HomeMy WebLinkAboutPV2022-0242 - Permitsp�"2,WP-"CityCommunity
of DCWpmo nt Beartment- Building Division II II III I II I II I II II I I II III Solar Permit : PV2022-0242
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-1999
u S Permit Counter Phone: (949) 644-3288 Work Class : Alteration
m.Inspection Requests Phone: (949) 644-3255
°gc,Foa"`P newportbeachea.gov/inspections Issued Date : 08/26/2022
Inspection Area : 6
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 : 8 RIEZ Legal Desc : N TR 16037 BLK LOT 14 113
Description: SFR SOLAR PV SYSTEM 7.6 KW (19) MODULES - - 3 'a'
Owner:
VICTOR SILVER
Contractor : BLALOCK ELECTRIC SOLAR -
Architect
Address :
8 RIEZ NEWPORT COAST, CA 92657
Address : , 23905 CLINTON KEITH RD:#114-216
Address
WILDOMAR, CA 92595
Phone:
Phone: (951)762-4638
Phone:
Con State Lie : 915397
State Lie
Applicant :
LINDSAY GRIMSHAW
'Lie Expire : 04/30/2023
Address :
10769 WOODSIDE AVE SANTEE, CA 92071
Bus Lie: - BT30072946
Engineer
Phone:
(951) 440-0593
Bus Lie Expire : 09/30/2022
Address
Workers' Compensation Insurance
Phone:
Carrier: STATE COMPENSATION INSURANCE FUND
,.
Policy No: 9075584
Designer:
W. C. Expire: 10/1212022
Address
Phone:
4+A6J
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BLALOCK ELECTRIC SOI-W
23905CLINTON KEITH RD" #114-2,75a,,,,
WILDOMAR, CA 92595
(951)762-4638 �Y6
Code Edition : 2019 Fire Sprinklers : +. NO Construction Valuation
Type of Construction : V-B Fire Hazard Zone; Y
Occupancy Groups : R-3,U No ofUnits: 1 _ "Type of Solar : SFP
Bldg Height: No of. Stories: 2.. Kilowatt:0
Building Setbacks: Front: 10, Side: 5, Side: 5, Rear: 10 - -
Flood Zone : X -
Use Zone : PC - Newport Ridge -
Processed By:
Zoning Approval:
Grading Approval:
Public Works Approval:
Plan Check By:
Approval To Issue:
• : cnac:
$32,000.00 °°°
sr
OWNER -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 placed next to the applicable Item(s)
3ectlon 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
is permit to Ole a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chopler 9 (commencing with Section 7000) of Division 3 of the Business and
rofessions Code) or that he or she is exempt from Rcensure and the basis for the alleged exemption. Any violation of Section 7031.5 by arty applicant fora permit subjects the applicant to a civil penalty of
of more than five hundred dollars ($500).
11, as owner of the property, or my employees with wages as their soie compensation, will do L) all of or U portions ofthe work, and the structure Is not intended oroffered for sale (Section 7044,
us€ness 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
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 trial It was not built or
.n roved ror the Purpose of sale).
;I I, as owner of ilia 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 improvesthereon, and who contracts for the projects with a. licensed Contractor pursuant to the Contractors' State License Law).
] I am exempt from licensure under the Contractors' State License Law for the following reason:
y 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 file improvementscovered by Ibis permit, I cannot legal,
all a structure that I have built as an owner-itullder if it has not beenconstructed in its entirety by licensed contractors. t understand that a copy of the applicable low, Section 7044of the Business and
rofessions Code, Is available upon request when this application Is submitted or at the following Web site:http:ilw .leginfo.ca.govicalaw.html.
ignature of Property Owner or Authorized Agent Cate
ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 ivisiyn 3 of the Business and Profuse Cod��gYid my license is In full force
nd effect. License Class License No Dale �✓ im/ZZ Contractor Signature /` .,c�(�—
IORKERS' COMPENSATION DECLARATION
ARN)NG; FaItUARZE' T9 SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CWMINAL PENALTIES AND 01VIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS LS100,001r, IN ADDRION TO THE
DST OF COVOWATION, OAMAGES AS PROVIDED FOR IN SECTION 379E OF THE LABOR COO£, INTEREST, AND ATTORNEYS FEES,
hereby affirant wrade r penalty of perjury one of the fallowing declarations:
?I have and SAll maintain a certificate of consent to selfAnsure for workers' compensation, issued by the Director of Industrial Relations as provided for by Seaton 3700 of the Labor Code, for lh
kormanoe of the work for which this permit is issued. Policy NG.
epti 4I11' f)Iaintaln 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
of
entry 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
if I sh uid bee:eme subject to the workers' compensation provisions of Section 370G of the Labor Code, I shall forthwith comply with those provisions.
atura of applicant
Ireby affirm binder penalty of perjury thatthers is a construction lending agencyfor the performunce of the work forwhich this permit Is Issued (Section 3097, Civil Code).
Ides s Name Landers Address
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 correct.
I agree to comply with all applicable city and county ordinances and stale laws raising to building construction.
I authorize representatives of this city or County to enter the v dentified property for Inspection purposes.'' // n,
nature of PrODerty Owner or Authorized Agent 0>'--, Print Property Owners or Authorized Agent's Name 11 Ae/ aoa/4,
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY fSSUEO
DATE I By
OFFICE USE ONLY
REGULATIONS PART 65 OF TITLE. 40 AND AQMD RULE
All required alarms, latches gates and fences which serve as part of a poollspa barrier, shall
be In place prior to approval to fill pool/spa & shall remain In place & be maintained for the
IS NOT APPLICABLE TO life of the pool.
2