HomeMy WebLinkAboutPV2022-0273 - PermitsWP City of Newport Beach 111111111 1l 11111111111111111111111111111111111111111111 11u Jill
p��k oR dm Community Development Department- Building Division P v 2 e 2 2 e 2 7 a Solar Permit : PV2U22-0273
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-2201
G > r Permit Counter Phone: (949) 644-3288 Work Class : Alteration
cg4FonH�P Inspection Requests Phone: (949) 644-3255 Issued Date : 01/30/2023
newportbeachca.gov/inspections 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 : 20 RUE GRAND VALLEE
Legal Desc : N TR 7384 BLK LOT 10
Description: SFR SOLAR PV SYSTEM 7.22 KW (19) MODULES
Owner: MARK ABBASI
Contractor: ADT SOLAR LLC
Architect
Address : 20 RUE GRAND VALLEE
Address : 2270 COSMOS CT
Address
NEWPORT BEACH, CA 92660
CARLSBAD, CA 91910
Phone:
Phone: (442)291-8922
Phone: -.
Con State Lic : 10803B2
State Lic
Lic Expire: 08/31/2023
Applicant : Adam Evans
Bus Lic: BT30077245
Engineer: WYSSLING 3COTT -
Address : 38340 INNOVATION CT, 704
Address : 76 N MEADOWBROOK DR
MURRIETA, CA 92563
Bus Lic Expire: 11/3012023
ALPINE UT £4N94, Cb,
Phone: (713) 589-3440
Workers' Compensation Insurance
Phone:
Carrier: OLD REPUBLIC INSURANCE COMPANY
Owner/Builder :
Policy No: MWC31431721
Designer:
Address :
W. C. Expire : 10/l/2023
Address
Phone:
a o
Phone: - -
Code Edition : 2019
Fire Sprinklers : NO
Construction Valuation : $19,750.00
Type of Construction : V-B
Fire Hazard Zone : NO
Occupancy Groups : R-3,U
No of Units : 0
Type of Solar: SFP
Bldg Height :
No of Stories : 2
Kilowatt: 7
Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 15
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Flood Zone : X
Use Zone : PC - Big Canyon
Processed By:
SPECIAL CONDITIONS:
- ".
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 taints)
Section 7031.5. Business and Professions Cade: 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
he 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 3 of the Business and
°rofessions Code) or that he or she is exempt from ficensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a. permit subjects the applicant to civil penalty of
tot more than five hundred dollars ($500)_
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,
3usiness 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 theproperty, provided that the
mprovements 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
mproved for the purpose of sale).
1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not
'pply to an owner of property who builds or improves thereon, and who contracts for the protects with a licensed Contractor pursuant. to the Contractors' State License Law).
1 am exempt from Iteensure under the Contractors' Slate 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 legalit
oil a structure that I have built as an owner -builder if it has not boon constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
'rofesslons Code, Is available upon request when this application is submitted or at the following Web site:hVp:f/www.leginfo.ca.gov/calaw.htmi.
signature of Property Owner or Authorized Agent.- Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of pe ' p� i ensod under provisions of mmenoing with Section 000) 1 of the Business and P 0 s I m' I II force
Ind effect. License Class � �� License No Date Contractor Slgnatl�ro
VORKERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORRIERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (6100,000), IN ADDITION TO THE
'.OST OF COMPENSATION, DAMAGES AS-ROVIDFO FOR IN SECTION 3709 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
have and will mpotaln 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 th
Brf mane. of the work for which this petmil is issued. Policy No,
yl ave 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' compensate
urance ca r nd,pc' c ., b4r ; W' n� J I I
;aniarPol' umber-Au�- 2- Expiration Dale
lame of Agent Phone # �:�,a —t"'I l _
71 certify that, to the pc,Yormance of the Work for which this permit i issued, I shall not employ any person in any manner so as to become subject to the workers' compensation I w6 o California, and Big
tat, if I should become, SULjJct to he O'k S' c t ensatio p• vl; on of Sactlon 3700 of the Labor Code, I shall forthwith comply with those provisions.
ECLAre of Applicant �^ C 4� � _ Date 2.
IECLARATtON REGA INo f0 7R1 CTIO LENDIN GEN'Y
hereby affirm under penalty of perjury ,hat there is a construction lending agency for the performance of The work for which this permit is issued (Section 3097, Civil Code),
onders Name Lender's Address
y my signature. below, I certify to each of the following:
I am the property owner or authorized to act on the properly 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 a slate laws r feting to building construction
I authorize representatives of this Illy Grope y ,g�i�rtih�a bo ntifi ro r inspection purposes.
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ACTION
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R DECLARATION OF COMPLIANCE WITH CODE OF FE OF, RAL
FOR OFFICE USE ONLY
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