HomeMy WebLinkAboutPV2022-0289 - Permits�EwPo City of Newport Beach
Rr Solar Permit : PVZUZZ 0Z89
O m Community Development Department- Building Division P V 2 0 2 2 6 2 8 9
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-2280
yam S Permit Counter Phone: (949) 644-3288 Work Class: Alteration
cq� FcnN�r Inspection Requests Phone: (949) 644-3255 Issued Date : 12119/2022
newportbeachca.gov/inspections 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 : 114 19TH ST, B Legal Desc : A TR NEWPORT BEACH SEC B BILK 18 LOT 15
Description: SFR SOLAR PV SYSTEM 2.38 KW (7) MODULES
Owner: Justin Kirsinas
- Contractor: SOLAR SOURCE INC
-. Architect
Address : 114 19TH ST
Address-: 2954 "E 14TH ST
.':Address
NEWPORT BEACH, CA
LONG BEACH, CA 90804
Phone: (562)225-6425
Phone: (562);852-5626
Phone:
Can State Lie : 925231
-State Lie
Lie Expire: 03/31/2023
Applicant : SOLAR SOURCE INC
Bus Lie '[ BT30071028
Engineer:
Address : 2954 E 14TH ST
Address
LONG BEACH, CA90804
Bus Lie Expire : 02/28/2023
:
a°° °,
,°°°••
Phone: (562) 852-5626
Workers`. Compensation Insurance
Phone:
!" Carrier:STATE COMPENSATION INSURANCE FUND
Policy No: 9072729'
Designer:
SOLARSOURCEINC
W. C. Expire: 9/24/2023
Address :
2954 E 14TH ST
LONG BEACH, CA 90894
Phone:
°°.•
(562)852-5626 •
°°°°°•
Code Edition : 2019
Fire Sprinklers : NO
Construction Valuation $3 50$
0 0 0
Type of Construction: V-B
Fire Hazard Zone: NO
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Occupancy Groups : R-3
No of Units: 0
Type of Solar: SFP
Bldg Height:
No of Stories ; .2
Kilowatt: 2
Floioding : Xront: 5, Side: 3, Side: 3, Rear: O
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Use Zone: R-2 -Two-Unit Residential
Processed By:
SPECIAL CONDITIONS:
L1 I, as OWnor
BUainOas and F
lmprovernents
Im roved for th
I; as awnec
tPe�pTpiy3o, owr
tJ lam exemI
Contractors"State License. Law for the reasons;
that requires apermit to construct after, improve
nt to the provisions of the Contractors' State. LRx
basis for the alleged exemption. Any violation of
sole compensation, Wit do (_) all of or (_) portior
does not apply to an owner of property who, th
uildingor improvement is sold within one year of
r al
Ou
pter.9 (Commencing with Section 7000) of Ofvlsion 3 o€:the Business and
by any applicant for a permit subjects the applicant to a civil penalty or
and the structure is not intended of offered forsale (Section 7044,
Is' or personal effort, builds or Improves the property, provided that the
a Own or -Builder will have the burdenofproving that it was not bui or
am exclusively contracting with licensed Can Iraotors to construct the project (Section 7044, Business and. professions Code: The Contractors' State License Law does not.
bo builds or improves thereon, and who contracts for the proj,ods with a licensed Contractor pursuant to tha Contractors"State, License Law). 11
I hereby affirm under penalty of perjury that am licensed under provisions of Chapter 9 (commemorig with Section 7000). D[ rw of the frusmass and Professions Cgdl , ae^' y lip is in fufl force
and effect. License Class License No Date Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS• -COMPENSATION COVERAGE IS UNLAWFUL, MD SHALL SUBJECT" EMPLOYERTO CRIMINAL PENALTIES AND CML FINESOP TO ONE RUMORED THOUSAND DOLLARS 1$100A00I, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED V02IN MCTIOM 3.706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES;
I hereby affirm under penalty of perjury one of the following;'dectaratfons:
I have and v4I mairytam 4 certificate of consent to self -insure for workers' compensation,issued by:the .Director of Industrial Relations as .provided for by Section 3700 of the Labor Code, for thi
performance of titewbf> for which this permit is Issued. PoIlGy No;
"' 'gffy>Cand willlrtaistain Workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatio
insurance carr1a?V0`.pogcy number are:
i;wLer• Policy Number Expiration Date
N9in Agent Phone#
..
(mriffy that, in the...pa.tiormapce ofthe work for which this permit is issued, fshai! not employ any person nany manner so as to become. subject to the workers' compensation Taws of California, and ogreoft, H*lUould besorne Subject to the workers'Compensiation .
EC . RTIONpREEC,{iRiltNCa CONSTRUCTION LENDING AOENGY GB Section 370 Labor Coda. I:ghall forthwith comply with those provisions.
.. Date_
......
1 beraby alPirm ur�det eemify ofperju€p that fn$€e is a construction Sending agency for the performance Of the Work forwhich this permit •@:issued (Section 3097,.CIvil Code),.
I have read this application
t agree to comply with all
(authorize representatives
BY DECLARATION OF GOMPLIANCEWITH CODE OF FEDER
RErxULATIONS PART 61 OF TITLE 40 AND AOMD RULE
I �d I.L3 1 U ASBESTOS NOTIFICATION I5'NOT APPUrASLE TO
J PROPOSED DEMOLITION
SIGNATURE;
2