HomeMy WebLinkAboutPV2022-0219 - Permits4W�oRT. City of Newport Beach III III II I I I II III II III II
OF I CommumtyDevelopmentDepartment-Building Division Solar Permit : PV2022-0219
r b" 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-1855
Permit Counter Phone: (949) 644-3288
Work Class : Alteration
o- Inspection Requests Phone: (949) 644-3255 9e rh Ir°q Issued Date : 10112/2022
C7GFOR�'�P newportbeachca.gov/inspections f 1 � P E'CTO R 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: 106 DIAMOND AVE Legal Desc : A TR BALBOA ISLAND SEC 2 BILK 3 LOT 26 BALBOA ISLAND SEC 2 LO T 26 BILK 3 ALL -EX NLY 6
Description: SFR SOLAR PV SYSTEM 4.015 KW (11) MODULES
Owner: GOUVION WAYNE ANTHONY TR
Address :
106 DIAMOND AVE
NEWPORT BEACH, CA 92662
Phone:
(949)300-0735
Applicant:
LINDSAY GRIMSHAW
Address :
10769 WOODSIDE AVE
SANTEE, CA92071
Phone:
(808)286-4939
Contractor:
TODD SOLAR ENGINEERING
SOLAR ENGINEERING
Address:
2631 HILLSIDE AVE
NORCO, CA 92860
Phone:
(909)821-9209
Con State Lic
: 789098
Lic Expire:
12131/2022
Bus Lic :
BT30079875
Bus Lic Expire : 10/31/2023
Workers' Compensation Insurance
Carrier :
Policy No : EXEMPT
W. C. Expire:
Code Edition : 2019 Fire Sprinklers : NO
Type of Construction : V-B Fire Hazard Zone : NO
Occupancy Groups : R-3,U No of Units : 2
Bldg Height : No of Stories : 2
Building Setbacks
Flood Zone:
Use Zone:
Processed By:
SPECIAL CONDITIONS:
Front: 5, Side: 3, Side: 3, Rear: 5
AO 1; X
R-BI - Two -Unit Residential, Balboa Island
6:5
TODD Architect:
Address
Phone:
State Lic
Engineer:
Address
Phone:
HAJIHASHEMI ALI
111 RODEO
IRVINE, CA 92602
Designer: TODD SOLAR ENGINEERING TODD
SOLAR ENGINEERING
Address: 2631 HILLSIDE AVE
NORCO, CA 92860
Phone: (909)821-9209
Construction Valuation : $30,000.00
Type of Solar : SFP
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 items)
Section 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, alley, Improve, demolish, or repair any structure. prior to its Issuance, also requires the applicant for
ne ponnft 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 Ilcensure 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
,of 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 U portions of the work, and the structure is not Intended or offered for sale (Section 7044,
justness 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
nerovements 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
reproved for the purpose or sale).
i, 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
Ipply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Stale License Law).
I am exempt from licensure under the Contractors' Slate License Law for the following reason
ty my signature below I acknowledge that, except for 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 legall7
.ell 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 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:http://www.leginfo.ca.gov/calaw.html.
>ignature 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 700p o{ Division 3 of the Business and Professions Co -,t0nd my license is in full force
and effect. License Class License No Date /Y/7V2 Z Contractor Signature GC/,
VORKER3' COMPENSATION DECLARATION
IARNING: 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 RIOQD00i, IN ADOmION TO THE
'.OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION JIM OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
I I 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 th
erformance or the work for which this permit is issued. Policy No.
have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the workfor which this permit is issued. My workers'
rance carrier and policy number are:
Policy Number Expiration Date
of Agent
certify that, in the performance 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
if I should become subject to th rkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions.
lature of Applicant ...._..... .... -l_�Dale.........__.
1 ROATIfI\I bC1h l.6ff1\I/� r/h\1CTOI IFT]Il\t 1 C\If\r\Ih. A/�.C\II^V
hereby affirm under penally of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097
enders Name Lenders Address
ly my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owner's behalf.
I have rent' •h's Epplicalmn and the information I have provided is correct.
I agree to comply with all applicable city and county ordinanc d stale laws rotating to building construction.
I authorize remusenta0ves of this city or county to enter ih e-identified property for inspection purposes. /�K
inneture of Pmnenv r)wnar or AIINTOn7pr] Annul ...�- Print Prnnadv nwnar x nr Authnri7ad Ananl's Noma It
DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE„ 40 AND AOMD RULE
I 1403
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1 LJI SUBMITTED ASBESTOS NOTIFICATION TO
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ASBES'I06 'NOTIFIC iION 151•IOT APPLICABLE fn
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