HomeMy WebLinkAboutPV2023-0024 - PermitsQ ��WPOaT City of Newport Beach
p ecn Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
CgtORN`P Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
P V 2 0 2 3 0 0 2 4Solar Permit : PV2023-0024
Plan Check No: PC2023-0107
Work Class : Alteration
Issued Date : 01/17/2023
Inspection Area : 2
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 : 361 VIA LIDO SOLD Legal Desc : N TR 907 BLK LOT 923 TR 907 LOT 923 AND SELY 10 FT LOT 922 A ND NWLY
Description : SFR SOLAR PV SYSTEM 16 PANELS 6.8 kw
Owner: SAILHOUSE HOMES INC
Address : 170 NEWPORT CENTER DR #260
NEWPORT BEACH, CA 92660
Phone
Applicant: JOJO COLLINS
Address : 20104 STATE RD
CERRITOS, CA 90703
Phone: (310) 795-6453
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 COMPENSATION INSURANCE FUND
Policy No: 9021421
W. C. Expire: 6/1/2023
Architect
Address
Phone:
State Lic:
Engineer:
Address :
Phone:
Designer: MARK MENDOZA
Address : 20104 STATE RD
CERRITOS, CA 90703
Phone: (562)447-4971
Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $10,000.00
Type of Construction : V-B Fire Hazard Zone : NO
Occupancy Groups : R-3 No of Units : 1 Type of Solar: SFP ;
Bldg Height: No of Stories : Kilowatt: 6 _
Building Setbacks : Front: 4, Side: 4, Side: 4 0 �4
Flood Zone: X x�c,��e� °
Use Zone: RM - Multiple Residential GONs�a r
KN' Processed By:
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 the applicant for
io permit to file a signed statement that he or she is licensed pursuant to the provisionsof 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 Ilcensurs 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
of more 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 notintended or offered for sale (Section 7044,
luslness 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 theproperty, provided that the
nprovements are not intended Or offered for sale. If, however, the building or improvement is sold wfthin one year of completion, the Owner -Builder will have the burden of proving that It was not built or
n roved for the purpose of sale).
I, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
poly to an owner of property who builds or improves thereon, and Who contracts for the projects with a licensed Contractor pursuantto the Contractors' State License Law).
3 1 am exempt from licensure under the Contractors' State License Law for the following reasom
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 legail)
all a structure that. I have built asan owner -builder if it has not boon constructed In its entirety by licensed contractors. I understand that a copy of tho applicable law, Section 7044 of the Business and
'rofessions Code, is available upon request when this application Is submitted or at the following Web site:http:tfwww.leginfo.ca.gov/calaw.html,
ignature of Property Owner or Authorized Agent Date _
,ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of penury that I am licensed under provisions of Chapter 9 (commencing with Section 00) f Sion 3 of the Business and Profe 'o (s. ode, 'rid my license is In full force
nd effect. License Class License No Dot f 1 Contractor Signature
VORKERS' COMPENSATION DECLARATION ,'
'ARNING: FAILURE TO SECURE WORMERS' COMPENSATION COVERAGE 13 UNLAWFUL; AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUMOR TH USANO DOLLARS ($100,000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I I have and will maintain a certificate of consent to sell -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for Ih.
eyformance of the work for which this permit is issued. Policy No.
LIIllaue-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' compensatio
nsurance, carrier and policy number are:
wrier Policy Number Expiration Date
Vame of Agent Phone If
-1I Gerrity that in the perFOT :nee of the work for which this permit is issued, I shall not employ any parson in any manner so as to become subject to the WOrl(8 Ompensafl0n laws of California, and ogre
hat, if I should becomersubj. of to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. ;
SignatureofApplicant Det
�/ a✓'
XCLARATION REGARD G STRUC"fION LENDING AGENCY
1
hereby affirm under pen Ity of perjury that there is a construction lending agencyfor the performance of the work for which this permit is issued (Section 30 , vit Code),
_ender's Name Lender's Address
3y 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 app!icaticn and the information I have provided is correct.
I agree to comply withall applcabl3 o'Iy and county ordinances and state laws relating to building construction.
I authorize represenlifives of this city or cc to Ent the ve-idenfit' d property for inspection purposes. =
TO J
C.ol /(,A 5
3i2nalure of Propertyowner or Authorize(,A ent Print Property Owner's or Authorized Agent's Name 0
Dat j !7 a
ACTION
( DATE BY
° DE ARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
'V-1&ULATiONS PART 51 OF TITLE 40 AND AOMD RULE
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