HomeMy WebLinkAboutPV2022-0377 - Permits�WPOR City of Newport Beach
o \ Community Development Department- Building Division
;'.
100 Civic Center Drive, Newport Beach, CA 92660
= Permit Counter Phone: (949) 644-3288
�4<icuaN.r Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
IIVIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII��II� Solar Permit : PV2022-0377
Plan Check No : PC2022-2788
Work Class : Alteration
Issued Date : 12/14/2022
Inspection Area: 1
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 : 116 41ST ST, 112 Legal Desc : A TR RIVER SECTION BLK 40 LOT 7
Description: MFR SOLAR PV SYSTEM. 3.96 KW. 11 MODULES
Owner: GABRIELLA MARZOLA
Address : 5162 MOUNTAIN VIEW AVE
YORBA LINDA, CA 92886
Phone:
Applicant:
CALIFORNIA SOLAR INSTALLERS LLC
Address:
2801 COAST HWY W
NEWPORT BEACH, CA
Phone :
(855) 346-3888
Code Edition :
Type of Construction
Occupancy Groups:
Bldg Height:
Building Setbacks
Flood Zone
Use Zone :
Processed By:
SPECIAL CONDITIONS:
Contractor:
CALIFORNIA SOLAR INSTALLERS LLC
Address :
2801 COAST HWY W
NEWPORT BEACH, CA
Phone :
(855) 346-3888
Con State Lie
: 1038437
Lie Expire :
12/31/2023
Bus Lie :
BT30069480
Bus Lie Expire : 10/31/2023
Workers' Compensation Insurance
Carrier: ROCKINGHAM INSURANCE COMPANY
Policy No : CSWK0000056291
W. C. Expire: 3/12/2023
2019
Fire Sprinklers :
NO
V-B
Fire Hazard Zone :
NO
R-3,U
No of Units :
1
No of Stories :
2
Front: 10, Side: 4, Side: 4, Rear: 5
X
R-2 - Two -Unit Residential
t
Architect
Address
Phone:
State Lie
Engineer: RYAN MCPHERSON
Address: 9240 LIMONITE AV -
JURUPA VALLEY, CA Q2�09 ,
Phone : (909) 569-2244
Designer
Address
Phone:
Construction Valuation : $14,9bUd -
Type of Solar: MIFF
Kilowatt: 4
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 Rem(s)
(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
the 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
Professions Code) or that he or she is exempt from licensure 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
not more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure Is not intended or offered for sale (Section 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property,, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
irmyproved for the purpose of sale).
LJ I, as owner of the property, am exclusively contracting With licensed Contractors to construct the project ($action 7044, Business and Professions Code: The Contractors' State License Law does not
apply 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 licensure under the Contractors' State License Law for the following reason:
By my signature below I acknowledge that, except for my personal residence in which I must have maided-for at least one year prior to completion of the improvements covered by this permit, I cannel legallt
sell a structure that I have built as an owner -builder if it has not boon constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:hdp:liwvw.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent _ _ Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Div' ion 3 of the Business and Professions Code, nd my ficenrA is In full force
and effect. License Class License No Date Contractor Signature — Ins.
WORKERS' COMPENSATION DECLARATION
NANNING; FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I10100,006i, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COOP, INTEREST, AND ATTORNEY'S fEES.
hereby affirm under penalty of perjury one of the following declarations:
—11 have and will maintain a certificate of consent to sett -Insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for In
aerformanco of the work for which this permit Is issued. Policy No.
have ,tnd will maintain workers' Compensation insurance, as required by Section S700 of the Labor Code, for the performance of the work for which this permit is Issued. My workers'
rance carrier'tnd rofi"y number are:
Policy Number
)f Agent
Dale
caniry that., In hie penonnance of the work for which this permitis issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
it. .,.hould become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
AW Of Applicant_. /LG� _.... _. Date
.1 op
U ACThN l}Frtl Alini .. t^l�N_ FII _ Ir3N I FNf3I R 5GFNOV ---��
hereby aMirm under penalty of perjury that there is a construction lending agencyfor the performance of the work for which this permit is issued (Section 3097, Civil Cade).
enders dame _ Lender's Address
tmy signature below, I certify to each of the following:
I aY the propwly')wner or authorized to act on the property owner's behalf.
I have read this application 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.
I authorize representatives of this city or county to enter the *bve-idenSiLpd property for inspection purposes.
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
PERMITEXTENDED
PERMIT FINAL
CERTIFICATE Or
OCCUPANCY LSSUED
DATE BY U I OELLKRATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE. 40 AND ACIMD RULE 17j
1403
dif UA5BESTOS NOTIFICATION IS NO'f APPLICABLE TO
PROPOSED DEMOLITION
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