HomeMy WebLinkAboutPV2023-0389 - Permits��EWp"' City of Newport Beach PV202 03���
Community Development Department- Building Division
1'j n 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
newportbeachca.gov/civic
Solar Permit : PV2023-0389
Plan Check No: PC2023-1709
Work Class : Counter
Issued Date
Final Date:
Permit Status: Applied
Inspection Area :4
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
Construction Hours: Monday - Friday
7:00 a.m. to 6:3D p.m. and Saturday 8:00 a.m. to 6:00
p.m. No work on Sundays or Holidays.
Job Address: 2668 BASSWOOD ST
Legal Desc : N TR 4892 BLK LOT 6
Description
: SFR SOLAR PV SYSTEM 6.37 kw 15 PANELS
E TR
Contractor: NC
Architect
Address :
2668 BASSWOOD TNTHONY
Address 10192 CONSTITUTION DR
Address:.�-
NEWPORT BEACH, CA 92660
HUNTINGTON BEACH, CA 92646
Phone:
(714)920-0287
Phone: (310)795-6453
Phone:
Con State Lie : 944115
State Lie:
Lie Expire : 12131/2023
Applicant :
JOJO COLLINS
Bus Lie : BT30064588
Engineer : TRUONG PHONG
Address :
20104 STATE RD
Address : 3000 E BIRCH ST
CERRITOS, CA 90703
Bus Lie Expire : 09/30/2023
BREA, CA 92821
Phone:
(310) 795-6453
Workers' Compensation Insurance
Phone: (949) 254-2751
Carrier: STATE FUND
Owner/Builder :
Policy No : 9021421
Designer:
Address :
W. C. Expire: 6/1/2024
Address :
Phone: Phone:
Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $0.00
Type of Construction : V-B Fire Hazard Zone : NO
Occupancy Groups : U,R-3 No of Units : Type of Solar
Bldg Height : No of Stories : 1 Kilowatt: 6
Building Setbacks : Front: 6, Side: 6, Side: 6, Rear: 6
Flood Zone : X
Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
Processed By:
SPECIAL CONDITIONS: _.
71
K
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)
ieetlon 7031.5, Business and Professions Code: Any city or county that requires a penult to construct, altar, improve, demolish, or repair any structure, poor to its issuance, also requires the applicant for
IS, 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 for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a clvil penalty of
of more than five hundred dollars ($500).
3 11 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,
.usiness 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 properly, provided that the
nprovements 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
n roved for the purpose of sale).
1, 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
pply 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),
3 1 am exempt from Ifcensure, under the Contractors' State License Law for the following reason _------- __ __ _ ___,_ _._______ _.___..
.y my signature below I acknowlsdga that, except far my personal residence in which 1 must have resided for at least one year prior to completion of the improvements covered by this permit. I cannot lagally
all a structure [he[ 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:htip:tlwww.leginfo,ea.govlcalaw.html..
�ignalure 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 VG0) of Dino 3 GT fife Business and Proles n.If and POP is In lull force
no effect. License Class License No Dat !7 a. Contractor Signature x.W�
VORKERS' COMPENSATION DECLARATION
'ARMING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SMALL SUBJECT AN EMPLOYER TO CRINI AL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TH USANO DOLLARS (Et06.866), IN ADDITION TO THE
DST Of COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, "a ATTORNEY's FEES.
hereby affirm under penalty of perjury one of the following declarations:
1 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 thi
tormance of the work for which this permit Is issued. Policy No.. _
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' compensatior
isurance carrier and policy number are:
zanier Lorv\D rY1CCACAb+c-e, Policv Number ExoirationDate lad/3)/ a�j.
of Agent
11 certify that, in the pa011 menee of th0 work for which this permit Is issued, I shall not employ any person in any manner so as to became subject to the wokCil
'mpensation laws of California, and agree
tat, If should becom su jecl to khIRUCTION
ork/s/�/5 compensauon provisions of Section 3700 of the Labor Coda, I shall forthwith comply with {Nose provisions.
ignature of Applicant uh o� 23
IECLARATION 9 I N LENDING AGENCY
hereby affirm under pe alty of perjury that there is a construction lending agency for the performance of the work for which this permit Is Issued. (Section 309ode).
ender a Name _ Lender's Address
ly any signature bolos', I certify to each or 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
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 cou�tyj/q an the Bove -identified property for inspection purposes.
ngnature of Property Owner or Authorized Agent 1y C tf __. __ Print Property Owner's or Authorized Agents Na r \ J O`, �' V) to
PERMIT EXPIRED
PEPoMlT CANCELt ED
PERMITEXTEN LED
PERMIT EMU
CERTIFICATE OF
OCCUPANCYISSUEO
DATE ( BY " D-ECCARATtON OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
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