HomeMy WebLinkAboutPV2023-0034 - Permits¢r�WPoRr
City of Newport Beach
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Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
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Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIINIIII����� Solar Permit : PV2023-0034
Plan Check No : PC2023-0132
Work Class : Alteration
Issued Date : 02/07/2023
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 : 18 SEABLUFF Legal Desc : N TR 15478 BLK LOT 43
Description: Si -SOLAR PV SYSTEM 13.6 KW (34) MODULES
Owner: HEYLER RANDALL A TR
Contractor: SOLAR OPTIMUM INC
Architect
Address : 18 SEABLUFF
Address : 614 W Colorado St.
Address
NEWPORT BEACH, CA 92660
GLENDALE, CA 91204
Phone: (949)322-8933
Phone: (818)804-3122
Phone:
Con State Lic : 972228
State Lic
Lic Expire: 04/30/2024
Applicant: WALDIR HENRIQUEZ
Bus Lic: BT30063259
Engineer:
Address : 614 W Colorado St.
Address
Glendale, CA 91204
Bus Lic Expire : 05/31/2023
,. ,..-.
Phone: (818) 804-3122
Workers' Compensation Insurance
Phone:
Carrier: STARNET INS CO
Owner/Builder :
Policy No: BNUWC0157027
Designer
Address :
W. C. Expire : 5/18/2023
Address
Phone:
Phone: _
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation : $50,000.00
Type of Construction : V-B
Fire Hazard Zone : NO
Occupancy Groups : R-3
No of Units : 1
Type of Solar: SFP
Bldg Height :
No of Stories : 2
Kilowatt: 13
Building Setbacks : Front: 15, Side: 5, Side: 5, Rear: 5
Flood Zone : X
Use Zone: PC - Bonita Canyon
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Processed By:
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
1 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)
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 fie applicant for
in 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
Irofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.6 by any applicant for a permit subjects the applicant to a civil penally of
of more than five hundred dollars ($500).
3 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 sate (Section 7044,
lusiness and Professions Cade: The Contractors' Stale License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
nprovements 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
nproved 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' State License Law does not
poly 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).
3 I am exempt from licensure under the Contractors' Stare License Law for the following reasnn:
ry 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 legally
all a structure that I have built as an owner -builder 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:tAw .leginfo.ca.govlcalaw.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 Cho t r (oommeni with Section 7000) of Division 3 of the Business and Professions se is in full force
no effect. License Class CIO License No Q 4 Date �U I ,� T Contractor Signature
VORKERS' COMPENSATION DECLARATION C�
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 ($100,000), IN ADDTION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
heraby affirm undar pens:ty of perjury one of the following declarations:
I I hav^ and will 'nawrin 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 IN
ermine e. of the wnlx for which this permit Is issued. Pcllcy No,
1, hi End will me main 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' compensatior
,surance carrier Brij pNlcy number are:
of
aei chat, in the performance of the work for
, if I should becoe:e subject to the cD
Policy Number Expiration Daterf �7 q 9 � h �
Phone N B1 2 y
h 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 agree
I. ' on provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
8gaatureofApplicant Dete---- 22
IFGI ea4TION REGARDING CONSTRUCTION LENDING A ENCY
huralry, nl,lrm unuer oaiialty of perjury that there is a construction lending agencyfor the performance of the work for which this permit. is issued (Section 3097, Civil Code),
enderS Name Lender's Address
,y my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owners 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 onteii ove-id sad property for inspection purposes. A
Signature of Property Owner or Authorized Agent / Print Propert,
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
ASBESTOS NOTIFICATION TO
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(yfy����'1I'' ASBESTOS NOTIFICATION I$ NOT
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PR0irOSED DEMOLITION /
OCCUPANCYISSUED
k SIGNATURE: C
FOR OFFICE USE ONLY
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