HomeMy WebLinkAboutPV2023-0424 - Permits�tWPORT, City of Newport Beach
p� .I @ Community Development Department - Building Division
4hh 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
C9�OAN�P newportbeachca.gov/civic
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Solar Permit : PV2023-0424
Plan Check No : PC2023.1894
Work Class : Counter
Issued Date : 08/10/2023
Final Date:
Permit Status: Issued
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 : 120 ONYX AVE
Description : SFR SOLAR PV 2.25 KW 6 MODULES
Owner: YODER KEVIN KRIS
Address : 4 FOX HOLW #55
IRVINE, CA 92614
Phone : (949) 929-0948
Applicant: TOBY MULLEN
Address: 6233 CHERRY AVENUE
LONG BEACH, CA 90805
Phone: (562)244-5230
Owner/Builder:
Address :
Legal Desc : A TR BALBOA ISLAND SEC 4 BLK 1 LOT 20
Contractor: MAVERICK CONSTRUCTION
Address : 6233 CHERRY AVE
LONG BEACH, CA 90805
Phone : (800) 987-7785
Con State Lic : 806493
Lic Expire : 0413012024
Bus Lic : BT30069454
Bus Lic Expire : 10/31/2023
Workers' Compensation Insurance
Carrier: STATE COMPENSATION INSURANCE FUND
Policy No : 9049949
W. C. Expire : 4/1/2024
Architect
Address
Phone:
State Lic
Engineer: MORALES DOUGLAS
Address : 20751 KELVIN LN
ALISO VIEJO, CA 92656
Phone: (949) 285-5104
Designer: MAVERICK CONSTRUCTION
Address: 6233 CHERRY AVE
LONG BEACH, CA 90805
Phone :
Phone : (800) 987-7785
Code Edition :
2022
Fire Sprinklers : NO
Construction Valuation : $13,500.00
Type of Construction :
V-B
Fire Hazard Zone : NO
, ..."
Occupancy Groups :
U,R-4
No of Units :
Type of Solar:
Bldg Height:
No of Stories : 3
Kilowatt: 2
Building Setbacks :
Front: 6, Side: 3, Side: 3, Rear: 5
Flood Zone :
X
Use Zone :
R-BI -,Tw`o-Unit Residential, Balboa
Island
NO CONSTRUCTION WORK
Processed By:
ON SATURDAYS
SPECIAL CONDITIONS:
-
) I ��, ;
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I hereby affirm under penalty, of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items)
,Section 7031.5, 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 requires the applicant r
the 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 Busing and
Professions 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 pe 7 ally of
not 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 U portions of the work, and the structure is not intended or offered for sale (Section 7,044,
Business 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, prove d that the
improvements are not Intended or offered for sale. If, however, the building or Gmprovement Is sold within one year of completion, the Owner -Builder will have the burden of proving that it w t built or
Improved 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' State License Law does not
apply 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 am exempt from licensure under the Contractors' State License Law for the following reason: _
By 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 legal])
sell 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 7044 of the Business and
Professions Code, Is available upon request when this application is submitted or at the following Web site:http:ftwww,ieginfo.ca.govlcalaw.btml,
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under previsions of Chapter 9 (commencing with Section 700 f [�: tsi 3 of the Business and Profe C o a I1�nse is In full force
and effect. License Class License No Date (/ Contractor Signature (/ !/ ��
NORKERS' COMPENSATION DECLARATION
NARNMG: 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 IS100,0001, IN ADDITION TO THE
COST OF COMPERSATION, 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:
❑ 1 have and will maintain a certifica€e of consent to self -Insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Seddon 3700 of the Labor Code, For lh
cerfonnance of the work for which this permit is issued. Policy No.
Xil 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' Compensator
nsurance carhfarand oltL1cy n mbar are!
Uarrier STD.FC �✓"Policy Number Expiration Date
Vame of Agent Phone fF
JI certify that, in the perfor nce 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 agre
:hat, if I should becamA"n1lfc—po'�i
ork 'compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of APPlicanl.DateDECLARATION F RUCTION LENDING AGENCY
hereby affirm under that there is a construction lending agency for the performance of the workfor which this permit is issued (Section 3097, Civil Code).
'.tinder's Name Lender's Address
By my signature below, I certify to each of the following:
I am the prepedy owner or authorized to act on the property owner's behalf.
I have read this, ipplicalion and the information I have provided is correct.
I ag.ce Io comply A:th ail applicable city and coun o Inances and slate laws relating to building construction.
I authorize rep: es ^talives of this city or count o er he/al�hc4l�c en^tified p—roperty for inspection purposes. y1 /r� %
Slcn;,iurs of Prooerti Owner or Authorized Aaent _-i" /v — Pnnt Prooertv Owner's or Authorized Aoent's Name � i y r °�r'� Date Dl �0173
ACTION I DATE I By
I
PFR.MIT EYPIRED
OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
PART 61. OF TITLE 40 AND AQMD RULE
I SUBMITTED ASBESTOS NOTI FICATION TO
PERMIT CANCFLLED ! i LJCPA
F ERrrIlTf XTEfdDEO QADMD
PERT[FiC,WTE 1I(^^ �/ SB ED D NL'
LER+ff7C.+TE OF ( l J�� �pOSED DE�
OCCUPANCYISSLO I SIGNATURE.//,
IS NOT APPLICABLE TO