HomeMy WebLinkAboutPV2023-0158 - PermitsCity of Newport Beach �����������NII Solar Permit : PVZO23-0158
0 Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0598
Permit Counter Phone: (949) 644-3288 Work Class : Alteration
cq allor Inspection Requests Phone: (949) 644-3255 Al f� 7 ""7 e` -7 s9, � Issued Date : 0312912023
00.
newportbeachca.gov/inspections X ,� °,.,J f gm:v f �£, ` 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: 1 RIEZ Legal Dose : N TR 16037 ELK LOT 12
Description : SFR SOLAR PV SYSTEM 37 MODULES 14.8 KW
Owner: GULAYA SUNIL K S TR
Address: 1 RIEZ#A
NEWPORT COAST, CA 92657
Phone
Applicant: MARYVALENCIA
Address : 10769 WOODSIDE AVE
SANTEE, CA 92071
Phone: (808)286-4939
Owner/Builder :
Address :
Phone
Contractor:
BLALOCK ELECTRIC SOLAR
Address :
23905 CLINTON KEITH RD #114-216
WILDOMAR, CA 92595
Phone:
(951)762-4638
Con State Lic
: 915397
Lic Expire :
04/30/2025
Bus Lic:
BT30072946
Bus Lic Expire : 09/30/2023
Workers' Compensation Insurance
Carrier: STATE COMPENSATION INSURANCE FUND
Policy No : 9075584
W. C. Expire: 10/1212023
Architect
Address
Phone :
State Lid:
Engineer: HAJIHASHEMIALI
Address: 111 RODEO
IRVINE, CA 92602
Phone:
Designer: BLALOCK ELECTRIC SOLAR
Address : 23905 CLINTON KEITH Rd 014-216
WILDOMAR, CA 92595 ,
Phone: (951)762-4638
Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $42,920 dG
Type of Construction : V-B Fire Hazard Zone : NO
Occupancy Groups : R-3,U No of Units : 1 Type of Solar: SFP ,
Bldg Height : No of Stories : 2 Kilowatt: 14 ,
Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 10 '
Flood Zone: X
Use Zone : PC - Newport Ridge
Processed By: I�
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicates
Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, Improve, demolis
is permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale License Law
'rofessions Code) or that he or she is exempt from licensare and the basis for the alleged exemption. Any violation of Section
of more than five hundred dollars ($500).
11, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the v
lusiaess and Professions Code: The Contractors State License Law does not apply to an owner of property who, through emp
nprovements are not Intended or offered for safe. If,however, the building or improvement is sold within one year or completic
nproved for the purpose of sale),
3 I, 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 pur
3 1 am exempt from licensure under the Contractors' State License Law for the following reason:
ly my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year
ell a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed contractors. I under,,
'rofessions Code, Is available upon request When this application is submitted or at the following Web site:ht1l JJwww.leginio.a
'Ignature of Property Owner or Authorized Agent _
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70Q41 d_Pit
nd effect. License Class License No Date MA
PORKERS' COMPENSATION DECLARATION
'ARNINM FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUEJECT AN EMPLOYER TO CRIMINAL PENALTIES
DST OF COMPENSATION. OAMAOES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, Me ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
J I have and will maintain a certificate of consent to self -insure for workers compensation, issued by the Director of Ins
ea ormance of the work for which this permit is issued, Policy' No.
af' have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the perfol
isurance carrier and policy number are:
zanier Policy Number
lame of Agent
)w by the checkmark(s) I have placed next to the applicable ism(s)
repair any Structure, prior to its issuance, also requires the applicant for
plan 9 (Commencing with Section 7000) of Division 3 of the Business and
5 by any applicant for a permit subjects the applicant to a civil penalty of
k, and the structure is not intended or offered for sale (Section 7044,
ees' or personal effort, builds or improves the property, 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),
that a copy of the applicable law, Section
Date
and
of the Business and Professions � , and my license is in full force
Contractor Signature
CIVIL FINES OF TO ONE HUNDRED THOUSAND DOLLARS (5100.,000), IN ADDITION TO THE
Relationsas provided for by Section 3700 of the Labor Code, for
of the work for which this permit is issued. My workers'
Date
dl certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so a4 to become subject to the workers' compensation laws of California, and
el, it I should, become subject to the k. s' compensation provisions of Section 3700 of the Labor Code, I shall forthwith co ply with those provisions.
C—
I,•nl re of Arphuant._— -,_, Date
heir by affirm under penalty of perjury that there is a construction lending agency forthe performance of the work for which this permit is issued (Section 3097, Civil Code).
.enders Name Lender's Address
ly my signature belcA, I certify to each of the following:
I am the prc party owner or authorized to act on the property owner's behalf.
I have read 9-is application and the Information I have provided is correct.
I €gree to comnP with all applicable city and county ordina ces and state laws relating to building construction.
I authorize reoresentatives of this city or county to enterr*gbove-identified property for inspection purposes.
or AL
DATE
PfRMLr EXPIRED
PERMITCANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
REGULATIONS PART 61 OF TITLE 40 AND AQMD ROLF.
111105 NOTIFICATI N 15 NOT APPLICABLE TO
PROPOSED DEV,II O //
SIGNATURE: /�—
FOR OFFICE