HomeMy WebLinkAboutPV2022-0308 - Permits4aE`wPORr City of Newport Beach
p A Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
? Permit Counter Phone: (949) 644,3288
,.. Inspection Requests Phone: (949) 644-3255
c9C/Fp4N�P newportbeachca.gov/inspections
II II I II I II I II I II IIII III I II Solar Permit : PV2022-0308
Plan Check No: PC2022-2399
Work Class : Alteration
Issued Date : 1110712022
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 : 1644 GALAXY DR
Legal Desc : N TR 4224 BLK LOT 44
Description: SFR SOLAR PV SYSTEM 9.49 KW (26) MODULES
Owner: NIX DAVID W TR NIX LIVING TR
Contractor : SOLIRVINE LLC`
Architect
Address : 1644 GALAXY DR
Address : 19481 Highrdge Way
Address
NEWPORT BEACH, CA 92660
Portola Hills,:. CA 92679
Phone : (949) 637-0508
-Phone:, (925),548 4924
Phone:
Con State Lie : 1050892
_
State Lie
Lie Expire : 03/31/2023
Applicant: Zachary Mohr
Bus Lie: BT30077367
Engineer : MARTIN LOYD
Address : 14946 Shoemaker Ave
Address : 9924 UNIVERSAL BLVD #224
Santa Fe Springs, CA 90670
Bus Lie Expire: 12/3112022
ORLANDO FL 32819, CA
Phone: (310) 936-1366
Workers' Compensation Insurance
Phone: (310) 534-1776
Carrier: STATE COMPENSATION, INSURANCE FUND
Policy No: 9245510
Designer:
W. C. Expire : 2/8/2023
Address
Phone:
Code Edition : 2019
Fire Sprinklers`: NO
Construction Valuation : $28,375.00
Type of Construction : V-B
Fire Hazard Zone : NO
Occupancy Groups : R-3,U
No of Units: 0
Type of Solar: SFP
Bldg Height :
No of Stories : 1
Kilowatt: 9
Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6
Flood Zone: X IN 3
Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) �8
Processed By:
SPECIAL CONDITIONS:
t hereby affirm under penalty of perjurythatI am exempt from the Contracfors"State License Law for theresson(s);fndicated bef
:cBan 7031;5. Business and Professions Code: Arn, Chit or Countythat requires a'permit to construct, alter; improve, demolish. or
rovements are not
roved for the purpl
1, as Owner of the
)y to an Owner of p
1 am exempt from
Ie� The Contractors' State License Law does not applyto an owner of property who, through employees" or personal effort, builds or Improves the property, provided. that the
t or Offered forsala. If, however, the building or Improvement is solo within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
4eJ.
;:am exclusively contracting with Licensed Contractors to construct the project.(Section 7044, Business and Professions Code: The Contractors' State License Law does not.
tiho builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law)..
a under the Contractors' State License Law for the following reason:
Wedge that, except for my personal residence in which 1 must have resided for at least one year prior to completion of the Improvements covered by, this permit,: I cannot lec
{Commencing.
license Is to full force
WORKERS'COMPENSATION LIECiARa#T1t3N d/ V \
WARNING: FAILURETO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHAL€ SUBJECT. AN EMPLOYER TO CRIMI L PERALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 0100,000),IN ADDITION TO THE
COST OF COMPENSATION, DAMAGESAS PROVIDED FOR IN SECTION 170E OF THE LABOR COMONTFREST, AND ATTORNEYS FEES:
1 hereby affirm under penatty.ofperjury one of the following: declarations:
I have and. WHI maintain a certificate of consent 16 self4r% ra for workers' compensation, issued by the Director of Industrial Relations as provided for by Section3700 of they Labor Code, for to
rformance of the work forwhch this permit is issued. Policy No.
ave and w )I 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` compensatio
insurance carrier and policy numberare:
Carrier Policy Number. Lxpiretion Date.
Name of Agenf. Phone If
01 certdy that in th p8 ormance 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 wor rs' mpensatkon laws of. California, and ogre.
that, if I should beco ubject the workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those prov!sions,
Signature of Applicant i �— . _.._...,....f..,..,
I:ant the pro;
I have read. tl
I agree toco
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