HomeMy WebLinkAboutPV2022-0291 - Permits�EWPoRr City of Newport Beach
O� 1 dm Community Development Department- Building Division
F 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
C9[1FOftN�P Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
II�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII����� Solar Permit : PV2022-0291
Plan Check No : PC2022-2281
Work Class: Alteration
Issued Date : 12119/2022
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, A
Legal Desc : A TR`NEWPORT.BEACH SEC B BLK 18 LOT 15
Description: SFR SOLAR PV SYSTEM 2.72 KW. 8 MODULES
Owner: Justin Kirsinas
Contractor ; SOLAR SOURCE INC
Architect
Address : 114 19TH ST
Address.: 2954E 14TH ST
'Address
NEWPORT BEACH, CA
_ LONG BEACH, CA 90804
Phone : (562) 225-6425 .'
Phone :.. (562)'852-5626 ..
Phone
Con 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, CA 90804
Bus Lie Expire : 02/28/2023
0 •,. °
Phone: (562) 852-5626
" Workers" Compensation Insurance
Phone: °
>- Carrier:. STATE COMPENSATION INSURANCE FUND
Policy No: 9072729
Designer: SOLAR SOURCE INC m°J°W°
W. C. Expire; 9/24/2023
Address : 2954 E 14TH ST
LONG BEACH, CA 90804 ® • •
Phone: (562)852-5626
Code Edition : 2019
Fire Sprinklers: NO
C3hstrilcfl ri V f �Eurri 0ri3,`S�OhC�1f�'=
Type of Construction : V-B
Fire Hazard Zone : NO
v °°
Occupancy Groups : R-3
No of Units : 0
T : SFP
Bldg Height:
No of Stories : 2
2ar
Kilowatt:
UN
Building Setbacks : Front: 5, Side: 3, Side: 3, Rear: 0
L
Flood Zone: X
Use Zone: R-2 - Two -Unit Residential
Processed By:
SPECIAL CONDITIONS:`
°
I, as owner of the property, br r
'tress and Professions Coddw Ti
ovementsare not intended or i
oved for the -purpose of sale).
I; as owner of the property,: am
yto an owner of property who t
I am exempt from Iicensureuni
i am exempt from the Contractors` State License Law for the reascp(s).indicated below by the checkmark(s) I have:: pieced next to the applicable items)
de: Any city or county that requires a:permit to construct, alter,: improve, demolish, or repair: any Structure, prior to Its issuance, also requires theapplicant for
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 ar
from lConsure and the basis for the alleged axemption. Any violation of Section 7031.5 by applicant for a permit.. subjects the applicant to a Civil penalty r
as with wages as their sole compensation, will do U all of or (_)portions of the work, and Iheatructure I a not intended or offered for sale (Section 7044,
ors' 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
ale. if, however, the building or improvement issold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
contracting with licensed Contractors to construct the project (f ection 7044, Business and. Professions Code: The Contractors State License Law does not.
XoVaS thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
is In full force
)RKERS' COMPMATION DECLARATION
MINC: FALURETO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDREUTNOUSAND DOLLARS {S1PP,6PP); IN.. ADDITION TO THE
TOE COMPENSATION, DAMAGES AS PROVIDED. FOR IN SECTION:3746 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES,
retry affirm under penalty of perjury one ofthe following declarations:
I he" and 111 gV njaslt a certificate of Consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as .provided for by Seniors 3700 of the Labor Code; for tn,
9rmanceof the workforwhfch this permlis issued. policy No.
.tTM •and. wilt lnalnUn workers' compensation insurance, as required by Section 3700 of the Labor Code, forthe performance of the work for which this permit is issued. My workers' compansatior
Trance carrier.aM potty number are:
riur * • • Policy Number Expiration Date..
pe o[Agent • • Phone If
cestiWlhat; In parformance of the work for which this permit is: issued, It shall not employ any person in: any manner so as to become subject to the workers'compensation laws of California, and agre
4 91 ti could bw-Mw subject to the workers' compen ion provisions of Section; 3700 of the Labor Code, I :shall forthwith comply with those provisions. / �/ , p /
I"drE of Appiigegt Date,Z' JZ
%~TION R2 GAgQING CONSTRU ON L NDING AGENCY
aeliv airm under Penafty of pedury that there is a construction fending agencyior the performance of the work for which this permit is issued (Section 3097, Civil Code).
lam the prope"cwrter or authorized to act on the property owners 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 state fa,
I.authorize representatives of this city or County to enter the 9�op-idPVlfied
M,
PERNI CANAL I I(ta(-L3 J� PROPOSEDASBESTOS
NOTIFICATION . IS NOT APPLICABLE. TO