/31/2023
Bus Lie :
BT30077361
Bus Lie Expire : 12/31/2023
Workers' Compensation Insurance
Carrier: MIDWEST EMPLOYERS CASUALTY CO
Policy No: BNUWC0157683
W. C. Expire: 9/1/2023
Code Edition : Fire Sprinklers :
Type of Construction : V-B Fire Hazard Zone
Occupancy Groups : R-3 No of Units :
Bldg Height : No of Stories
Building Setbacks : Front: 5, Side: 3, Side: 3, Rear: 5
Flood Zone : X
Use Zone : R-BI - Two -Unit Residential, Balboa Island
Processed By: 5?--=
SPECIAL CONDITIONS:
7�
C
Architect
Address
Phone:il
State Lie
Engineer:
TRUONG PHONG
,w-
Address :
3000 E BIRCH ST
BREA, CA 92821
Phone :
(949) 254-2751
Designer: SUNTREK INDUSTRIES INC
Address: 5 HOLLAND DRIVE #215
IRVINE, CA 92618
Phone: (949)348-9276
NO Construction Valuation : $18,140.00
NO
2 Type of Solar: MFP
Kilowatt: 3
OWNER -BUILDER DECLARATION
I hereby affirm under penalty 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 item(s)
Section 7031.5, Business and Professions Coda: Any city or county that requires a permit tD construct, alter, improve, demolish, or repair any structure, prior to Its issuance, also requires the applicant for
1c 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 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 703'L5 by any applicant for a. permit subjects the applicantto a civil penalty of
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 (_) all of or (_) portions of the work, and the structure is notintended or offered for sale (Section 7044,
'.usiness and Professions Code. The ContractorsState License Law does not apply to an owner of property who, through employees' or personal effort, builds or Improves the properly, provided that 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).
1 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
poly 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 1 am exempt from ficensure 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
all a structure that I have built as an owner-buiiddr 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:tAw .leginfo.co.gov/calaw.html.
signature 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 Section2(0�&l i n the Business and P f siona Code, a kl my license is intuit fob
no effect. License Class License No Date a 33,f Contractor Signatur
VORKERS' COMPENSATION DECLARATION c
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FRIES UP To ONE HUH- k ED TH USAND DOLLARS ($100,000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGE$ AS PROVIDED FOR IN SECTION 3704 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I I 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 IN
erformanceof 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
Vame of Agent Phone #
I certify that, in tnaperllo nce ofthework for which tt1 s per it. is issued, shall not employ any parson in any manner so as to become subject to the workers' compensatio laws of California, and egret
That, if I should become ct fo ttha-0&rker, pe cation 15 visio T of Section 3700 of the Labor Code,. I shall forthwith comply with those provisions.
Signature of Applicant / Date
DECLARATION REGARDING I TRUCTIO N E G AGE tY "—
hereby affirm under penalty f perjury tfiat there Is a construction lending agency for the performance of the work for which this permit is issued'. (Section 3097, Civi Code).
Lenders Name Lender's Address
By my signature below, I 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 corral r
I agree to comply with all applicable city and cou y Oman and state laws Tell ing to building construction.
I authorize representatives of this city orcvuntyt to he aoo. dentified p rty for inspection purposes. /�L, /�,�r'>tiST�
Signature of PropertyOwner or Authorized A eni - i "` Print Property Owner's or Authorized Agent's Name Y� 4'�= t ate
ACTION DATE BY 1 DEC TION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT FINAL 2'S IPROPOSEDOEMOIFICA ION 15 NOT APPLICABLE TO
CERTIEfCATEOF I
OCCUPANCY ISSUED SIGN T'UREt
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