HomeMy WebLinkAboutPV2022-145 - Permits (3)£WPoR' City of Newport Beach
0 @ Community Development Department- Building Division
h 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
Cq<rc PN\P newportbeachca.gov/civic
����IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�111 Solar Permit : PV2022-145
Plan Check No : 1323-2022
Work Class : Other
Issued Date : 07/13/2022
Final Date: 8/18/2023 8:59:14AM
Permit Status: Final
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: 1741 PLAZA DEL SUR Legal Desc : NTR 518 BLK K LOT 21r� _
Description : SFR SOLAR PHOTOVOLTAIC 6 kw, (15) ROOF MOUNTED PANELS., CIxo-ngC {reM (1�f� �c�.✓�2-`5 �� �(5
Owner: AULT WILLIAM T TR
Address : 2217 LAUREL PL
NEWPORT BEACH, CA 92663
Phone
Applicant:
Address
Phone :
Owner/Builder :
Address :
Phone
Contractor:
SEMPER SOLARIS CONSTRUCTION
Address :
10713 NORWALK BLVD
SANTA FE SPRINGS, CA 90670
Phone :
(619) 715-4054
Con State Lic
: 978152
Lic Expire :
10/31/2024
Bus Lic:
BT30075814
Bus Lic Expire : 07/31/2023
Workers' Compensation Insurance
Carrier: MIDWEST EMPLOYERS CASUALTY CO
Policy No : BNUWC0155108
W. C. Expire : 10/10/2023
Code Edition : 2019 Fire Sprinklers :
Type of Construction : V-B Fire Hazard Zone
Occupancy Groups : R-4 No of Units :
Bldg Height : No of Stories
Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 0
Flood Zone : X
Use Zone: R-1 - Single-Unit
Residential
Processed By:
SPECIAL CONDITIONS:
NO
NO
0
Architect
Address
Phone :
State Lic
Engineer: WU HAROLD PING -HUNG
Address : 1168 N SAN GABRIEL BL, STE N
ROSEMEAD, CA 91770
Phone : (626) 288-0708
Designer:
Address :
Phone:
Construction Valuation : $30,000.00
Type of Solar: SFP
Kilowatt : 7
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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 cheekmark(s) I have placed next to the applicable item(s)
;action 1031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its Issuance, also requ3resthe applicant for
o 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
rolesslons Code) or that he or she is exempt from licensors 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 penalty of
of more than five hundred dollars ($500)_
7 1, 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,
uslness 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 the property,provided that the
1provements 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
nproved for the purpose of sale).
'3 I, as owner of the property, am exclusively contracting with licensed Gmtrectola to construct the project (Section 7044, Business and Professions Code: The ContractorsState License Law does not
ply to an owner of property who builds or improves thereon, and who contracts far the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I am exempt from hcensure 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 prior to completion of the Improvements covered by this permit, I cannot agaily
all a structure that I have built as an owner -builder if it has not been constructed in its entirety 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 siTo:hftp:l!www leginto.ce.gov/calaw.litril.
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
lid effect. License Class License No Date Contractor Signature
PORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FIN€S UP TO ONE HUNDRED THOUSAND DOLLARS (ONJIMU, IN ADDITION TO THE
GOT OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3704 Of THE "SOR CODE, INTEREST, AND ATTORN€Y'S FEES,
hereby affirm under penalty of perjury one of the following declarations:
I I have and will maintain a certificate of consent to sell -insure for workers' compensation, issued by the Director of Industrial Relations as provided tot by Section 3700 of the Labor Code, for th
erformence of the work for Which this permit is issued. Policy No..
11 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' compensahot
hsurance, carrier and policy number are:
:airier Policy Number Expiration Date
To of Agent
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.
ignature of Applicant v ""----
ECLARATIGN REGARDING CONSTRUCTION LENDING AGENCY
hereby affirm under penalty of perjury that there is a construction tending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
ender's Name Lender's Address
y my signature below, I certify to each of following:
1 am the property owner 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 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
PERMIT EXPIRED
PERMITCAM,CELLED
PfAwTIi EXtEMOfD
Pf'RM17FI7JA[
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CERT01CATE OF
l
J
OCCUPANCY ISSUED
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61. OF TITLE. 40 AND AOMD RULE
ASBESTOS
j,,,,,J A$BESrOS NOTIFICATION IS NOY APPLICABL€ TO
PROPOSED DEMOLITION