HomeMy WebLinkAboutPV2023-0005 - Permits�EWPokr,
City of Newport Beach
04 " `•e'
Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 718-1888
newportbeachca.gov/civic
II�IIIIIIIIIIIIIIIIIIIilllllllllllllllllllllllllllll���� Solar Permit : PV2023-0005
Plan Check No : PC2023-0019
Work Class : Alteration
Issued Date : 08/10/2023
Final Date:
Permit Status: Issued
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: 6 WAYSIDE Legal Desc :
Description: SFR INSTALL 10.27 KW ROOF MOUNTED PHOTOVOLTAIC SYSTEM W/ (26) MODULES
Owner: KASHANI MAJID TR
Address : 6 WAYSIDE
NEWPORT COAST. CA 92657
Phone
Applicant: SUMMER MORRIS
Address : 2500 WHITE AV, A
IRVINE, CA 92614
Phone: (951)425-8684
Owner/Builder :
Address :
Phone
Code Edition : 2019
Type of Construction : V-B
Occupancy Groups: R-3,U
Bldg Height :
Building Setbacks
Flood Zone : X
Use Zone :
Processed By: ( 11 1--�
SPECIAL CONDITIONS:
Contractor:
SUNRUN
Address :
25DO WHITE RD, A
IRVINE, CA 92614
Phone:
(714)854-2083
Con State Lie
: 750184
Lie Expire :
06/30/2024
Bus Lie:
BT30066837
Bus Lie Expire : 04/30/2024
Workers' Compensation Insurance
Carrier: AMERICAN ZURICH INSURANCE CO
Policy No: WC614287600
W. C. Expire : 10/1/2023
Fire Sprinklers :
Fire Hazard Zone
No of Units :
No of Stories
Architect
Address
Phone:
-" -
State Lie
Engineer:
EUGENEMUYANZIZA '
Address :
23833 COPPER COURT,
WILDOMAR, CA 92595
Phone:
.....,
Designer:
SUNRUN • . , ,
Address :
2500 WHITE RD, A
IRVINE, CA 92614
Phone: (714)854-2083
NO Construction Valuation : $26,000.00
YES
1 Type of Solar: SFP
Kilowatt: 10
(EMT) IS NOTAL"_i I�VED F C,"i
EXTERIOR ARPL1CAT;:C.''S
OWNER -BUILDER DECLARATION
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 Iterate)
(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. ($50D).
❑ 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,
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 7D44, 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).
L1 I am exempt from licensure under the Contractors' State License Lew for hie 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 t is permit, I cannot legall:
scl? a structure that I have built as. an owner -builder if it has not boon constructed in its entirely by Ilconsed contractors I understand that a copy of the applicable law, Section 704�f the Business and
Professions Code, Is available upon request when this application is submitted or at the fallowing Ateb site:http:/,'www,loginto.ca.gov/calaw.htmi. `//
Signature of Property Owner or Authorized Agent _ ... Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of per{ury i am licensed under provisions lending with Seclio 7 f � ' i n 3 of the Busl s and Professions Code and my�0 a Is in full force
and effect. License Class v n License No / Dat Contract ignature
NORKERS' COMPENSATION DECLARATION
AAA,ANI-: FAILURS TI SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINER UP TO ONE HUNDRED THO{7.,r; SAND DOLLARS Istat.Oatt), IN ADDITION TO THE
COST OF COMPENSTIUN, DAMAGES AS PROVIDED FOR IN SECTION 370e OF THE LA60R CODE. INTEREST, AND ATTORNEYS FEES.. -"'./'
Hereby affirm under penalty of perjury one of the following declarations:
❑ I have and.'rh :ua:ntari 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
ce of the work for which this permit Is. issued. Policy No.`-
e Ad w'll maintain workerscompensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which Ihi5 permit is issued. My workers' compensadoi
ns rancb rr I and policy nurnber are: � QQ P�
Carrier,_ `, � 1 Policy Nr.Imber, �l"y�(yo Expiration Date it J'�u��
12 of Agent _ Phone #
ct 11, that, In the p9rfOrmanCIE of for which this permit is Is$UB fall not employ any poison in any manner so as to percale subject t0 the wor ers compensation laws of California,and agre
If I should bcco ne subject to ,vorkgr 'compensation pravl of Sect 3700 of the Labor Code, I shall forthwith comply Will hose provisions.
)@lure of A I - t - /jam" l - Date_„
_._._. _ :. t i . _ �^ _ __ _ __ __
hereby affirm under penalty;r6i perjury that therrYls; Boon[
Lender's Name //l
5y my signature below edify to each of th0tillowfng:
I ant the property I ner or authorized tel act on the pr
I have read this application and the information I have
I agree to comply withall applicable city and county or
I authorize representatives of this city gncounty to pt
ACTION
DATE ' I I BY
g agency h .parkrnrmance of the work for which this permit is issued (Section 3097, Civil Code)
Lender's Address
behalf.
c
to ws relating to building construction.
ent)fied property for�ectlon purposes. 1 /
OttROMf7FT CE WITH CODE 40 AND AU OF FEDERAL I FOR OFFICE USE ONLY
PERMIT EXWR£0
U I SUBMITTED ASBESTOS NOTIFICATION TO
PFAMf7' CANCELLED
....
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FEA Ml7 EX7FNOCD
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-- +ASBt5i US NU11HCAilUN IS NU(AHPLICABLL 10
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CERTIFICATE OF
q�iC4?
QF"�', PROPOSED DEMOLITION
OCCUPANCY L;SUED
SIGNATURE: