HomeMy WebLinkAboutPV2022-0375 - Permits04'.
City of Newport Beach
Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
IIII IIIIIII II I IIIIII IIII II Solar Permit : PV2022-0375
Plan Check No: PC2022-2765
Work Class : Alteration
Issued Date : 11/14/2022
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 : 900 CHESTNUT PL
Legal Desc : N TR 4892 BLK LOT 22
Description : SFR SOLAR PHOTOVOLTAIC SYSTEM 13 PANELS 5.4 kw
Owner: JOHNNY SUN
Contractor: URBAN ENERGY SOLAR INC.
Architect
Address : P.O. BOX 3146
Address : 10192 CONSTITUTION DR
Address:
REDMOND, WA 98073
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 :
TRUONG PHONG
Address : 20104 STATE RD
Address :
3000 E BIRCH ST
CERRITOS, CA 90703
Bus Lie Expire : 09/30/2023
BREA, CA 92821
Phone: (310) 795-6453
Workers' Compensation Insurance
Phone:
(949) 254-2751
Carrier: STATE FUND
Policy No: 9021421
Designer
W. C. Expire : 6/1/2023
Address
Phone:
Code Edition :
Fire Sprinklers : NO
Construction
Valuation : $10,000.00
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 :
Kilowatt: 5
Building Setbacks : Front: 15, Side: 6, Side: 6, Rear: 6
Flood Zone : X
Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
Processed By:
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of per)••••.ury that I am exempt from the ContractorsState License Law for the reasons) indicated: below by the checkmark(s) I have placed next to the applicable ttem(s)
ction 7031.5.. Business and Professions Code: Any city or countythat requires a permit to construct, alter, improve, demolish, or repair any structure, prior toils issuance, also requires the applicant for
permit to No a signed statement that he or she is licensed pursuant. to the provisions of the Contractors' State License Law ttff��hapter 9 (commencing with Section 7000) of Division 3 of the Business and
fessions Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Any violation of See! 7(131.5 by any applicant for a.. permit subjects the applicant to a civil penalty of
morethanfive hundred dollars 1$500). II
1 1, as owner of the property, or my employees with wages as their sole compensation, will do t_) all of or i portions of the v
ustness and Professions Coder The Contractors' State License Law does not apply to on owner of property who, through emp
nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of eompletic
nproved for the purpose of sale).
11, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Bus
poly to an owner of property who builds or improves thereon, and who contracts for the projects with a. licensed Contractor put
I I am exempt from licensors under the Contractors' State License Law for the following reason _..... ..
y my signature below 1.. acknowledge that, except for my personal residence In which I must have resided for at least one year
all a structure that I have built as an owner -builder If it has not been constructed in its ari by licensed contractors. I undea
4ofessions Code, is available upon request when this application is submitted or at the following Web site:hUp:/(wwv+.leginfo.cl
signature of Property Owner or Autharized Agent
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio O) of Dk
ad effect. License Class License No Date A // /
COMPENSATION DECLARATION
INO FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CI
OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I and will maintain a certificate of consent to seitdnsure for workers' compensation, issued by the Director of
ice of the work 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 pe
terrier and policy number are:
Policy Number
is of Agent
certify that, in the pok9rimance of the Work for which this permit is issued., I shall not employ any person in any manner so
if I should become s bject to the Workerg�40mpensatign provisions of Section 3700 of the Labor Code, I shall fonhwilh c
of Applicant
a re by affirm under penalty of perjury that ther6
Idlers Name
my signature below, I certify to each of the fol
I ant the property owner or authorized to act,
I have read this application and the informali
I agree to comply with ail applicable city and
I authorize representatives of this city or cou
of Property Owner or Authorized Aga
DATE I BY
PERMITER7ENOE0
PERMIT FINAL 7 ✓l3
CERTIFICATE OF
OCCUPANCYISSUEO
a construction lending agency for the performance of the work for which
Lender's Address
is property owner's behalf,
have provided is correct.
ty ordinances and state s relating to building construction.
5 enter ttio -id led property for inspection purposes.
Print Proaartv Owner's or Aut
II DECLARAT OF COMPLIANCE WITH CODE of FEDERAL FOR OFFICE
REGU NS PART 61 OF TITLE 40 AND AQMD RULE
( 1403
STOS NOTIFICf,TION TO
UASSES fO$NOTIFICATION15NOT APPLICABLE TO
PROPOSED DEMOLITION
SIGNATI'RE�
k, and the structure is notintended or offered for sale (Section 7044,
ees:' or personal effort, builds or improves the properly, provided that the
the Owner -Builder will have the burden of proving that it was not built or
and Professions Code: The Contractors' State License Law does not
to the Contractors' State License Law),
to completion of the improvements covered by this permit, I cannot
that a copy of the applicable law, Section 7044 of the Business and
the Business and
Cl FINES UP TO ONE HUNDRED THOUSAND
my lie is�in full force
I1900.000), IN ADDITION TO THE
Relations as provided for by Section 3700 of the Labor Code, for
of the work for which this permit is Issued. My workers'
Date
Phone N
to become subject to the works compensation laws of California, and agree
ply with those provisions.
Da -� ll•�y- z
Termit is issued (Section 3097 Civil Code)
ONLY