HomeMy WebLinkAboutPV2023-0298 - PermitsCity of Newport Beach ������������III
Community Development Department- Building Division
r 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
c r oaN�r newportbeachca.gov/civic
Solar Permit : PV2023-0298
Plan Check No : PC2023-1205
Work Class : Alteration
Issued Date : 05/22/2023
Inspection Area : 6,
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: 26 ST LAURENT
Legal Desc : N TR 14895 BLK LOT 28
,
Description: SFR SOLAR PV SYSTEM 2.8KW (8) MODULES
(1) COMBINER BOX
"•' ,
Owner: MC COLLOCH RICHARD L TR
Contractor: URBAN ENERGY SOLAR INC.
Architect
Address : 26 SAINT LAURENT
Address : 10192 CONSTITUTION DR
Address
NEWPORT COAST, CA 92657
HUNTINGTON BEACH, CA 92646
Phone :
Phone : (310) 795-6453
Phone
Con State Lie : 944115
State Lie:
Lie Expire : 12/31/2023
Applicant : JOJO COLLINS
Bus Lie : BT30064588
Engineer
Address : 20104 STATE RD
Address
CERRITOS, CA 90703
Bus Lie Expire : 09/30/2023
;
Phone: (310) 795-6453
Workers' Compensation Insurance
Phone:
Carrier: STATE FUND
Owner/Builder :
Policy No : 9021421
Designer
Address :
W. C. Expire : 6/1/2023
Address
Phone:
Code Edition :
2022
Fire Sprinklers : NO
Type of Construction :
V-B
Fire Hazard Zone : YES
Occupancy Groups :
R-3,U
No of Units : 1
Bldg Height:
No of Stories
Building Setbacks :
Front: 10, Side: 5, Rear: 10
Flood Zone :
X
Use Zone :
PC-C/Neq/rt Ridge
Processed By:
SPECIAL CONDITIONS:
Phone:
Construction Valuation :
Type of Solar: SFP
Kilowatt: 2
ELECTRICAL METALLIC TUBING
(EMT) IS NOT ALLOWED FOR
EXTERIOR APPLICATIONS
$8,000.00
OWNER -BUILDER DECLARATION
I hereby affirm under penalty or 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 of the Business and
Professions Code) or that he or she is exempt from Ilcensure and the basis for the alleged exemption. Anyvielation 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).,
❑ 1, as owner of the property,. or my employees with wages as their sole compensation, will do (_) all of or C_) 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 safe. 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 ContractorsState 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 rosided for at least one year prior to completion of the improvements covered by this permit, I cannot legall)
soll a structure that I have built asan owner-buildor if it has not been constructed in itsentirety by Ilcensod 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:httpJfwww.legfnfo.ca.govlcalaw.html.
Signature Of PropeGp Omer or Authorized Agent Date
LICEA3E13 COC:'RACTOR'S DECLARATION
I hereby affirm Uneer penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with section 7. 00) of D' 6sio 3 of the Business and PrgqffessionstCoSie, d my I nse is in full force
an,' effect. License piass License No Date 5 a -a Contractor Signaf�re� �}(_ ,,rda Ll-
WORKERS' COMPENSATION DECLARATION
NA'.NP'G: F•.11 T0.S-CURS WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL l UP To ONE HUNDRED THOUSAND DOLLARS IS100.0001, IN ADDITION TO THE
CO-T OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES.
I hwaoj affirm under pancity, of perjury one of the following dec[aratlons:
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
,:a of the work for which this perrnit is issued. Policy No..
and will mrir In 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' compensa
aarrier end policy number are: [�
5 {eA B `'Oyy�p 17" Policy Number 1 In Expiration Date i c. ' 3 j - ";t,
of Agent
JI certify that, in the performance of the work for which this permit is issued, I shall not employ any person to any manner so as to become subject to the workers' compensation laws of California, and agre
tat, if I should become subjeIS—TREUCTION
e wD/rkers compensation provisions of Section 3700 of the Labor Code,. I shall forthwith comply with those provisions.
signature of Applicant U�(.t.�Ri (� Date-® 5 -;t
IE CLARATION RE GA DING LENDING AGENCY
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).
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 owner's behalf.
I have read this application and the information I have provided is correct.
agree to comply withall applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county to enter tt�h�e a ove,identified property for inspection purposes
ionature of Prooerty Owner or Authorized AnanE �� tl ���,.Iro i:Y l p, I/ inn ( T ,._d S/? 9/11
ACTION DATE BY !( DECO&ATION
OF COMPLIANCE
LIANT E WITH
CODE OF E FEDERAL FOR OFFICE USE ONLY
RE
1403
PERMIT EMENDED 9 fJA4M0__
PERMIT FINAL `� j ❑ASBESTOS NOT IFICATION 15 NOT APPLICABLE T'O
CERTIFICATE OF — pgpoOSFD DEMOLITION
OCCUPANCY ISSUED SIGNATURE: