HomeMy WebLinkAboutPV2023-0160 - Permitsuvf F City of Newport BeachtY P P V 2 0 2 3 0 1 5 0�II
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Community Development Department Division
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.� 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
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.,r -K: �,� e:' Inspection Requests Phone: (949) 644-3255
new ortbeachca. ov/ins ections
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Solar Permit : PV2023-0160
Plan Check No : PC2023-0601
Work Class : Online
Issued Date : 0411 tt/2023
Inspection Area : 5
PERMITS EXPIRE 190 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION,
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Job Address
: 552 SEAWARD RD Legal Desc : N TRr1237 BILK LOT 178 TRACT NO 1237 LOT 179AND TRACT NO 147 95 LOT 4,,—, t
Description
: SFR SOLAR PV SYSTEM. 14 KW MODULE.
_
Owner:
BRYAN ROGERS ontractor : D L:S DEVELOPMENT INC
Architect
Address :
552 SEAWARD RD .•"Address : 8245 SHOUP AV
Address : ,.`-3
NEWPORT BEACH, CA 92625 v - CANOGA PARK, CA91304
Phone :
(909) 945-7250 Phone (818)857-2124
Phone
Con State Lie :-1041608
-State Lie
Lie Expire : 07/31/2024
Applicant:
SHERRY MANLEY Bus Lie : BT30081281
Engineer: MARTIN LOYD
Address :
12273 11TH ST v® -
Address : 9924 UNVERSAL BLVD, 224
YUCAIPA, CA 92399 Bus Lie Expire : 04/30/2024
ORLANDO, FL 32819
Phone:
(9D9) 748-1300 Workers' Compensation Insurance
Phone: (310) 534-1776
2 Carrier : STATE FUND
Owner/Builder :
Address :
Phone :
Code Edition : 2022
Type of Construction : V-B
Occupancy Groups : U,R-3
Bldg Height :
Policy No 9243765 -.
W. C. Expire : 11/3/2024
FireSprinklers:
Fire Hazard Zone.
No of Units
No of Stories:
N
YES
2
Designer: DANIEL SFADIA
Address : 8245 SHOUP AV
WEST HILLS, CA 92304
Phone : (818) 857-2124
Construction Valuation : $35,000.00
Type of Solar
Kilowatt: 14
Building Setbacks : Front: 5, Side: 6, Side: 6, Rear: 6
Flood Zone : X
Use Zone : _ ,R,-1-6000 -, Single -Unit Residential (6000 indicates minimum lot area)
Processed By:�
SPECIAL CONDITIO:JS:
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
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, 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 ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do all 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 property, 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' State License Law).
111 am exempt from licensure 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 following Web site:https:llleginfo.legislature.ca.gov.
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 0 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license
is in full force and effect. License Class: B License Number. 1041608
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 (E100,0301, IN
ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND'ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations
0 1 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 the performance of the work for which this permit is issued. Policy Number:
E[ I 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'
compensation insurance carrier and policy number are -
Carrier: STATE COMPENSATION INSURANCE FUND Policy Number. 9243765 Expiration Date: 0110312024 Name 6f Agent: Phone 9:
Ef I 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 laws DI
California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700'ofthe Labor Code, 1 shall forthwith comply with those provisions.
DECLARATION REGARDING CONSTRUCTION LENDING AGENCY
I 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).
Lender's Name: Lender's Address: -
By my signature, I certify to each of the following: ' S.-.ERRS.-.ERRY 14NLEY
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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 ordinances and state laws relating to building construction.
I authorize representatives of this city or county to enter the above -identified property for inspection purposes.
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