HomeMy WebLinkAboutPV2022-0435 - Permits�EWPo City of Newport Beach
Rr O @cn Community Development Department- Building Division P V 2 0 2 2 0 4 3 5 Solar Permit : PV2022-0435
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-3122
C S Permit Counter Phone: (949) 644-3288 Work Class : Alteration
CgticOa��P Inspection Requests Phone: (949) 644-3255 Issued Date : 02/0912023
newportbeachca.gov/inspections 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.
Job Address : 492 ORANGE AVE Legal Desc : N TR 27 BLK 6 LOT 1 TR NO 27 BLK 6 LOT 1 & POR ABAND STR
Description: MFR SOLAR PV SYSTEM. 41 MODULES 14.55 KW
Owner: ALICECONNER
Address : 611 CLIFF DR
NEWPORT BEACH, CA 92663
Phone:
Contractor: SUNRUN
Address : 225 BUSH ST, 1400
SAN FRANCISCO, CA 94104
Phone: (855)478-6786
Con State Lie : 750184
Architect
Address
Phone:
State Lie
A r
Lie Expire:
06/30/2024
Applicant:
FELICIA RONQUILC9)
Bus Lie:
BT30066837
Engineer:
Address:
2500 WHITE RD, A 0
Address
IRVINE, CA 92614lt/
&
Bus Lie Expire
: 04/30/2023
Phone:
(602) 738-9080
Workers' Compensation
Insurance
Phone:
Owner/Builder:
s-�i
Carrier: AMERICAN ZURICH INS CO
�/ Policy No: WC614287601
Designer:
Address :
V
V `
OVV
YV. C. Expire :
10/1/2023
Address
O�S
ZACHER PAUL
1478 STONE PT DR 190
ROSEVILLE CA 95661, CA 95661
(916)961-3965
Phone:
��
Phone:
F
'
Code Edition : 2019
°6./ Fire Sprinklers :
NO
Construction Valuation
Type of Construction : V-B
Fire Hazard Zone :
NO
Occupancy Groups : R-3,U
No of Units :
2
Type of Solar: MFP
Bldg Height :
No of Stories:
1
Kilowatt: 14
Building Setbacks
Flood Zone
Use Zone:
Processed By:
SPECIAL CONDITIONS:
Front: 20, Front: 10, Side: 4, Rear: 10
X
R-2 - Two -Unit Residential
$41,000.00
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items)
coon 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
permit to file a signed statement that he or sheds licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
fessions Code) or that he or she is exempt from Oeensure 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
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 (_) portions of the wok, and the structure is not intended or offered for sale (Section 7044,
;mess 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
rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Builderwill have the burden of proving that it was not built or
raved for the purpose of 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
dy 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).
a I am exempt from licensure under the Contractors' State License Law for the following reason:
y 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 !a
all a structure that I have built as an owner-buildor if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the appl
7ofessians Code, Is available upon request when this application is submitted or at the following Web site:http:l/www.leginto.co.gov/calaw.htmf.
ignature of Property Owner or Authorized Agent
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of p "lam/ am licensed under provisions tart mencing with Section 7000) of Division 3 of the Business and
nd effect. License Class t License No / l� Date Contractor Slgna
VORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL; AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL N TIES AND CIVIL FINES UP TO ONE HUD
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNPY'S FEES.
hereby affirm under penalty of perjury one of the following declarations: l
I I have and will maintain a certificate of consent to self- insure for workers' compensation, issued by the Director of Industrial Relations as provide
grformance of the work for which this permit is issued. Policy No.
of
bee law, Sactio 9044 of the Business and
e
"fees; co
' ense is i^full foroe
rHOUSA$b DOLLARS ($100A00), IN ADDITION TO THE
for by DDSS//e/ction 3700 of the Labor Code, for th
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' compensation
arrier rind policy numberare: r- "�
Mai 'cCi�,'ln _ Policy Number i t G 4�/-t0�pp r72 o Expiration Date °
1:11 certify that, in the performance of the cr or which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' comps atio laws of California., and agre
that, if I should become subject to the rke p sation provisions of Section 3700 of bor Code, I shall forthwith comply with those provisions. -Jj
Signature of Applicant D'9('
DECLARATION REGAROf CO T CTION LEN ING A CY
I hereby affirm under pens pe that there Is a c ption lend; g a cyfor the performance of the work for which this permit Is issued (Section 3097, Civil Code),
Lenders Name _ Lenders Address
By my signature below, I certify t44ach of the following:
I am the property owner "authorized to act an the Or e y owner's behalf.
I have read this application and the information I hav p vided is correct.
1 agree to campy with all applicable city and county r morose and state r n to building cons[ Lion.
I authorize representatives of this city or coup1ty to nt r t bo -Idenf ed' petty or iospectlo nooses, c
reran ra of Rmnadv Owner nr A,Ah,r,i l Anarr9 P ' meetly Owner's or Authorized Agent's Name)( _ t ➢ ]M Y�/ `(N r Lim<`�n Oate ,{ L
ACTION
DATE
BY] V
ECLARATION OF CO LIANCE WITH CODE OF FED[
J Jt
REGULATIONS pAR 6IOF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED
L3 ISU0Mt D ASBESTOS NOTI FICAT ION TO
PERMIT CANCELLED
01PP-_
PERMIT EXTENOEB
L1QMD
PERMITFINAL-5-`�'
_
ASBESTOS NOTIFICATIONIS NOT APPLICABLE TO
CERTIRCATE DF
PROPOSED DEMOLITION
OCCUPANCY ISSUED
SIGNATURE;
FOR OFFICE USE ONLY
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