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HomeMy WebLinkAboutPV2022-0399 - Permits�EWPORT City of Newport Beach 1111II1I 11111111111111111 ill 1111111111111111111111111 Ill 1111 Solar Permit : PV2022-0399 04 Community Development Department- Building Division e 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-2911 Permit Counter Phone: (949) 644-3288 Work Class : Alteration C9�/FO RN�P Inspection Requests Phone: (949) 644-3255 ! f s'�e q.,o 1•V. Issued Date: 12/19/2022 newportbeachca.gov/inspectionsd^a -�-'^r—) 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 : 116 41ST ST Legal Desc : A TR RIVER SECTION BILK 40 LOT 7 Description: MFR -SOLAR PV SYSTEM 8.64 KW (24) MODULES Owner: GABRIELLA MARZOLA Contractor : California Solar Installers Architect Address : 5162 MOUNTAIN VIEW AVE Address : 2801 West Coast Highway, 200 2801 Address YORBA LINDA, CA 92886 West Coast Highway Phone: Phone: (480)294-4691 Phone: Con State Lic : 1038437 State Lic Lic Expire : 1213112023 Applicant: CALIFORNIA SOLAR INSTALLERS LLC Bus Lic : BT30069480 Engineer : RYAN MCPHERSON Address : 2801 COAST HWY W Address : 9240 LIMONITE AV NEWPORT BEACH, CA Bus Lic Expire : 10/31/2023 JURUPA VALLEY, CA 92509 Phone: (855) 346-3888 Workers' Compensation Insurance Phone: (909) 569-2244 Carrier: SIRIUS AMERICA Policy No : WC10670400 Designer: California Solar Installers W. C. Expire : 10/9/2023 Address : 2801 West Coast Highway, 200 2801 West Coast Highway Newport Beach, CA 92663 Phone: (480)294-4691 _,• Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $14,995a00 • ' " Type of Construction : V-B Fire Hazard Zone : NO • • • Occupancy Groups : R-3 No of Units : 1 Type of Solar; MFP Bldg Height: No of Stories : 2 Kilowatt : 8 • ,_ \jC) CONIS'! RUCTION NOISE Building Setbacks: Front: 1 D, Side: 4, Side: 4, Rear: 5 Flood Zone: X Use Zone : R-2 - Two -Unit Residential g�C r�, 'nfN rHE WEEKEND •• •.•-- Processed By: _.- SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reasons) 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 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 penalty of not more than five hundred dollars ($50D). ❑ I, Be owner of the property, or my employees 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, 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 the property, provided that the Improvements 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 built or Improved 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 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' Stale License Law). I am exempt from licensors under the Contractors' State 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 legally sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:hdp.11 w .leginfo.ca.gov/calaw.btmL Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7D00 of Di ision 3 of the Business and Professions Code, a my License is in full force and effect. License Class License No Date N Contractor Signature° WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNFY'S FEES. I hereby affirm under penalty of perjury one of the following daclarations: 111 have 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 Code, for thf performance of the work for which this permit is issued. Policy No. have and will 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' compensatoor raneeo carrier and policy nu/tuber are: ter IeC P4+C UYt p Policy Number c t%C 161 %U y r70 Expiration Date 1 Q ^ 4-23 to of Agent Phoned Gig-2� y-S'f 4Y certify that, in the performance 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 workers' compensation lays of California, and agree . if I should become subject to the worke s' compensation provisions of Section 3700 of the Labor Code, I strait forthwith comply with those provisions. talure of Applicant_��l/�� .��-,,,_ Date --- 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 3097, Civil Code). enders Name Lender's Address Ty signature below, I certify to each of the followings I am the prc9g¢y owner or authorized to act on the properly owner's behalf. I have read this application and the Infomtation I have provided is correct. 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