HomeMy WebLinkAboutPV2021-237 - Permits0 "vpc, T City of Newport Beach IIII11P1111IIIIII111111011111111111111111111111111111i11�i11d111g1111 Solar Permit : PV2021-237
O� e, Community Development Department- Building Division
`. 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 2793-2021
U 2 Permit Counter Phone: (949) 644-3288 Work Class : Other
cqr FopN,r. Inspection Requests Phone: (949) 644-3255 Issued Date : 01/09/2023
newportbeachca.gov/inspections Inspection Area : 1
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 : 322 L ST Legal Desc : N TR 518 BLK M LOT 12 TR 518 LOT 12 BILK M(AND N 10 FT LOT 13 BILK M
Description: SFR SOLAR PV SYSTEM 5,265 KW (13) MODULES
Owner: GAINEY STEPHEN J TR
Address : 322 L ST
NEWPORT BEACH, CA 92661
Phone
Applicant: KARENSANCHEZ
Address : 170 N MAPLE ST, 105
CORONA, CA 92878
Phone : (951) 987-5902
Contractor:
RENEWABLE ENERGY PARTNERS INC
Address :
170 N MAPLE UNIT 105
CORONA, CA 92880
Phone:
(855)519-6633
Can State Lie
: 989857
Lie Expire:
01/31/2024
Bus Lie:
BT30080264
Bus Lie Expire: 12/31/2023
Workers' Compensation Insurance
Carrier: PROPERTY AND CASUALTY INSURANCE
COMPANY OF HARTFORD
Policy No: 76WEGZHI477
W. C. Expire : 4/17/2023
Code Edition :
2019
Fire Sprinklers :
NO
Type of Construction :
V-B
Fire Hazard Zone :
NO
Occupancy Groups :
R-3,U
No of Units :
1
Bldg Height :
No of Stories :
2
Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 0
Flood Zone : X
Use Zone : R�11-Single-Unit Residential
Processed By:
SPECIAL CONDITIONS:
Architect
Address
Phone :
State Lie
Engineer:
Address
Phone :
Designer:
Address
Phone:
Construction Valuation
Type of Solar : SFP
Kilowatt: 5
$20,000.00
) IS NJ I A: ! 00/EMl F d-t
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: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, pdor to Its Issuance, also requires the applicant for
the 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
Professions Code) or that he or she is exempt from licensure 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 ponalty of
not 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 (_) portions of the work, and the structure Is not intended or offered for sale (Section 7044,
Business 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 theproperly, provided that the
improvements are net intended or offered for sale. It, however, the building or improvement is sold within one year of completion, the Owner-Builderwill have the burden of proving that it was not built or
im roved for the purpose of sale).
L,J 1, as owner of the properly, am exclusively contracting with licensed Contractors to constructthe 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).
❑ I am exempt from licensure under the Contractors' Slate License Law for the following reason:
By 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 legall,
sell a structure that I have built as an owner -builder If it has not been constructed in itsentirety by licensed contractors. I understand that a copy of the applicable law, Soction 7044 of the Business and
Professions Code, is available upon request when this application Is submitted or at the following Web site:ttttp:llw .leginfo.ca.gov/calaw.Btml.
Signature of Property Owner or Authorized Agent _ Date
LICENSED CONTRACTOR'S DECLARATION ,� /l
I hereby affirm under pe-lally, of perjury that I am licensed under provisions of Chapter 9 (Commencing with Section 7000 of Division 3 of the Business a d Prpres�'ons t,e a d my license is in full force
and eff=,rt LicenseClass License No Date �/. '�/�w Contractor SI1uf�%� f?�F
NORKERS' COMPENSATION DECLARATION
NARNING: FNILURE TO SWURE WORKERS' COMPENSATION COVERAGE 19 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TD CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T SAND O S 1$100d100), IN ADDITION TO THE
CC 3T Or COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES,
hwaby affirm under pennity of perjury one of the following declarations:
.„u I hav 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 Cade, for ib
�e,f�I ,boos of the wo,k for which this permit Is issued. Policy No.
nave and will m^inlain 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' compensatioi
nsurance carrier and policy number are:
wrier _ Policy Number Expiration Date
*,me of Agent __. Phone #
-1I certify that, in U,e NLifomiance o 'he r or which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensalion laws of California, and agre
.hat, if I should become subje o e or ` compensation provisions of Section 3700 of the Labor Cade, I shall forthwith comply with those provisions.
Signature of Applicant Da�/�q(�J _
7ECLARATION REGA NS UC LENDING AGENCY
hereby affirm under penalty of hat t a is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
.ender's Name Lender's Address
Sy 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 ordin n and state laws relating to building construction.
I authorize representatives of this city or county to rt as ove-identified property for inspection purposes.
Signature of Property Owner or Authorized Agent I Print Property Owner's or Authorized A ent's Nam � �- Date - G
ACTION DATE BY DECL- TI ONO COMPLIANCE WITH CODE 01 FEDERAL FOR OFFICE USE ONLY
ROE LATIpN$P RT 610E TITLE. -0D AND A4MD RULE
P€RMIT EXPIRED
PERMIT PERMIT FINAL OLO /� SITES /h05 NptIEIC 1`I�O�pI/-t/$',tOTAPPLICAeLE TO
OCCUPANCY ISSUED J� SIGNATURE; j/;Y/lA,/,l�i'
CERTIFFCArE OF PROPOSEDDE N
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