HomeMy WebLinkAboutPV2022-0408 - Permits (3)City of Newport Beach
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Community Development}Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
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Inspection Requests Phond: (949) 644-3255
newportbeachca.gov/Inspect[pris
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Plan Check No : PC2022-2956 PLIP J� ��
Work Class : Alteration , d IV.,M
Issued Date : 12/01/2022
Inspection Area: 1
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- 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: 3909 MARCUS AVE Legal Desc : A TR CANAL SECTION BLK 339 LOT 4 CANAL SECTION LOT 4 BLK 339 (AND SELY 8.5 FT LOT 5
Description : MFR SOLAR PV SYSTEM. 2.91 KW. 7 PANELS
Owner:
W Voss
Address :
2623 VISTA ORNADA
NEWPORT BEACH, CA 92660
Phone:
Applicant:
MARK MENDOZA
Address :
20104 STATE RD
CERRITOS, CA 90703
Phone:
(562)447-4971
Contractor:
URBAN ENERGY SOLAR INC.
Address :
10192 CONSTITUTION DR
HUNTINGTON BEACH, CA 92646
Phone :
(310) 795-6453
Con State Lie
: 944115
Lie Expire :
12131/2023
Bus Lie:
BT30064588
Bus Lie Expire: 09/30/2023
Workers' Compensation Insurance
Carrier: STATE FUND
Policy No: 9021421
W. C. Expire: 6/1/2023
Architect
Address
Phone:
State Lie
Engineer: TRUONG PHONG
Address : 3000 E BIRCH ST
BREA, CA 92821
Phone: (949)254-2751
Designer:
Address
Phone:
Code Edition : 2019
Fire Sprinklers :
YES
Construction Valuation : $6,000.00
Type of Construction : V-B
Fire Hazard Zone :
NO
Occupancy Groups : R-3,U
No of Units :
2
Type of Solar: MFP
Bldg Height :
No of Stories :
2
Kilowatt: 0
Building Setbacks : Front: 4, Front: 20, Side: 3, Side: 3
Flood Zone : AE, 8 FT; AO 1; X
Use Zone : R-2 - Two -Unit Residential _
Processed By: _
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
I hereby affirm under penally 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 items)
3ocilon 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
is permit ht file a signed statement that he or sheds licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing. with Section 7000) of Division of the Business and
'rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a. permit subjects the applicant to a civil penally of
of more than five hundred dollars ($500).
3 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 not intended or offered for sale (Section 7044,
'.usiness and professions Cade: 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
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 that it was not built or
niproved for the purpose of sale).
.�! I, as owner of the property, am exclusively Contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate License Law does not
poly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I I am exempt from icensure under the Contractors' State License Law for the following reason:
�y my signature below 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 this permit, I cannot legallt
all a structure that I have built asan owner -builder if it has not been constructed in itsentirety by licensed contractors. I understand that a copy of the applicable law, Section 70" of the Business and
'rofessions Code, Is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
ignature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3.of the Business and Professions Code, and my license is In full force
nd effect. License Class License No Date Contractor Signature
COMPENSATION DECLARATION
DARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (s100,000), IN ADDITION TO THE
:OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I I have and will maintain 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 tht
erformance of the work for which this permit is issued. Policy No..
have 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'
Fence carrier and policy number are:
Policy Number
of Agent
Date
certify 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 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant Dale_
CLARATION REGARDING CONSTRUCTION LENDING AGENCY
areby affirm under penalty of perjury that there is a construction lending agencyfor the performance of the work for which this permit is issued (Section 3097, Civil Code).
lder's Name Lender's 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 state laws relating to building construction.
I authorize representatives of this city or county to enter the above -identified property for inspection purposes.
ACTION DATE BY l DECLARATION OF COMPLIANCE WITH. CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61. OF TITLE 90 AND AQMD RULE
PERMITEXPIREO
PERMIT EXTENDED I I I I LIAQMD
PERM/TFINAL G G 72 JQ ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
C€RYlFREATEOr �J PROPOSED DEMOLITION
OCCUPANCY ISSUED SIGNATURE: