HomeMy WebLinkAboutPV2022-0246 - PermitsFwNo�, City of Newport Beach
YC e Community Development Department- Building Division
!> r 100 Civic Center Drive Newport Beach, CA 92660
r ,n Permit Counter Phone: (949) 644-3288
a Inspection Requests Phone (949) 644-3255
°g4FoaN`r': newportbeachca.gov/inspections
II II I II I II I II I II II I I IIII II Solar Permit : PV2022-0246
Plan Check No: PC2022-2036
Work Class : Alteration
Issued Date : 08/23/2022
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 : 2304 CLIFF DR Legal Desc : N TR 919 BLK 4 LOT 5
Description: SFR SOLAR PV SYSTEM 4.565 KW DC (11) MODULES
Owner: JASON GONTERMAN
Contractor: URBAN ENERGY
Address : 2304 CLIFF DR NEWPORT BEACH, CA 92663
Address : 10192 CONSTITUTION DR
HUNTINGTON BEACH, CA 92646
Phone :
Phone : (562) 447-4971
Con State Lic : 944115
Applicant: JOJO COLLINS
Lic Expire : 12131/2023
Address : 10192 CONSTITUTION DR HUNTINGTON
Bus Lic : BT30064588
BEACH, CA 92646
Phone: (310) 795-6453
Bus Lic Expire : 09/30/2022
Workers' Compensation Insurance
Carrier: STATE+COMPENSATION+INSURANCE+FUN
Policy No 9021421
W. C. Expire : 6/1/2023
Code Edition : 2019
Fire Sprinklers : NO
Type of Construction : V-B
Fire Hazard Zone : Y
Occupancy Groups : R-3,U
No of Units : 1
Bldg Height: I
No of Stories: 1
Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 5
Flood Zone : X
Use Zone: R-1 - Single -Unit Residential
Processed By:
Zoning Approval:
Grading Approval:
Architect
Address
Phone:
State Lic
Engineer:
Address
Phone :
Designer: URBAN ENERGY
Address: 10192 CONSTITUTION DR HUNTINGTON
BEACH, CA 92646
Phone: (562)447-4971
Construction Valuation : $10,000.00
Type of Solar: SFP
Kilowatt: 4
Public Works Approval:
Plan Check By:
Approval To Issue: ��
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that I are 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 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 g (commencing with Section 7000) of Division 3 of the Business and
Professions Code) 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
not more than five hundred dollars ($500),
LJ I, as owner of the property, or my employees with wages as their sole compensation, will do {_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business 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
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
Irm-iproved for the purpose of sale).
l.J I, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044. Business and. Professions Code: The Contractors' State 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).
❑ I am exempt front licensors under the Contractors' State License Law for the following reason: _
By 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.ca.nnot legally
sell a structurn (hat I have built as an owner -builder if It has hot been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Professlons Cody, I:• available upon request when this application is submitted or at the following Web site:http://w,Aq,ieginfo,ca.gov/calew. html.
S ;•r1�^tie of Pmpe':7 Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
herrhy affinn under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 7 0) f Of ision 3 of the Business and r essi s COde, and y license is in full force
anc _ffect. License Class License No Date Contractor Signal
NOKKERS' COMIDENSATION DECLARATION
N0.F J,mG: FAtLURe TO RECURS WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUaJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND net I.ARRS 15100,000), IN ADOnION TO THE
'DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, ANC ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
.:i„ve and will maintain a certificate of consent to self -insure for workerscompensation.. issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for IN
�e�`Cm-ance o' the wc.k for which this permit is issued. Policy No.
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'
carrier aid policy number are:
Policy Number
of Agent
Date
JI 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 works ' co Pensation laws of Galifiomia, and ogre
rat, If I should become bject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. j
Ilgnalure of AppliDa [ _
Doi S�a,3/ 2�
IECLARATION REG RDI -_ ONSTRU�NDING AGENCY
hereby affirm under penalty of pee) ry that. there is a construction lending agency for the performance of the work for which this permit is issued (Section 30 , Civi Cade).
enders Name Lender's Address
'y my signature below, I certify to each of fhe following:
I am the property owner or authorized to act an 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 To ty dinances and state laws relating to building construction.
I authorize representatives of this city or count to ter e `abcnv��r-I�dentified property for inspection purposes.
ignatura of Property Owner or Authorized Agent 9 G�/�l9- 9 Print Property Owner's or Authorized Auen€s Name w tYrS � rdark zt/2�/T]
ACTION
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FOR OFFICE USE ONLY
All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
be In place prior to approval to fill pool/spa & shall remain in place & be maintained for the
life of the pool.