HomeMy WebLinkAboutPV2022-0212 - Permits�tiWPoRr City of Newport Beach II II I II I II I II I II II I II II I II
�� 6+ Community Development Department- Building Division Solar Permit : PV2U22-U2 1 L
Y y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-1844
? Permit Counter Phone: (949) 644,3288
Inspection Requests Phone: (949) 644-3255 Work Class : Alteration
°gcrFonN�P newportbeachca.gov/inspections Issued Date : 2022
Inspection Area ea : 3 3
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 : 445 EL MODENA AVE Legal Desc : A TR:FIRST ADD TO NEWPORT.HEIGHTS BLK 26 LOT 13
Description: SFR SOLAR PV SYSTEM 9.2 KW (23) MODULES
Owner: GRIFFIN MICHAEL J TR
Contractor: SOLAR OPTIMUM INC
-. Architect
Address : 445 EL MODENA AVE NEWPORT BEACH, CA ''
Address;. 614 W Colorado St. GLENDALE, CA
':Address :
°°°°
92663
91204'
®°°°•°
Phone : (949) 244-5182
= Phone : :. (818);i804-3122
Phone
Con State Lie : '972228
State Lie
° ° •
° °
Applicant: WaldirHenriquez
Lie Expire: 04/30/2024
Address : 614 W Colorado St. Glendale, CA 91204
Bus Lie: BT30063259
Engineer :
° ° ° ° •
°
m °
Phone: (818)804-3122
Bus Lie : Expire:'05/31/2023
.Address:
°
°•°°
°
° ° .
" Workers' Compensation Insurance
Phone:
Carrier: STARNET INS CO.
•° °
°
Policy No: BNUWC0157027
Designer:
W. C. Expire : 5/18/2023
Address
Phone:
Code Edition : 2019
Fire Sprinklers : .. NO
Construction Valuation :
$1g,0d0.000
Type of Construction : V-B
Fire Hazard Zone : N
Occupancy Groups : R-3,U
No of Units : 1
Type of Solar: SFP
Bldg Height:
No of Stories : 2
` Kilowatt: 9
Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 5
A
Flood Zone : X
i P EO`
Use Zone : R-1 - Single -Unit Residential
Processed By:
Public Works Approval:
Zoning Approval: �/S/ Plan Check By:
Grading Approval: Approval To Issue:
OWNER -BUILDER DECLARATION
f hereby affirm under penally 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 o the applicable Reni
ction 7931.5.. Business and Professions Coder 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
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
feasions Code) or that he or she is exempt from licensure and the basis for the alleged exemption, Anyviplation of Section 7031.5 byany applicant fora permitsubjectsthe applicant to a civil penalty of
more than five hundred dollars ($500)..
1; as owner of the property, or my employees with wages as theirsole compensation; well do (_)all of or (_}portions of: the work, and the structure is notintended 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 personaleffort, builds or improves theproperty,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).
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
,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)..
I am exempt from ficensure-under the Convoctors' State License Low for the following reason: .
my signature below I acknowledge that; exceptfor 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 legal
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 theapplicable law, Section 7044 of the Business and
fessions Cods. isavailable Loon realest when this application Is submitted or at the foflowino Web site:htio:!lwww.leoinfb.co.00v/cMaw.html..
Property Owner or AuthorizedAgent
CONTRACTOR'S DECLARATION
To under penalty of perjury that I am licensed under provisions of Chapter 9.(commencing
Licerise"E.55 License No
V C04RPENSATION DECLARATION
itfirm under penalty of perjury one of the following declarations
Date
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ISH10, I05I. Pt
In full force
Vnd VAII-1 gtam 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 th,
of Me we* for which this permit is issued. Policy No,
and wig TP AMg n.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 oompensatior
'came n(JTI!cy number are:
Policy Number A 0A 5 �i4 Expiration Date
4oant •T_ i' h Phone # 4� 40!,- f ,
i that, in tiPe perormange 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 of California, and agre,
1ould becorroCubject to the workers' compensation provisions of Section 3700 of the Labor Code, I: shalt forthwith comply with those provisions..
.... • _ L
hereby: affirm under penalty of perjury that there is a construction fending agenpyfor the
enders Name Lent
for which this permit Is issued (Section 5097, Civil Code)..
By my signature below, Icertify to each of the folioviing;
I am the property, owner or authorized to act on the property owner's behalf.
I have read this appticatfon 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.
Iauthorize representatives of this city or coon property for inspeaon purposes. to enter t d
Signature of Property A Owner: or Authorized ent. Print Prope Owner's orAut..
ACTION DATE BY DECLARATION OF OMPtiANCE WITH CODE OF FEDERAL FOR OFFICE.
REGULATIONS PART 61 OF TITLE40 AND AOMD RULE
C€RFIFIGArt OF
OCCUPANCY ISSUED
L.J ASBESTOS NOTIFICATION 15 NOT APPLICABLE. TO
PROPOSED DEMOLITION