HomeMy WebLinkAboutPV2023-0197 - PermitsCity of Newport Beach
e r:
Community Development Department -Building Division
100 Civic Center Drive, Newport Beach, CA 92660
G o- Permit Counter Phone: (949) 718-1888
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111111111111111 11111I 11111 �111Iv1111�jj� Solar Permit : PV2023-0197
Plan Check No: PC2023-0761
Work Class : Online
Issued Date : 05/19/2023
Inspection Area:6
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 : 1 BODEGA BAY DR Legal Desc : N TR 7844 BLK LOT 19
Description: SFR SOLAR PV SYSTEM; 19.355kW 49 PANELS & 2 INVERTERS.
Owner:
MEAD JAMES E TR MEAD FAMILY TR
Contractor: SUNRUN
Address :
1 BODEGA BAY DR
Address : 2500 WHITE RD, A
CORONA DEL MAR, CA 92625
IRVINE, CA 92614
Phone:
Phone: (714)854-2083
Con State Lie : 750184
"
Lie Expire : 06/30/2024
Applicant:
SUNRUN
Bus Lie : BT30066837
Address :
2500 WHITE RD, A
IRVINE, CA 92614 - -
Bus Lie Expire : 04/30/2023
Phone:
(714) 854-2083
Workers' Compensation Insurance
-
Carrier: AMERICAN ZURICH INSURANCE CO
Owner/Builder:
Policy No: WC614287600
Address :
W. C. Expire : 1.011/2023
Phone
Code Edition : 2022 --
Type of Construction : I -A
Occupancy Groups: U,R-3
Bldg Height:
Building Setbacks
Flood Zone
Use Zone:
Processed By:
SPECIAL CONDITIONS:
Front: 6, Side: 5, Side: 5, Rear: 88-96
X
PC - Harbor View Hills
Architect:
Address :
Phone:
State Lie
Engineer: ZACHER PAUL
Address : 1478 STONE PT DR, 190
ROSEVILLE, CA 95661
Phone: (916)961-3965
Designer:
Address :
Phone:
Fire Sprinklers : NO Construction Valuation
Fire Hazard Zone : NO
No of Units : Type of Solar
No of Stories : 2 Kilowatt: 19
$49,000.00
OWNER -BUILDER DECLARATION
1 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).
0 1, 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).
[11, 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).
❑ 1 am exempt from icensure 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://Ieginfo.legislature.ca.gov.
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license
is in full force and effect. License Class: c-46 License Number: 750184
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 ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
1Z 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 the performance of the work for which this permit is issued. Policy Number:
❑ 1 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: AMERICAN ZURICH Policy Number: WC614287600 Expiration Date: 10/01/2023 Name of Agent: Phone #:
0 1 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 cl
California, and agree that, if I should become subject to the workers' Compensation provisions of Section 3700 of the Labor Code, I 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: SUNRUN
May, 10 2023
1 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.
S U M ME R_ A&0RBIS_
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