HomeMy WebLinkAboutPV2022-0416 - Permits (3)�EwroRT City of Newport Beach
O� Community Development Department- Building Division
t}- n 100 Civic Center Drive, Newport Beach, CA 92660
T Permit Counter Phone: (949) 644-3288
CgC�FOAN�P Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
IIIIIIm1111111111111111111111111111111 illilIIIIII1111Jill Solar Permit : PV2022-0416
Plan Check No: PC2022-3021
Work Class : Alteration
Issued Date:
Inspection Area : 4
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 : 1715 PORT ASHLEY PL Legal Desc : N TR 6565 BLK LOT 64
Description: SFR SOLAR PV SYSTEM. 5.92 KW. 16 MODULES
Owner: ISHIOKA RODNEY TR
Contractor : :BRIGHT LIFE REMODELING
Architect
Address: 1715 PORT ASHLEY PL
Address : 933lNEWHALL ST
Address
NEWPORT BEACH, CA 92660
COSTA MESA, CA 92627 '.
Phone:
Phone: (908)489-3911
Phone:
Con State Lic : 1029267
State Lic
Lic Expire: 07/31/2023
Applicant: VIN BARBA
Bus Lic.: BT30079739 ,
Engineer :
MORALES DOUGLAS
Address: 933 NEWHALL ST
Address :
20751 KELVIN LN
COSTA MESA, CA 92627
Bus Lic Expire: 09/3012023
ALISO VIEJO, CA 92656
Phone: (908) 489-3933
-Workers` Compensation Insurance
Phone:
(949) 285-5104
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"'Carrier: STATE+COMPENSATION+INSURANCE+FUN
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`Policy No: ' 9053332
Designer:
VIN BARBA
W. C.lExpire : 4/19/2023
Address :
933 NEWHALL ST
COSTA MESA, CA 92627
Phone:
(908) 489-3933
Code Edition : 2019
Fire Sprinklers : NO
Construction Valuation : $12,000.00
Type of Construction : V-B
Fire Hazard Zone ; NO - -
Occupancy Groups : R-3,U
No of Units : 1
Type of Solar: SFP
Bldg Height:
No of Stories : 2
Kilowatt: 5
Building Front: 20, Side: 5, Side: 5, Rear: 10
1j
Setbacks :
Flood Zone : X
Use Zone: PC - Harbor View Hills
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SPECIAL CONDITIONS: a
am exempt from the Contractors'' State License Law for the reason(s)indicated below
cad next to: the
1, 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 not intended or offered .for sale (Section 7044,
mess 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
•ovemente an* 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
Oved for the purpose of sate):
1, 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.
yto an owner of propertywho builds or improves thereon, and: who contracts for the projects with a licensed Contractor pursuant to the Contractors' state License Law)..
€ am exempt from licensure under the Contractors' State License -Law for the following reason:,
ny signature Wow I acknowledge that; exceptfor my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by INS permit, 1 cannot lec
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
perjury that
COMPENSATION DECLARATION
under provisions of ChapfeC g {cnmeneing with seciton 7004).of D' "si n 3,of the Business and Profession s Code, and my license is in full force
_ License No I ID 2-9 Z ly t Date 4 7 tt Contractor Signature
i0E 18 UNLAWFUL, AND SHALL: SUBJECT AN EMPLOYER TO CRINONALPENALTn:B AND CIVIL FINES UP TOONE HUN VTR USANO. DOLLARS t$308,000j, IN ADDITION TO THE
370 OF THE LABOR CODE, INTEREST, AND ATTORREY'S FEES:
hereby affirm under penatty,of,perjury one of the following ; declarations:
3 I have and will maintain It 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
rma Ice of the wort for which this permit is issued. Policy No
I ve and will maintain workers' compensation insurance, as required by Section 3700ofthe Labor Code, for the performance of the work for which thispermitis issued. My workers' compensation
isu nce carrier and policy number are:
;artier �"i�'C �..� Policy Number �Oo�, 3 % 32 Expiration Date `j l `b JL3
lame of Agent. Phone ti
31 certify that, in the performance of the work for which this permit is issued, t shall not employ any person in any manner so as to become subject to the workers` compensation laws of California, and agree
iat, III should become subjec to the work compensation provisions of Section 3700 of the Labor Code;. I shall forthwith comply with those provisions
signature of Applicant CS7 . \. Data 32i 15�
IECLARATION REGARDI C TRUCTION LENDIN GENCY.
hereby affirm under penalty of perjury that theta is a construction tending agencyfor the performance of the work for which this permit is Issued (Section 3097, CI " de).
endet"s Name Lender's Address
ty my signature below, I certifyto each of the following:
I am the property owner or authorized to sot on the property owner's behalf..
I have read this application and the Information I have provided is correct
1 agree to comply with011 applicable city and county: ordinances and state laws relating to building construction..
I authorize representatives. of this city or c weltx to eni%4he above -identified property for inspection purposes.
BY
PERMITFXPENPED -: '•' • '�IgQI Q.
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PFRM7TFtNAt 1 /� Jr ASBESTOS NDTIPICAI'iO-N IS NOT APPLICABLE TO.
CERTIF7CATEOr t PROPOSED DEMOLITION.
OCCUPANCY ISSUED• • • titf3M4TU� lb• ••
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