HomeMy WebLinkAboutPV2022-0332 - Permits�tiWPORT City of Newport Beach II II I II I II I II I II IIII II I I II
Community Development Department - Building Division sour Permit : PV2022-0332
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-2519
}+� x Permit Counter Phone: (949) 644-3288 Work Class : Alteration
o« Inspection Requests Phone: (949) 644-3255
r9�/FORN�P newportbeachca.gov/inspections Issued Date : 11/94/2022
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 : 1615 LINCOLN LN
Description : SFR - SOLAR PV SYSTEM 10.20 KW (10)
Owner: WALTER KOSICH
Address : 1615 LINCOLN LN
NEWPORT BEACH, CA 92660
Phone:
Applicant:
URBAN
Address:
101921
HUNTI I
Phone:
(310)7
Code Edition :
Type of Constructic
Occupancy Groups
Bldg Height:
Building Setbacks
Flood Zone:
Use Zone:
Processed By:
SPECIAL CONDITIONS:
1=3702 BILK '.LOT .1
BAN ENERGY SOLAR INC...
-= Architect
92 CONSTITUTION DR
:-Address
NTINGTON BEACH, CA 92646
0) 795-6453
Phone
)44115 F -
State Lic
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Valuation : $10,000.00
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exempt from the Contractors' Slate -license Laws for the reason(s) indicated below by the checkmark(s) I have place,
iy city or county that requires a permit to construct, alter, improve, demolish: or repair any structure, prlorta its issue
,licensed pursuant to the::. provisions of the Oontractors' State License Law .(Chapter g (commencing with Section 701
I1 I, as owner of the property, or my employees with wages asthelr sole compensation, will do U all of or U portions of the woi k..
Business and Professions Code The Contractors' State License Law does not apply to an: owner of property who, through empio) e
improvements are not intended or offered for sale. it, however, the building mr €mprovemertt is sold within one year of completion, 0
Im roved for the purpose of sale).
I, as owner of the property, am: exclusively contracting with licensed Contractors to construct the project (Section 7044, Busm s
apply to an owner of property who builds or improves thereon, and who contracts for the projects with a:licensed Contractor pars u it
t am exempt from lk:ensure under the Contractors' State License Law for the fallowing reason:
I hereby affirm under penalty of perjury one ofthe following declarations;
rl I have and will maintain a cedirfcaie of consent to self -insure for workers' compensation, issued. by the Director.. of
K
me of the work forwhichthis permit is issued. Policy No.
and wi€t maintain workere compensation insurance, as required' oy Section 3700 of the Labor Code, for. they pe
e carrierand policy number are:
Canter Policy Number
Name of Agent.
DI certify that, In the pe or 'once of the work for which this permit is Issued, ishall not employ any person in any manner!
that, if I should become act to ttiewo rs' pe ti 'stons of Section 37flaof the Labor Code, i shal4. farthw€It�
Signature of Applicant -
DECLARATION RE AR ING NSTRUCTi LE ING AGENCY
I hereby. affirm under pe ally aF per}: that Irs i sconsiruction lendmgageneyfor the performance of the work (or whief!
Lender's Name - _ Lender's Address:
By my signature below, I certify to each of following:
I:am the property owner or authorized to act on the property owner's,behalf
I have read this application and the in€ormatqe provitled €s corI agreeto comply with all applicableaTy anordin css and stats--laws 'ngto budding construction.
I Authorize representatives of this city orcoie ids in roperty`for inspection- purposes.
Signature of Properly Owner or Authorized Age Pool PrOpeq Owner's orAut
.ACTION DATE. .BY'. OE COMPLIANCE WITH: CODE OF FEDERAL I FOR-
OFFICE
140B
PERNATEXPIRED ': I%UBMIrf`gb ASBtSTOSN TIHCATION TO
PERMITCANCELLED MEIIA . • • •
+r
PERMIT EXTENDED • OMp +
PERM)TFINAL s—Z3 0 ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
CEATIFICATEOF PROPOSE!} DEMOLITION ••• •e
OCCUPANCY t55UEQ •S�iN�BE:•••
The Contractors`State..LicenseLawdoesnot: (.
PP and Pr essiaris l , fSy license Is 1ri full force
Contrractor.S€gnatu e
@1£SUR 7a Oli£'HUNOREOTHOUS aLLARS t$100,006j, PH ADDITION TO THE
nations as provided for by Section 3700 of the Labor Code, for tPt
the work for which this permit. is Issued: My workers' compensatio
Kplration Dots
ions
ne subject10 the workeli'vill
ponsationlaws of California, and agre.
those provisions.
Datissued (Section 3097,de),.
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