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HomeMy WebLinkAboutPV2022-0296 - Permits�EWPoRT City of Newport Beach Community Development Department- Building Division w V 2 0 2 2 0 2 9 6 Solar Permit : PV2022-0296 n 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check NO: PC2022-2328 U Permit Counter Phone: (949) 644-3288 Work Class: Alteration Cq<�FORN�P Inspection Requests Phone: (949) 644-3255 Issued Date : 01/18/2023 newportbeachca.gov/inspections 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: 88 LINDA ISLE Legal Desc : N TR 4003 BLK LOT,88 Description: SFR SOLAR PV SYSTEM 11.55 KW (35) MODULES Owner: RANDOLPH DAVIS Contractor: INTEGRATED TECHNOLOGY ELECTRIC Architect: Address : 9400 ALMOND ST Address: 3423:REVERE RD 'Address RANCHO CUCAMONGA, CA 91737 RIVERSIDECA 92503 Phone : (949) 491-4144 , Phone : (949) 491-4144 Phone s, Con State Lic : 974125 - State Lic: Lic Expire : 10/31/2023 Applicant: MARY / LINDSAY VALENCIA / GRIMSHAW Bus Lic: BT30075511 Engineer : ° • • °"'°°°° Address : 10769 WOODSIDE AVE SANTEE, CA 92071 Bus Lic Expire : 06/30/2023 Address Phone: (808) 2864939 Workers'.. Compensation Insurance Phone: ° Carrier: STATE+COMPENSATION+INSURANCE+FUN Policy No : 9162522 Designer: MARY / 1_:Rg84Y VP.I•ENCIA / GRIMSHAW W. C. Expire : 12/9/2023 Address: 10769 W80DS1DE AV&.° SANTEE,-&A @9071 • • Phone: (8D8)286-466 Code Edition : 2019 Type of Construction : V-B Fire Sprinklers : NO Construction Valuation : $38,000.00 Fire Hazard Zone : NO Occupancy Groups : R-3,U No of Units: 0 Type of Solar: SFP Bldg Height : No of Stories : 2 Kilowatt : 11 Building Setbacks : Front: 25, Front: 10, Side:4, Side: 4 Flood Zone : AE, 8 FT; X Use Zone: R-1 - Single -Unit Residential p���E y Processed By: jr 4 WEEKEND SPECIAL CONDITIONS: �� i9 Z:% r7 LZ 5 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that am exetr p (Section 7031.5, Business and: Professions Code! Any city the permit to file a signed statement that he or:she is Ncetis Professions Code) or that he or she is exempt from lidensu not more than five hundred dollars ($500). I, as owner of the property, or my employees with wagE Business and Professions Codw The Contractors' State Li; improvements, are not intended: or offered for sale. If„.howE lim roved for the purpose of sale). I,. as owner of the property, am exclusively contracting` a'Rpily to an owner of property who builds or improves there 1 licenser} Contractors to construct the pn and who contracts for the projects with a alter, n 7044, fed that the not built or Iw does not d.. k,mm2IGU %`Um 1ln^a tUR J vcvs,nazery, �v3. I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 Dtvi on of the Business -and Professi. Cade, nd my license is In full force and effect License Class License No Date Contractor 5ignatu>_�� ORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL S AND CML FINES UP TO ONE HUNDRED THOU aDOLLAR3 (SiDS,AD6), IN ADDntON TO THE COST OF COMPENSATION, DAMAGES AyPROVIWED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTOBNE" FEES. I hereby affirm under penalty of pjrplyl s of the following dtp arations: 0 1 have and will: rn•41,n1a lj a cer(tcate of consent to self4rnwre for workers'. compensation,issued by the Director of IndustrialRelations as provided for by Section 3700 of the Labor Code, for th orrnance, of the work forsvhich-INS permit is issued, Policy No. ve, and will:mainfain workers; eon3pensation insurance, as required by Section 3700 of the Labor Code, for the pe. ormanee of the work for which this permit Is issued. My workers` compensatioi rance carrier and.ii'katicyaumber Sinai - Carrier Policy Number. Expiration Date. Name of Agent • • • • Phone # •.••. ©I certify that, in the parlor an B of work for which this permit is issued. I shall not employ any person many manner o as is became subject the warkers''eampensati laws ofCBlifamia, and ogre that, if I should beco �$s sly I t Vq ° compensation provisions of Section 3700 of the Labor Code, I:shall forthwith_ comply With those provisions. signature of Applicant • • D DECLARATION RE 16 C TION LENDING AGENCY I hereby affirm under (St�nA of pe 'L"ftt there is a construction lending agencyfor the performance of the work forwhic this permit,is issued (Section 3697 trivil Coda), Lender's Name.... Lenders Addrass.. By my signature below, I certify to each of the folloi ing: I.am the property owner or authorized to act on Ih prope owners behalf. I have read this application and the information I h provi ad is correct. I I agree to comply witivail applicable clt)�and county dinan s and state laws relating to building construction. le r� I:authorize representatives of this city or county t r the ov�+'dentified property for inspection purposes. C� _. ... _ s ., ___ _� ,,.....,.�_...., n..,,..� r\, l �/' Print Pronartv Owner's or Au hori2ed Arieitt'S NameT Daf DATE CERTIFICATE OF OCCUPANCY ISS 0 s