HomeMy WebLinkAboutPV2022-0408 - Permits,EwPo City of Newport Beach Illl����d�������������������������������������������������� A
0+ RTm Community Development Department- Building Division P v 2 e 2 2 e 4 e a Solar Permit: PV2U22-U4U8
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-2956
Permit Counter Phone: (949) 644-3288 Work Class : Alteration
cgtir ar�r Inspection Requests Phone: (949) 644-3255 Issued Date : 12/01/2022
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: 3909 MARCUS AVE
Legal Desc : A TR CANAL SECTION BILK 339 LOT 4 CANAL SECTION LOT 4 BILK 339 (AND SELY 8.5
FT LOT
5
Description: MFR SOLAR PV SYSTEM. 2.91 KW. 14 PANELS
Owner: W VOSS
Contractor: URBAN ENERGY SOLAR INC.
Architect :
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1
Address : 2623 VISTA ORNADA
Address : 10192 CONSTITUTION DR
Address
NEWPORT BEACH, CA 92660
HUNTINGTON BEACH, CA 92646
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Phone:
Phone: (310)795-6453
Phone:
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Con State Lic : 944115
State Lic :
Z
Lic Expire : 12/31/2023
Applicant: MARK MENDOZA
Bus Lie: BT30064588
Engineer: TRUONG PHONG
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Address : 20104 STATE RD
Address : 3000 E BIRCH ST
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CERRITOS, CA 90703
Bus Lic Expire : 09/30/2023
BREA, CA 92821
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Phone: (562) 447-4971
Workers' Compensation Insurance
Phone: (949) 254-2751
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Carrier: STATE FUND
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Policy No: 9021421
Designer:
e,
G
W. C. Expire: 6/1/2023
Address :
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Phone:
Code Edition : 2019
Fire Sprinklers : YES
Construction Valuation : $6,000.00
Type of Construction : V-B
Fire Hazard Zone : NO
Occupancy Groups : R-3,U
No of Units : 2
Type of Solar: MFP
Bldg Height :
No of Stories : 2
Kilowatt: 0
Building Setbacks : Front: 4, Front: 20, Side:
3, Side: 3
Flood Zone : AE, 8 FT; AO 1; X
Use Zone : R-2 - Two -Unit ResidentialProcessed
By:
Cj
SPECIAL CONDITIONS:
-'
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 item(s)
ction 7031.6, Business and Professions Code: Any city or county chat requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for
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
fossions 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
mots than five hundred dollars ($500)..
1, 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,
iness 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
rovements 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
roved for the purpose of sale),
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
ly 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).
LJ 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 impro'
sell a structure that I havo built as an owner -builder if it has not been constructed in itsentirety by licensed contractors, I understand that a copy of the applicah
Professions Code, is available upon request when this application Is submitted or at the following Web site:http:/Iwww.leginfo.co.gov/calaw.html.
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00) o Di 'sign 3 of the Business and Pro
and effect. License Class License No Date Contractor Signature
law, Section 7044 of the Business and
Date
is In full force
VVORKERS' COMPENSATION DECLARATION ✓ \ u
NANNING; 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
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES,
hereby affirm under penalty of perjury one of the following declarations:
.J 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,
erformance 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' compenseflor
Issmnce Darter and policy number are:
6 :artier STA-F m� '�v{. Fu vt� Policy Number 0z(`F; Expiration Dale /yf a3
lame of Agent Phone N
"II certify that, in in 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 works 'Compensation laws of California, and agre
rat, if I should beco e s bje t to
I/h/g//yvorkors' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Ifgnature of Applicant _ LbLX.r�6 = Date
iECLARATiON FIE
DA CONSTRUCTION LENDING AGENCY
hereby affirm under penalt of perjury that there is a construction lending agencyfor the performance of the work for which this permit is issued (Section 3097, ivf ode),
enter's Name Lender's Address
Iy my signature below, I certify to each of the following:
I am the property owner or authorized to act on the properly owner's behalf.
I have read this application and the information I have provided is correct..
I agree to comply with all applicable city an co Fly ordinances and state laws relating to building construction.
I authorize representatives of this city or cou tt7tto eater tV above -identified property for inspection purposes, v T
Signature of Property Owner or At
ACTION
DATE
PERMIT EXPIRED
PERM(TCANCELLED
PERMIT EXTENDED
PERPFCATE
�-
CERTIFICATE Of
Or
111
OCCUPANCY155UE0
BY J \®ECLARATION OF COMPLIANCE WITH CODE OF FEDEI
REGULATIONS PART 610E TITLE 40 AND AQMD RULE
SUITIVT'ED f SHESTO'. NOTI'ICATION TO
J(j LJASHES FOS NOT IS NOT APPLICABLE TO
PROPOSED DEMOLITION
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FOR OFFICE USE ONLY
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