HomeMy WebLinkAboutPV2022-0396 - Permits�EWPORr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIII����� Solar Permit : PV2022-0396
Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-2904
U > T Permit Counter Phone: (949) 644-3288 Work Class : Alteration
cq� roaN�P Inspection Requests Phone: (949) 644-3255 Issued Date : 0311012023
newportbeachca.gov/inspections Inspection Area : 4
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 : 5 RUE BIARRITZ Legal Desc : N TR 7809 BILK LOT 24
Description :. SFR -. SOLAR PV SYSTEM. 25 PANELS 8.875 KW
Owner: JIAHUI LI
Address : 3D781 VIA CONQUISTA
SAN JUAN CAPISTRANO, CA 92675
Phone:
Applicant: CARLOS QUINTO-URIBE
Address: 7200 FENWICK LN
WESTMINSTER, CA 92683
Phone : (562) 340-1524
Owner/Builder:
Address :
Phone
Contractor:
FREEDOM FOREVER LLC
Address :
7200 FENWICK LN
WESTMINSTER CA 92680, CA 92680
Phone:
(888)557-6431
Can State Lic
: 1029644
Lic Expire :
08/31/2023
Bus Lic :
BT30064271
Bus Lic Expire : 08/31/2023
Workers' Compensation Insurance
Carrier: NATIONAL CASUALTY CO
Policy No : WCC334024A
W. C. Expire : 6/1/2023
Code Edition : 2019
Fire Sprinklers :
NO
Type of Construction : V-B
Fire Hazard Zone :
NO
Occupancy Groups : R-3
No of Units :
1
Bldg Height:
No of Stories :
2
Building Setbacks
Flood Zone
Use Zone:
Processed By:
SPECIAL CONDITIONS:
Front: 10, Side: 5, Side: 5, Rear: 15
X
PC - Big Canyon
d
Architect
Address
Phone:
State Lic
Engineer: ROBERT LADE
Address: 13350 OLD MORRO RD
SAN LUIS OBISPO, CA 93422
Phone:
Designer: FREEDOM FOREVER LLC
Address : 7200 FENWICK LN
WESTMINSTER CA 92680, CA 92680
Phone: (888) 557-6431
Construction Valuation : $26,000.00
Type of Solar: SFP
Kilowatt: 8
I hereby affirm under penally of perjury that I am exempt from the Contractors' Stale License Law for the reason(s). indicated below by the checkmark(s) I have placed next to the applicable item(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 ($500)-
0 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Cade; The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves theproperty, provided thRt the
Improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
roved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project ($action 7044, Business and Professions Code: The Contractors' Stale 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).
❑ 1 am exempt from licensure under the Contractors' Stale License Law for the following reason:
---- ---- ----
By my signature below l 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 legall
sell a structure that I have built as an owner -builder if it has not boon constructed in its entirety by licensed contractors. I understand that a copy of the applicable law. Section 7044 of the Business and
Professions Code, Isavailable upon request when this application is submitted or at the following Web site:htip://www.Ininfo.ca.gov/calaw.htmi,
Signature of Property Owner or Authorized Agent Dale
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury at I am licensed under provisions of C Map 9 (. ornmencing with Section 7000) of IVi 1 n 3 of the Business and Professions �q�p, rid my It rise Is In full force
and effect. License Class C--� License No /Ci6 // Date Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 18 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 16100,0001, IN ADDITION TO THE
COST OF COMPENSATION', DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES.
I hereby affirm under penalty of perjury one of the following declarations:
❑ 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 Ili
maneof the work for which this permit is issued. Policy ND..
ave 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' compensatio
s once carrier and of n bar are' �r
Camier�s��> Policy Number 1>�� 7j �Li� %Jp Expiration Date
Name of Agent Phone #
❑I 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 became subject to the workers' compensation laws of California, and ogre
that, if I should become subjec t e workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. .,
Signature of Applies _ D
DECLARATION F DI 0TRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that thera Is a construction lending agency far the performance of the work for which this permit is issued (Section 3097, Civil Code).
Lenders Name Lenders Address
By my signature below, 1 certify to each of the following:
1 am the properly 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 relating to building construction.
I authorize representatives of this city or county to anti a. above -identified property for inspection purposes. / nu, 4 /' J .r
Sicnature of Property Owner or Authorized Agani.� /l// Print Property Ovmer's or Authorized Agent's Name J (—.. V`___.___ __— Date �5
ACTION
DATE
BY Y
S bECLAh7CTION OF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
1403
FOR OFFICE USE ONLY
PERMIT E:MLTEC
LJ I SUBMITTED ASBESTOS NOTIFICATION TO _
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PERMIT CAN.:ELLL D�—�
_
PERMITEXIENDEU
—
PERMIT FINAL
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u ASBESTOS NOTIFCATION IS NOT APPLICABLE TO
CERTIFICATE OF
PROPOSED DEMOLITION
OCCUPANCY ISSJED
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SIGNATURE: