HomeMy WebLinkAboutPV2023-0407 - PermitsCity of Newport Beach
q" Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
G o- '2 Permit Counter Phone: (949) 718-1888
°44coaN'P newportbeachca.gov/civic
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII����� Sour Permit : PV2023-0407
Plan Check No: PC2022-2690
Work Class : Counter
Issued Date : 07/2612023
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 : 105 VIA QUITO Legal Desc : N TR 907 BLK LOT 137 r
Description : SFR SOLAR PV SYSTEM *REPLACE EXPRD PV2022-0357* 28 PANELS 11.2 KW. 10 KW EBB IN GARAGE�I���" �
Owner: MICHAEL GRAY
Address : 105 VIA QUITO
NEWPORT BEACH, CA 92663
Phone
Applicant: DINOCRIFASI
Address : 34411 VIA SAN JUAN
CAPISTRANO BEACH, CA 92675
Phone: (949)939-7507
Owner/Builder :
Address :
Phone
Contractor:
BELMONT ENERGY
Address :
27441 MONFORTE
MISSION VIEJO, CA 92692
Phone:
(949)793-5544
Con State Lic
: 963824
Lic Expire :
05/31/2025
Bus Lic :
BT30067504
Bus Lic Expire : 05/31/2024
Workers' Compensation Insurance
Carrier: STATE COMPENSATION INSURANCE FUND
Policy No: 9046646
W. C. Expire; 2/27/2024
Code Edition : 2022 Fire Sprinklers : NO
Type of Construction : V-B Fire Hazard Zone : NO
Occupancy Groups : U,R-3 No of Units :
Bldg Height: No of Stories : 2
Building Setbacks : Front: 10, Front: 4, Side: 3, Side: 3
Flood Zone : X
Use Zone : R-1 - Single -Unit Residential
Processed By
SPECIAL CONDITIONS:
Architect
Address
Phone:
State Lic
Engineer :
JENNIFER KEMME
Address :
12273 11TH ST
YUCAIPA, CA 92399
Phone:
(909)754-8300
Designer:
Address
Phone:
Construction Valuation :
Type of Solar
Kilowatt : 11
NO CONSTRUCTION WORK
ON SATURDAYS
OWNER -BUILDER DECLARATION
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 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 rerlU res the applicant for
me 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
'rofessions Code) or that he or she is exempt from Ilcensure and the basis for the alleged exemp@on. 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)..
] I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7D44,
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
nprovemants 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 bLiitt or
nproved for the purpose of sale).
1, as owner of the properly, 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 pursuantto the Contractors' State License Law).
D I am exempt from ficensure under the Contractors' Stale 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 legal[,
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 7044 of the Business and
"rofessions Code, is available upon request when this application Is submitted or at the following Web site:http:IAvww,leginfo.ca.govlc low.html,
'signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00 of D €sign 3 of the Busln ss and Pro an my license is in full force
no effect. License Class License No e Conirnature
VO RKERS' COMPENSATION DECLARATION
rARNING: FAILURE Ti, uLCJRE WORN.ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CNIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100.000), IN ADDITION TO THE
.DST OF COMPENSATION nAMAGES AS PROVIDED FOR IN SECTION 0705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hPrPhy .affirm under novelty of perjury one of the following declarations:
J I have and tt ll; maintain a certificate of consent to self -insure for workerscompensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for (h
crfc-rgVce of the Mork for which this permit Is issued. Policy No.
and will ,naimrin 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'
Danner a.).t pel:cy number are:
of i,gant
Cs-['f• that, in the performance of the
If I s�Iould b^r I'eot toe
IaW,e of Aeolic- l///�
Policy Number Expiration Date
Phone #
for which this permit is issued, I shall not employ any person in any manner so as to become subject to the
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section
ender's Name _ Lender's Address
ly 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 authorize representatives of this city or county toAN/J�er ve-identified property for Inspection purposes. ��,
licnature of Properly Owner or Authorized ent I /'��-- Print Property Owner's or Authorized Ape;: Name
compensation laws of California, and
Civil Code).
ACTION
DATE
LAY )dDECLARATION OF COMPLIANCE WITH COD€ OF FFOERAL
REGULATIONS PART 61, OF TITLE 40 AND A.OMD RULE
1403
FOR OFFICE USE ONLY J
PERMIT ExvrRLD
0 1 SUBMITTED ASBESTOS_ NOTIFICATION TO
PERMITCANCEUED
I Epy� A
PERMITEXTENDED
.__ m�-y . _..... .. _ _- _...
r Ie
P[RMIT FINAL
'(��
JASBESfOS NOTIFICATION IS NOT APPLICABLE TO
CERTiFfCATE Of
%
PROPOSED DEMOLITION
OCCUPANCY ISSUED
MS SIGNATURE: