HomeMy WebLinkAboutPV2022-0378 - PermitsNt� 'okT City of Newport Beach 11�11111I111111111111111I�1111111111I1111111ol11 II11�111 sour Permit : PV2022-0378
➢Community Development Department- Building Division
> j 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-2795
Permit Counter Phone: (949) 644-3288 Work Class : Alteration
cq� Y N,r Inspection Requests Phone: (949) 644-3255 Issued Date : 11/23/2022
_- newportbeachca.gov/inspections Inspection Area : 5
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: 217 LARKSPUR AVE Legal Desc :.QTR RESUB OF CORONA DEL MAR BLK 137 LOT 15 RESUB OF CORONA DEL MAR LOT 15 BILK
137(AND NELY 5
Description: SFR - SOLAR PV SYSTEM 3.55 KW (9) MODULES
Owner:
217 LARKSPUR LLC
Address :
217 LARKSPUR AVE
CORONA DEL MAR, CA 92625
Phone:
Applicant:
DEPINHO ROOFING INC
Address :
2832 N OLIVE AVE
ORANGE, CA 92865
Phone:
(714)632-7663
Code Edition :
Type of Construction
Occupancy Groups:
Bldg Height:
Building Setbacks
Flood Zone
Use Zone :
Processed By:
SPECIAL CONDITIONS:
Contractor: DEPINHO ROOFING INC
Architect
Address : 2832 N OLIVE AVE
Address
ORANGE, CA 92865
Phone : (714) 632-7663
Phone
Con State Lic : 683894
State Lic
Lic Expire : 02/29/2024
Bus Lic: BT30009054
Engineer:
Address
Bus Lic Expire : 05/31/2023
Workers' Compensation Insurance
Phone:
Carrier: TRANSVERSE INS CO
Policy No: 000000141
Designer:
DEPINHO ROOFING INC
W. C. Expire : 12/14/2022
Address
"•t.Z832 N OLIVE AVE
-J.GE, CA 92865
Phone:
(714) 632•AMA
2019 Fire Sprinklers :
V-B Fire Hazard Zone
R-3,U No of Units :
No of Stories
Front: 15, Side: 3, Side: 3, Rear: 5
X
R-1 - Single -Unit Residential
YES
NO
1 .0
2 S� VG
Construction Valuation
A"
Type of a P;^
K lowatt: 3
aV < rVV'
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 am exempt from the Contractors' State License Law for the reason(s) indicate)
Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, derrofis
is permit to file a signed statement that he or she is licensed pursuant to the previsions of the Contractors" State License Law
'rofesslons Code) or that he or she is exempt from Iicensure and the basis for the alleged exemption.. Any violation of Section'.
of more than five hundred dollars ($500).
1 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L_) portions of the v
;useass and Professions Code The Contractors' State License Law does not apply to an owner of property who, through amp
nprovemanis are not intended or offered for sale. If, however, the building or improvement is sold within one year of complelk
in roved for the purpose of sale),
.Yd 1, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Sue
p ly to an owner of property who builds or Improves thereon, and who contracts for the projects with a licensed Contractor our
I am exempt from licensors, under the Contractors' State License Law for the following reason:
y my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year
oil a structure that I have built as an owner-buiidar if it has not been constructed in its entirety by licensed contractors. I under:
`rofessions Code, Is available upon request when this application is submitted or at the following Wed sita:http:lfwwW_I%mfo.c
agnature of Property Owner or Authorized Agent
below by the checkmark(s) I have placed next to the applicable forms)
. or repair any structure, prior to 4s issuance, also requires the applicant for
Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
731..5 by any applicant for a permit subjects the applicantto a civil penalty of
k, and the structure is notintended or offered for sale (Section 7044,
eos' or personal effort, builds or improves the property, provided that the
the Owner -Builder will have the burden of proving that it was not built or
and Professions Code: The ContractorsStale License Law does rict
to the Contractors' State License Law).
RIOT to completion of the Improvements covered by this permit, I cannot
and that a copy of theapplicable law, Section 7044 of the Business and
.gov/calaw.mml..
Date
.ICENSED CONTRACTORS DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of chapter 9 (commencing with Section 7000) f D vfsi n f�the Business and Professions e, rpy ticen is to Pull force
nd e€feet. License Ciass License No Date `$C GContractor SipmHun0<7
VORKERS' COMPENSATION DECLARATION
'ARNING: FAi RE TO SECURE WORKER Y COMPENSATION. COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS bu MASS), IN ADDITION TO THE
CST OF COMPENSATIO t, DAM: DOES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY's PEES.
hereby affirm under pena! y of perjury one of the fallowing declarations:
nave and will mainfem a certificate of consent to self -insure for workers' compensation, issued by the Director of
rmaoce of the work fo, which this permit Is issued. Policy No.
avr Ind will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the pE
mce carrier and pniicu number are'.
er Policy Number
lamp Y P.gent
31 cm, ti y that, in the oerformance of the work for which this permit is issued. I shall not employ any person in atemanner so
tat, :f Lvtd becom�rulZNST�
bject torkefs GfFpe isation provisions of Section 3700 of the Labor Code.,.. I shall forthwith c
ignature of AppD•ant
�E,:LAtAIION REt.AUCTIONLENDINGAGENCY
heresy ,;firm under penalty of perjury that there is a construction tending agency for the performance of the work for which if
ender s Name Lender's Address
y my signature below, I cerll to each of the following:
I ant tire 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 Paws relating to building construction.
I authorize representatives of this city or county to enter theAb4we-identify property far inspection purposes.
Relations as provided for by Section 3700 of the Labor Code, for
of the work for which this permit is issued. My workers
Date
to become subject to the workers' compensation laws of California. and agre
ply with those provisions.
Date
permit is issued. (Section 3097, Civil Code),
iw
+ ACTION ' DATE BY I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USI ONLY
LATIONS PART 61 OF TITLE 40 AND AQMD RULE tAUB
PERMIT EXPIRED i1 I SUBMITTFI) ASBESTOS NOTI FICATION TO
PERMITFINALCERTIFICATE OF I I+ j" I _ NATURE: EMO tFl/�TIO IS N0 f. TO
OCCUPANCY ISSUED