HomeMy WebLinkAboutPV2022-0430 - PermitsCity of Newport Beach
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Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIISolar Permit : PV2022-0430
Plan Check No: PC2022-2956
Work Class : Alteration
Areea : 1
Inspectionion Area:
Issued Date r2/'12/2022,/1��
, N
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: 3907 MARCUS AVE Legal Desc : A TR CANAL SECTION BLK 339 LOT 4 CANAL SECTION LOT 4 BLK 339 (AND SELY 8.5 FT LOT 5
Description : MFR SOLAR PV SYSTEM. 2.91 KW. 7 PANELS -
Owner: W VOSS
Address: 2623 VISTA ORNADA
NEWPORT BEACH, CA 92660
Phone:
Applicant:
MARK MENDOZA
Address :
20104 STATE RD
CERRITOS, CA 90703
Phone:
(562) 447-4971
Contractor:
URBAN ENERGY SOLAR INC.
Address :
10192 CONSTITUTION DR
HUNTINGTON BEACH, CA 92646
Phone :
(310) 795-6453
Con State Lic:
944115
Lic Expire :
12/31/2023
Bus Lic:
BT30064588
Bus Lic Expire : 09/30/2023
Workers' Compensation Insurance
Carrier: STATE FUND
Policy No: 9021421
W. C. Expire : 6/1/2023
Architect
Address
Phone:
State Lic
Engineer: TRUONGPHONG
Address : 3000 E BIRCH ST
BREA, CA 92821
Phone : (949) 254-2751
Designer
Address
Phone:
Code Edition :
2019
Fire Sprinklers :
NO Construction Valuation : $6,000.00
Type of Construction :
V-B
Fire Hazard Zone :
NO
Occupancy Groups :
R-3,U
No of Units:
1 Type of Solar: MFP
Bldg Height:
No of Stories :
2 Kilowatt: 2
Building Setbacks :
Front: 4, Front: 20, Side: 3, Side: 3
Flood Zone :
AE, 8 FT; AO 1; X
Use Zone :
R-2 - Two -Unit Residential
Processed By: I
SPECIAL CONDITIONS:
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 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 Me applicant for
he 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 licensors and the basis fur the alleged. exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
Iotmore 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,
iusiness and Professions Code: The Contractors' State License Law does notapply to an owner of property who, through employees' or personal effort, builds or Improves the property, provided that the
mprovements 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 oT
mtproved for the purpose of sale).
�J 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
I ply 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).
1 am exempt from licensors under the Contractors' State License Lawfor the following reason:
ly 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
tell 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 availableupon request when this application Is submitted or at the following Web site:http:llwww.leginfo.ce.gov/calaw.btml..
'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 Gf Dlvi Ion 3 of the Business antl Pro sslon%,de,,pnd my IiI so is In full force
Ind effect. License Class License No 0at� 'a. "0. Contractor Slgna kK�/uvL
NORKERS' COMPENSATION DECLARATION L� U
1ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 18 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100A00), IN ADDITION TO THE
:OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
I 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 IN
wormanceof the work for which this permit is issued. Policy No.
have and will maintain workerscompensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. My workers'
rants arrlar and policy number are:
ter �tc i-e- tmN Policy Number +O,q % Expiration Date
to of Agent Phone #
11 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 of California, and agree
Tat, if I should become subject to the workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
signature of Applican¢/L�� 11-i
IECLARATION REGARSING CONSTRUCTION LENDING AGENCY (./t
hereby affirm under penalty of perjury that there is a construction lending agencyfor the performance of the work for which this permit is issued (Section 3097, Civil Code),
ender's Name Lenders Address
ly 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 ordinances and state laws relating to building construction.
I authorize representatives of this city or co y to of r above- ntified property for inspection purposes.
iionature of Property Owner or Authorized i IV Print Pronerty Owner's or Authorized ADent's Names/ s6J b Co l
ACTION I DATE
PERMIT EMENDED
PERMIT FINAL T vj
CERTIFICATE OF �•J V��
OCCUPANCY 155UEO
bECLARATiON OF COMPLIANCE WITH CODE OFFEDERAL
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
UASBESTOS NOTIFICATION ISNOT APPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE:
FOR OFFICE USE ONLY
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