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HomeMy WebLinkAboutPV2023-0558 - Permits��eWPORT City of Newport Beach 11111111111111111111111111 IIIIIIIIIIIIIIIIIIIIII11111 Sour Permit : PV2023-0558III
p emm Community Development Department- Building Division
r:90 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2620
Permit Counter Phone: (949) 718-1888 Work Class : Counter
C9� OQN�P newportbeachca.gov/civic Issued Date : 1110812023
Final Date:
Permit Status: Issued
Inspection Area :
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: 4740 VON KARMAN AVE
Legal Desc :
r N� !
Description: COMM SOLAR PV SYSTEM B9.38KW 164 PANELS
Owner: BARRY SAYWITZ PROPERTIES ONE LP Contractor : NATIONAL ENERGY INSTALLERS LLC
Architect
Address : 4740 VON KARMAN AVE STE100 Address : 2801 COAST HWY W
Address
NEWPORT BEACH, CA 92660
NEWPORT BEACH, CA 92663
Phone: (949) 636-1467
Phone: (949) 386-4428
Phone:
Con State Lic : 1038437
State Lic
Lic Expire : 12/31/2023
Applicant: KRIS REASER
Bus Lic : BT30069480
Engineer : RYAN MCPHERSON
Address : 2801 W COAST HWY, 200
Address : 9240 LIMONITE AV
NEWPORT BEACH, CA 92633
Bus Lic Expire : 10/31/2023
JURUPA VALLEY, CA 92500
Phone: (855) 346-3888
Workers' Compensation Insurance
Phone: (909) 569-2244
Carrier: SIRIUSPOINT AMERICA INS CO
Owner/Builder :
Policy No : WC10670400
Designer: ;
Address :
W. C. Expire : 10/9/2024
Address
Phone:
Phone:
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation : $134,000.00
Type of Construction : II-B
Fire Hazard Zone : NO
Energy Storage Valuation
Occupancy Groups : B
No of Units :
Type of Solar
Bldg Height:
No of Stories : 1
Kilowatt : 89
Building Setbacks :
Flood Zone : X
Use Zone : PC - of enter
Processed By:
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
(Section 7031.5. Business and Professions Code: Arty city or county that requires a perrnil to construct, alter, improve, demolish, or repair any structure, prior to its Issuance, also requiresrlhe applicant for
the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Slato License Law (Chapter 9 (commencing with Section 7000) of Division 3 of Lne BLLLness and
Professions 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
not more than five hundred dollars ($500).
❑ 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,
Business and Professions Code: The ContractorsState License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the properly, provided that the
improvemets are not intended or offered for sale. If, however, ilia 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
improved forthe 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).
LJ I am exempt front Ilcensure under the Contractors' State License Law for the following reason:
By my signature below I acknowledge that. except formy 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
sell a structure that I hava built as an owner-buildor 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:llwwnv.leginfo.ca.gov/calaw.htmf, ;
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with SOCtKJ OG�p ' r iigB a Susl ss nd Professlp�6r Code, and my If n�aN-fF
and effect. license Class License No Date on Too r I ature 7�/// i �/
WORKERS' CGhl EASATION DECLARATION
ING: P+ILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL rENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUS/t�14 DOLLARS 1$160Ae01, IN ADDITION TO
OF COMPIeNSA"Inn', 711aAGES AS PROVIDED FOR IN SECTION 370A OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. //
hereby affirm under penalty of perjury one of the following declarations:
I hbva 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
ihnnience of th^ work fnr which this permit is issued. Policy No.
have and will maintain workers' compensation msu�ncare?xl by Section 3700 of the Labor
NT, cue r' fit; Ilu b�J are. �U�Q/er $ y `�/-(�-(= Pr I
,a of Agent
the performance of the work for which this.
Date /0/9
pp Ot� p s issued I shall not employ any person in any manner so as to become subject to the
certify ho d in toei1eay ormat t e ofethorkers co whI sabon Br visions of Section 3700 of the Labor Code,. I shall forthwith comply with those provisions.
dp\ P� once f the
P
lature of A IttierfR p,_/l/. _ ___
hereby affirm under penalty of perjury that tit1104e is a construction lending agencyfor the performance of the work for which this permit Is Issued (Section
enders Name Lendefs Address
ly my signature below, I certify to each of the following: T
I am the property owner or authorized to act on the property owner'..
I have read this application iI a information I have provided is tract.
I agree to comply With. all a. bus city and county dinance state laws rate' g construction.
I authorize representativ of this city or county to t r the a-ide property for inspection purposes. ;,ry//
ii :nature of Pro rt Own or Authorized Agent Print Property Owner's or Auth ize ent'S Namgr C '
9CTION DATE 777, E AR N OF COMPLIANCEWITH CODE OF FEDERAL FOR OFFICE US LY
GU IONS PART 61 OF TITLE 40 AND, RULE
PERMI r EXPIRED
PERMITEXTENDED E LJAQMD
PERMNNNAL9 G ❑ASBESrO5 NOTIFICATION 15 NOT APPLICABLE TO
CERT19GATE Of 3 PROPOSED DEMOLITION
OCCUPANCY ISSUED ' SIGNATURE:
Is sued. My workers' compen.
iensa4ionAws of California, and
//