HomeMy WebLinkAboutPV2022-0314 - Permits,EwvoRr City of Newport Beach II II I II I II I II I II IIII I I II II
o�' @ Community Development Department- Building Division Solar Permit:PVZOZ2-0314
�y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-2413
U S Permit Counter Phone: (949) 644-3288 Work Class : Alteration
c P Inspection Requests Phone: (949) 644-3255 Issued Date : 10/10/2022
q(IFD0.N� newponbeachca.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 : 3906 RIVER AVE Legal Desc : A TR CANAL SECTION BLK 239 LOT 4
Description: SFR SOLAR PV SYSTEM. B MODULES. 3.4 KW
Owner: RICHARD ROSEN
Contractor: URBAN ENERGY SOLAR INC.
Architect
Address : 3906 RIVER AVE
Address : 10192 CONSTITUTION DR
Address
NEWPORT BEACH, CA
HUNTINGTON BEACH, CA 92646
Phone : (714) 345-0575
Phone : (310) 795-6453
Phone
Con State Lic : 944115
State Lic
Lic Expire : 12/3112023
Applicant: URBAN ENERGY SOLAR INC.
Bus Lic : BT30064588
Engineer : TRUONG PHONG
Address : 10192 CONSTITUTION DR
Address : 3000 E BIRCH ST
HUNTINGTON BEACH, CA 92646
Bus Lic Expire : 09/30/2023
BREA, CA 92821
Phone: (310) 795-6453
Workers' Compensation Insurance
Phone: (949) 254-2751
Carrier: STATE FUND
"
Policy No : 9021421
Designer
W. C. Expire: 6/1/2023
Address
Phone:
Code Edition : 2019
Fire Sprinklers : NO
Construction Valuation : $5,000.00
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 : 3
Kilowatt : 3
Building Setbacks
Flood Zone
Use Zone:
Processed By:
Front: 4, Front: 20, Side: 3, Side: 3
AE, 8 FT; X
R-2 - Two -Unit Residential
NO CONSTRUCTION NOISE
SPECIAL CONDITIONS: ON THE WEEKEND
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items)
Section 7031.5, Business and Professions Cade. Any city or county that requires a perfelt to construct, alter, improve, demolish. or repair anystructure, prior to its Issuance, also requires the applicant for
1c 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
'rofessions 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
of more than five hundred dollars ($500).
1 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
'usiness 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
nprovements 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
nproved for the purpose of sale).
3 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
poly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuantto the Contractors' State License Law).
1 lam exempt from licensure under the Contractors' State License Law for the following reason. ____
;y 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 permitI cannot legally
all a structure that I have built as an owner -builder if it has not boon constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
'rofessions Code, is available upon request when this application Is submitted or at the following Web site:http:lf W .leginfo.ca.gov/calaw.html.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) I f 'Vision 3 of the Business and Professions `Code, Ed in 11l ense is In full force
nd effect. License Class License No Date �T�C 10 �. Contractor Signature it A-C' .OIz V
VORKERS' COMPENSATION DECLARATION
'ARNING. FAILURE -C rEOnPE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100.000),11NADDITION To THE
nST OF COMPENSATION, DA'r1AGE3 AS PROVIDED FOR IN SECTION 1706 OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES.
hereby ,f lrm unda. ,rcnalty of perjury one of the following declarations:
I I ns�e 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 IN
VTol-Xence of the work for which this permit is issued. Policy No.
�e and wit, nr.ortiin 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'
;-a carrier and policy number are:
ioM(J T1nf FNcna Policy Number �(��'�a.� Expiration Dale
of Agent
:eni'y 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 laws of California, and Ogre(
if I should become-subjectt to the workers compensation provisions of Section 3700 of the Labor Code. I shall forthwith comply with those provisions.
Iatwa of Appl:can'%}}-_._ 11FDate (0/10 T;k,
a wnwr(ne, xamew.Tntun nunrnnnr(nwI (cw(nrnlr_ nr_ewlry �-
treby 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 Cade)
Iders Name Lender's Address
my signature below, I certify to each of the following:.
I am the property owner or authorized to act on the property owners behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county to enlEK the above -identified property for inspection purposes.
Signature of Property Owner or Authorized Agentm= g, Print Property Owner's or Authorized Ag
ACTION DATE BY i DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE. AO AND Al RULE
PERMITEXPIRED LI I SURMITTFO ASBESTOS NOTIFICATION TO
PERMIT CANCELLED ZI[PA __
PERMIT EXTENDED {} 'r (nQMO
PERMIT FINAL (,// 71�2 AL ; jjy ASBESTOS NOTIFICATION IS Nor APPLICABLE 10
CERTIFICATE OF 11,,�� VV ✓ PROPOSED DEMOLITION
OCCUPANCYISSUEO f SIGNATURE. W &011,n fa-
/fN6 Date
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