HomeMy WebLinkAboutPV2023-0188 - PermitsewlF o; City of Newport Beach
Community Development Department- Building Divisior
100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
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Inspection Requests Phone: (949) 644-3255
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newportbeachca.gov/inspections
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Solar Permit : PV2023-0188
Plan Check No : PC2023.0739
Work Class : Alteration
Issued Date : 0510212023
Inspection Area : 3
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: 1531 KATHLEEN LN Legal Desc : N TR 3057 ELK LOT 14
Description: SFR (N) 3.4 KW ROOF MOUNTED SOLAR PV SYSTEM W/ 9 MODULES. (XR2022-2695)
Owner:
FOREST MONROE
Address :
1531 KATHLEEN LN
NEWPORT BEACH, CA 92660
Phone :
(949) 852-4822
Applicant :
JOJO COLLINS
Address :
20104 STATE RD
CERRITOS, CA 90703
Phone :
(310) 795-6453
Owner/Builder :
Address :
Phone
Code Edition : 2022
Type of Construction : V-B
Occupancy Groups : R-3,U
Bldg Height :
Building Setbacks
Flood Zone
Use Zone :
Processed By:
SPECIAL CONDITIONS:
Front: 20, Side: 6, Side: 6, Rear: 6
Contractor:
URBAN ENERGY SOLAR INC.
Address :
10192 CONSTITUTION DR
HUNTINGTON BEACH, CA 92646
Phone :
(310) 795-6453
Con State Lic:
944115
Lic Expire :
12/31/2023
Bus Lic:
BT30064588
Bus Lic Expire : 09/30/2023
Workers' Compensation Insurance
Carrier: STATE FUND
Policy No : 9021421
W. C. Expire: 6/1/2023
Fire Sprinklers :
YES
Fire Hazard Zone :
NO
No of Units :
1
No of Stories :
2
Architect
Address
Phone:
State Lic
Engineer: TRUONGPHONG
Address : 3000 E BIRCH ST
BREA, CA 92821
Phone: (949) 254-2751
Designer: URBAN ENERGY SOLAR INC.
Address: 10192 CONSTITUTION DR
HUNTINGTON BEACH, CA 92646
Phone : (310) 795-6453
Construction Valuation : $10,000.00
Type of Solar : SFP
Kilowatt: 3
R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
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)
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 applican€ for
ma permit to file a signedstatement that he or she is licensed pursuant to the provisions of the Contractors' Stato License Law (Chapter 9 (commencing with Section 7f700) of Diivisien 3 of the Business and
Tofesslons 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 fora permit subjects the applicant to a civil penalty of
of more than five hundred dollars ($500).
1 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employeesor personal effort, builds or improves the property, provided that the
nprovements are not Intended or offered for safe. 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).
1, 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
pply 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).
1 am exempt front licensure under the Contractors' State 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 legally
ell a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed contractors. I understand'. that a copy of the applicable law, Section 7044 of the Business and
'rofasslons Code, Is available upon request when this application is submitted or at the following Web site:http:(Iw v.Ileglnfo.ce.govtcalayi.iitm1,
signature of Property Owner or Authorized Agent Date
ACENSED CONTRACTOR'S DECLARATION
hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of.Division 3 of the Business and Pro(essior(¢ (C, , and._�cense is in full farce
nd effect. License Class License No Date 7zL�'?� Contractor Signature U- �.[.-
VORKERS' COMPENSATION DECLARATION
IARNING: 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 (lit" 0001, IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE„ INTEREST, AND ATTORNEYS FEES.
hereby affirm under penally of perjury one of the following declarations:
] I have and will maintain a certificate of consent to selMnsure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for ihf
erformance of the work for which this permit is issued. Policy No.
ve and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the workfor whichthis permit is issued. My workers' compensatior
ice carrier and policy number are:
to Q, (_;r M, Lv� NCOrNC� Policy Number 170;0 q;?.(.. Expiration Date j�—.31 3
t z � of Agent Phone N -- (o ^ 7 + S -- L, cE 5 -S
certify that, in the pert ermaricK 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 agrer
,if I should become subject o the orkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
mature of Applicant Date
:LARATION REGARDING QONSTRUCTION LENDING AGENCY
neby affirm under penalty of perjury that there is a construction lending agency far the performance of the work for which this permit is issued: (Section 3097, Civil Code).
Ider'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 authorise representahves of this city or county to er1 p�r/t�hp{fir bove-identified property for Inspection purposes. -r-
n:_tint+. of Prnnerty Owner or Aulhori Anent 1.F Tv,Ar, iLi Prior Prnn.dv Ownnr's or A,rthnrivetl AnenYs NamA
ACTIIIN I DATE ( BY DKLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART Bl OFTITLF„ 40AND AQMD RULE
Date
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I SUBMITTED ASBESTOS NOTIFICATION TO
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---4- SBEST 05 NOTIFICATION: IS NOT APPLICABLE TO
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I SIGNATURE: