HomeMy WebLinkAboutPV2022-0301 - Permits04'.
City of Newport Beach
Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
nenewportbeachca.gov/inspections
II IIII III I II Solar Permit : PV2022-0301
Plan Check No : PC2022-2350
Work Class : Alteration
Issued Date:
Inspection Area: 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.
ELECTRICAL METALLIC TUBING
Job Address : 20361 CYPRESS ST Legal Desc : N TR 706 BLK LOT 158 TR 706 LOT 158 NELY1/2 (E-MT) IS NOT ALLOWED FOR
Description : SFR SOLAR PV SYSTEM 9.84 KW. 24 MODULES
Owner: BUI TAN X TR THE MED TR
Address : 20361 SW CYPRESS ST
NEWPORT BEACH, CA 92660
Phone:
Applicant:
JESSE RAYMOND
Address :
24 EXECUTIVE PARK STE 230
IRVINE, CA 92614
Phone:
(949)441-9386
Code Edition :
Type of Construction
Occupancy Groups:
Bldg Height :
Building Setbacks
Flood Zone
Use Zone:
Processed By:
SPECIAL CONDITIONS:
Contractor:
ORANGE COUNTY CONTRACTING
Address :
24 EXECUTIVE PARK STE #230
IRVINE, CA 92614
Phone :
(714) 514-1517
Con State Lie
: 1023627
Lie Expire :
02/28/2023
Bus Lie :
BT30061755
Bus Lie Expire : 01/31/2023
Workers' Compensation Insurance
Carrier: STARNET INS CO
Policy No : BNUWC0156509
W. C. Expire : 4/8/2023
Fire Sprinklers : NO
V-B Fire Hazard Zone : NO
R-3,U No of Units : 1
No of Stories:
Front: 20, Side: 5, Side: 5, Rear: 25
X
SP-7 - Santa Ana Heights Specific Plan
Architect : EXTERIOR APPLICATIONS
Address
Phone:
State Lie
Engineer: MORALES DOUGLAS
Address: 20751 KELVIN LN
ALISO VIEJO, CA 92656
Phone: (949)285-5104
Designer:
Address :
Phone :
Construction Valuation : $25,000.00
Type of Solar: SFF
Kilowatt : 9
OWNER -BUILDER DECLARATION
I hereby allivii under panally 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 item(s)
Section T031.5. 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
he permit to Me 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
'rofassions Cade) or that he or she is exempt from licensors 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
lot more than five hundred dollars ($500).
1 1, as owner of the property, or my employees with wages as their sole compensation, Will do U all of or i_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
hJsIrI and Professions Coder 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
mprovements 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
Ti for the purpose of sale).
1 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale 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' State License Law).
I I am exempt from licensure under the Contractors' Stele License Law for the following reason
3y 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 legallt
;all a structure that I have built as an owner-huilder if it has not boon constructed in itsentirety 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.leginfD.ce.gov/caiaw,html.
signature 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 (eommaneing with Section 7 0 of Division 3 of the Business and Professions Code and my licens full force
Ind effect. License Class 7-5L/O License No ( It 2- 3 6 7- % Date 20 Zt Contractor Slgnature�,,
VORKERS' COMPENSATION DECLARATION
EARNING. 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 t$100,000), IN ADDITION TO THE
:OST OF COMPENSATION, DAMAOES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, "a ATTORNEY-S FEES.
hereby affirm under penalty of perjury one of the following declarations:
J 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
ormanee of the work for which this permit is issued- Policy No..
eve and will maintain 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' compensabor
Dsu nce carrier and policy numbs are:
;a er r c� CO Policy Number f3N(l III) AS t0 5� 1 Expiration Date iy� z3
of
11 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 agre
tat, if I should become subject he workers' core provisions of Section 37DO of the Labor Corte, I shall forthwith comply with those provisions.
tgnature of Applicant ��❑o20ZIECLARATION F INW CONSTRUCTI LEN;�n
GENCY
hereby affirm under n ty of perjury that t construction lending agency for the performance of the work for which this permit Is issued (Section 3097, ON Cade).
.enders Name Lender's Address
ly my signature below. I certify to each of the following:
I air the property owner 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 retatlog to building construction.
I authorize representatives of this city orcougYty to enterthe above-fdentlUggpMaperly for inspectloa."rposes. /
iignalure of Property Owner or Authorized Agenq Vim/ 4/ Prose
ACTION DATE BY - J I (DECLARATION OF C010flOANCE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED I LJ I suBMITTEDASSESTOS NOTIFICATION TO
PERMIT EXTENDED LIAQMD
PERMIT FINAL j/� L..I ASRFS'FOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF /21L�22 PROPOSED DEMOLITION
OCCUPANCY 155UED SIGNATURE;
FOR OFFICE USE ONLY
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