HomeMy WebLinkAboutPV2022-0446 - Permits�£WPoR� City of Newport Beach 111�1111@III111111111111111111111111111111111IIIIII11Jill
Community Development Department- Building Division P V 2 e 2 2 e 4 4 s
r Y 100 Civic Center Drive, Newport Beach, CA 92660
H� T Permit Counter Phone: (949) 644-3288
o-
CqG/F00.NLP Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
Solar Permit : PV2022-0446
Plan Check No : PC2022-3178
Work Class: Alteration
Issued Date : 0110312023
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: 2101 INDIAN SPRING LN
Legal Desc : N TR 6689 BLK LOT
Description: SFR SOLAR PV SYSTEM - 11.47 KW. 31 MODULES
Owner: TAM LE
Contractor. SUNPOWER CORPORATION SYSTEMS - Architect
Address : 2101 INDIAN SPRINGS LN
Address : ': 1414 HARBOR WAY: S #1901
l Address
NEWPORT BEACH, CA 92660
;. RICHMOND,CA 94804, CA 94804
Phone:
Phone: (941)720-3850 .
Phone:
"
Con State Lie : 890895
State Lie : ......
Lie Expire :' 02/2812023
°
Applicant: ALEKZA CULLA
Bus Lie: BT30051733
Engineer: PROCTERSTEVEN °
Address: 1414 HARBOUR WAYS
Address : 2125 E KATELLA AVE #220-
RICHMOND, CA 94804
Bus Lie Expire : 07/31/2023
ANAHEIM, CA 92806 °°°°
Phone: (408) 240-4209
Workers' Compensation Insurance
Phone: (714) 787-3850 °°°
Carrier: HARTFORD FIRE INSURANCE COMPANY ®° m
;Policy No: 57WVWQ0015
''Designer:
W. C. Expire: 4/1/2023
Address
.®
Phone:
Code Edition : 2019
Fire Sprinklers: NO
Construction Valuation : $22,940.100
Type of Construction : V-B
Fire Hazard Zone : NO
Occupancy Groups : R-3,U
No of Units : 1
Type of Solar: SFP
Bldg Height:
No of Stories :
Kilowatt : 11
Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6
Flood Zone : X
Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
Processed By:
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SPECIAL CONDITIONS:
rP LCK?;Jr,.�
a
. °
are
1, as owner of the
ly to an owner of p
I am exempt from
ny signature below
a structure that I t
fessions Code Is
tt l am exempt from: the Contractors' State. License Lawforthe reason(s). indicated below blithe checkmark(s)'I have placed :next to the applicable Item(s)
ode! 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 for
r she is licensed pursuant to the, provisions of the Contractors' State License Law (Chapter9 (commencing with Section 7000):of Division 3 of the Business and.
t from licensure, and the basis for the alleged exemption. Any: violation of Section 7031.5; by any applicant for a permit suMects_the applicant to a civil penalty of
Bea with wages as their sole compensation, will do U all of or(_) portions of the work; and the structure is not intended or offered for sale (Section 7044,
Kors' 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
sale. If, however, the building or improvement is sold within one year of ci3 Tpletion, the Owner -Builder will have the burden of proving that it was not built or
y contracting with licensed Contractors to construct the project (Section 70,f4, Business and Professions Coda The Contractors' Stale License Law does not.
nproves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors State License Law).
ntractors' State License Law for the following reason
wept for my personal residence in. which I must have resided for at least or a year prior to completion of the improvements covered by this permit, I cannot legal
tature of Property Owner or Authorized Agent r Date
ENSED CONTRACTOR'S DECLARATION
reby affirm under penalty of perjurythat I am licensed under provisions of Gbapter 0 (commencing with Section 0.. ) of Division 3 of the Business and P, ri ssione-Code, and my license is In full force
effect. License Class Lam.-=- License No 4�.'t+-� i -. Date r z 1. Cott[[atkor9ignai Y �i-
iRKERS' COMPENSATION DECLARATION)
NINE: FAILURE.TO aECUNE WORIK:RS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES OP TOONE HUNDRED THOUSAND DOLLARS IS100,000), IN ADDITION TO THE
T OF COMPERS$TWIilWOES AS PROVIDED FOR IN SECTION3TVS OF THE LABOR: CODE, INTEREST, AND ATTORNErS FEES,
reby affirm undo} 04naity of perjury one of the following decimations:
I�h � e and.4'riN nre4lttein a certificate of consent to self4risure for workers' compensation, issued by the. Directo of Industrial Relations as provided: for by Section 3700: of the Labor Code, for th
mence of the worklorwhich this permit is issued. Policy No.
h$v% and wilt aai ntaln workers' compensation insurance, as: required by Section 3700 of the Labor Code, for tin performance of the work for wfiich this permit is: issued. My workers' compensatoot
wont; Carrie wand poYcy number are.
rill! =-� �' * ' ,, ,..� L Policy Number 57 ti"_i -• -"i -� Expiration Date t% -1 1 l
rVef.Agent • • • . _ Phone it`S l
certify that, in tfae performance of the work for whin this permit is issued, I shall not employ any person in any marn ter so as to become subject to the workers' compensation laws of California, and agre
:17 Mould bapomgisubject to hB kprs' compensation provisions of Section 3700 Of the Labor Code, I shall forth Mth comply with those provisions.
R§Si3rg of Applitent f t i - Dai—
'
YLARATION.REGARDIN CONSTRUC111ON SENDING AGENCY
�mtiv affirm :1114LUehalty of plerliiry that there is a conatruction lending agency for the performance of Ile work forty ich this permit is issued, (Section 3097, Civil Code),.
?y my signature below, I certify to each of the followkag:
I am the property owner or authorized to act on the property owners bene
I have read this application and the information I have provided`rs correct
I agree to comply with -all applicablecity and COUP iy_ardfnancesand state
I authorize representatives of this Clty orcounty"tol feet- E-"ue-idehtifi
V ev
Signature of Property Owner or Authodzed A ant
.ACTION DATE BY DECLARATION OF COMP
CERFIFIC'ArEor ��,1 �3
OCCUPANCY ISSUED
to
APPUCABLE. TO
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