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HomeMy WebLinkAboutPV2022-0313 - Permits�EWPORT City of Newport Beach 04 Community Development Department- Building Division F 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 °94roa"•P Inspection Requests Phone: (949) 644-3255 newportbeachca.govfinspections PERMITS?EiiPIRE 180 DAYS Construction Hours: Monday - Friday 7:00 a.m. to 6:31 \ Job Address : 2916 CLAY ST Description: SFR SOLAR PV SYSTEM 5.20 KW DC (14) Owner: LOMBARDO JOANN TR Address : 2916 CLAY ST NEWPORT BEACH, CA 92663 Phone: Applicant: TERRYKIM�_'� Address c Phone: ' ii Code Edition : Type of Construction Occupancy Groups: Bldg Height : Building Setbacks Flood Zone Use Zone: 2019 V-B R-3,U Front: 20, Side: 4, Side: 5, Rear: 10 X R-1 - Single -Unit Residential �111111�1'IV"11111110111111111111111111(11111111111 �11NII Solar Permit : PV2022-0313 Plan Check No: PC2022-2410 �.15" ° Work Class : Alteration " " Issued Date s` Inspection Area : 3 OR LAST VALID INSPECTION. 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays. VEWPORT HEIGHTS BLK 32 LOT 1 FIRST ADD TO NEWPORT HEIGHTS LOT e4 CTRIC Architect: d, Suite A Address : =✓ ""' � on aiaie LIC : WbUb/ State Lie Lie Expire : 06/30/2024 Bus Lie: : BT30078243 ". Engineer: MORALES DOUGLAS Address : 20751 KELVIN LN Bus Lie Expire : 03/31/2023 ALISO VIEJO, CA 92656 Workers' Compensation Insurance Phone: (949) 285-5104 Carrier: 'ACE AMERICAN INSURANCE COMPANY " Policy No : C50570526 '. Designer: FORME SOLAR ELECTRIC W. C. Expire: 10/1/2023 Address : 1211 E. La Habra Blvd, Suite A La Habra, CA 90631 Phone: (714)694-2262 Fire Sprinklers : , NO Construction Valuation : $15,960.00 Fire Hazard Zone :_ NO No of Units : 11�0 Type of Solar: SFP No of Stories : 2 Kilowatt: 5 Processed By: --6-- SPECIAL CONDITIONS: OWNER -BUILDER DECLARATit t hereby affirm under penalty of perjur (section 7031.5, Business and.Professiot the permit to file a`signed statement, that Professions Cbde):or that he or she is am not more than five hundred dollars ($SO )) 0 1, as owner of the property. or my erhi Business and Professions Code: The Cor improvements era oat intended or offered rr-un roved for the purpose of sale). LI I,. as owner of the property,am excim applyto an owner of property who builds © I am exempt from licensure under the below Rion, will do.(_) all of or (_) portions of the work, and the structure: is not untended oronereo torsale itrecuon ruaa, ( to an owner Of propertywho, through employeas' or personal effort, builds or}mproves the property, provided that the vementis sold within one year of completion, the Owpar-Builder wlll have the burden of proving that It was not built or to construct -the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not :.the projects with a licensed Contractor pursuant to the Contractors' State License Law),; WORKERS' COMPENSATION DECLARATION !ARMING FAILURE To secuRE WOM ERW COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS IS100,01141),-IN ADDITION . TO THE OST OF COMPENSATION, DAMAGES: AS PROVIDED FOR IN SECTION37" OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, - heresy affirm under penalty of perjury one ofthe following declarations: I- have and will maintaina. certificate Of Consent toself-insure for workers' compensation,. issued by the Director of Industrial Relations BE provided for by Section 3700 of the Labor Code, for UN a rma ce of the work for which this permit: is issued. Policy ND. I ve and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work (or which this permit is issued. My workerscompensatior isu nce carrierand policy number are:...... - or. Policy Number Expiration Date. lame of Agent Phone # "It certify that, in the parformance of the work for whicit this permit Is issued, I Shan not employ any person in any manner so as to become subject to the workers" compensation laws of California, and agree let, if I should become subject to the, workers' compensation provisions of Section 3700 of the Labor -Coda, I shall forthwith comply with those provisions. �I �\ �/ �+ itgnaiure of Applicant '�� Dat6iT 2 _ y_77, iECt.ARATiON RE tsCONSTRUCTION LENDING AGENCY 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 30g7, 61v11 Code},. .:::1-1. er.,,... Lender's Address-__---- r my signature I:am the pro I have read i. I agree to cr I authorize r Arig: the: property owners behalf. m• L:I t SUpMT1 TED *RE9Y9S N-0T1ftCATi9N 10 LJEPA (- 1p UASOESTOSINoTiFicArioN is NOT APPLICABLE TO PRMSED DEMOLITVV. • s • • • e SiGNATtiRE: _.... _... _.. • _e o-_... a •. e._a vh Pod ", 10-y- 77