HomeMy WebLinkAboutPV2023-0279 - Permits�EWPORr
City of Newport Beach
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sour Permit PV2023-0279
Community Development Department- Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
Plan Check No : PC2023-1082
Permit Counter Phone: (949) 718-1888
Work Class: Online
newportbeachca.gov/civic
Issued Date: 06/01/2023
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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: 20481 SAVANNA LN Legal Desc : N TR 16277 BLK LOT 2
Description: SFR SOLAR PV SYSTEM. 5.6 KW. 14 MODULES.
Owner: CLARE ARRIOLA
Address :
20481 SAVANNA LN
NEWPORT BEACH, CA 92660
Phone:
(562)394-7126
Applicant :
JAMES MCKNIGHT
Address :
747 S Mission Rd #1215
Fallbrook, CA 92028
Phone:
(760)468-8333
Owner/Builder :
Address :
Phone:
Code Edition : 2022
Type of Construction : V-B
Occupancy Groups : , U,R-3
Bldg Height:
Building Setbacks :
Flood Zone: X
Use Zone: RMD - Medium Density Residential
Processed By: J
SPECIAL CONDITIONS:
Contractor:
SUNBROOK SOLAR POWER
ELECTRICAL SYSTEMS INC
Address :
747 S MISSION RD, 1215
FALLBROOK, CA 92088
Phone:
(760)207-2094
Con State Lie
: 1057369
Lie Expire:
05131/2024
Bus Lie :
BT30081738
& Architect:
Bus Lie Expire : 05/31/2024
Workers' Compensation Insurance
Carrier: STATE COMPENSATION INSURANCE FUND
Policy No: 9306081
W. C. Expire : 9/25/2023
Address :
Phone:
State Lie
Engineer: LOTHROP SHAWN DUANE
Address: 29970 TECHNOLOGY DR, STE 212
MURRIETA, CA 92563
Phone : (951) 600-0032 x204
Designer:
Address
Phone:
Fire Sprinklers : NO Construction Valuation : $20,316
Fire Hazard Zone : NO
No of Units : Type of Solar:
No of Stories : 2 Kilowatt: 5 '
OWNER -BUILDER DECLARATION
I hereby affirm under penalty 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
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 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).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do all 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 improved 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 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' 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 cannot legally sell a structure that I have built as an owner -builder if It has not been constructed In its entirety by licensed contractors. I understand that a copy of the applicable law,
Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:https:/Aeginfo.legislature.ca.gov.
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license
is in full force and effect. License Class: C-10 License Number: 1057369
WORKERS' COMPENSATION DECLARATION
WARNING: 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
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:
❑ 1 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 the performance of the work for which this permit is issued. Policy Number:
H 1 have 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 insurance carder and policy number are:
Carrier: State Compensation Insurance Fund Policy Number: 9306081.21 Expiration Date: 09/26/2023 Name of Agent: Phone #:
❑ 1 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 agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
CONSTRUCTION LENDING AGENCY DECLARATION
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Lender's Name: Lender's Address:
By my signature I certify to each of the following:
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS
I a-n the propert, owner or authorized to act on the property owner's behalf.
PART 61 OF TITLE 40 AND AOMD RULE 1403
1 have read an the declarations, checked applicable ones, and the information I haveprovided are correct.
I SUBMITTED ASBESTOS NOTIFICATION TO:
I have read this application and the information I have provided is Correct.
❑ EPA
i agree to comply with all applicable city and coun I an s and state laws relating to building construction.
❑ AQMD
JA T MCKNfGH I-; y�
ide , 31 2023 G
® Asbestos notification is not applicable to proposed demolition.
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