HomeMy WebLinkAboutPV2022-0387 - Permits��EWP04,T City of Newport Beach
m Community Development Department- Building Division
FS7. 100 Civic Center Drive, Newport Beach, CA 94660
U y�r S Permit Counter Phone: (949) 644-3288
cq'" Nor Inspection Requests Phone: (949) 644-3255
pR
newportbeachca.gov/inspections
PERMITS EXPIRE 180
Construction Hours: Monday - Friday 7:OO.9gr
Job Address : 3 SUNDANCE DR
Description : MFR SOLAR PHO
Owner: BANSED IQUE kT,R
Address : 3 SUNDA E DF�`�j,°-ff,,;
NFWPORT EAC CA 92
Phone: (949)
Applicant: FRITCHIEESTR LLAIG
Address: 1414 HARBOUR Y S
RICHMOND, CA 9 04
Phone: (510)260-8384
Code Edition :
Type of Construction
Occupancy Groups:
Bldg Height :
Building Setbacks
Flood Zone
Use Zone :
Desc
Solar
Plan No : PG2tq
Class : Alteration
Issued Date : 0110612023
dinspection Area : 2 U�
022-0387
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ESSUANCE%RLASS�PECTION.
owo0p.m.and aturday8Og2azt666:00p.mNSundays or H i,
p 1PG�.
iRR 7989 LOT 1 UNIT 1, P-1, G-1, CP- 1 OF
OWER CO N SYSTEMS Architect:
1414 HAR A #1 1 Address
00 11111 Phone: 4 8 rn
Co 8 ((���� e
x 2 /2023 �SV E �,�'a�XIE
is T30051733 y.
ddress : 80
s Lic Expire : 07/31/2023
Workers' Compens d Insurance \ Phone
Carrier : HAI`T1IRE INSURANCE COMPANY
ECT
Polic o Q0015 De -g9' S ER CORPORATION SYSTEMS
pi 4/1/2023 ress • 414 HARBOR WAYS #1901
�(�. RICHMOND CA 94804, CA 94804
fV� t� S�at�edl hone: (941) 720-3850
a/\"Fire Sprinklers : NO Construction Valuation : $22,200.03
V-B Fire Haz one: NO
U No nits : Type of Solar: MFP
N��e • o of Sto Kilowatt : 3
X
PC - Newport Terrace -
Processed By:
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) indicated below by the check have cod next to the applicable Remits)
action 7031.5, Business and Profession% Code, Any city or county that requires a permit to construct, alter, improve, demolish, or repair an , are, prior to its I uance, also requires the applicant for
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Gontractors' Stato License Law he ommencing with Section 000) of Division 3 of the Business and
dossions Code) or that he or she is exempt from Reansure and the basis for the alleged exemption. Any violation of Section . y any applicant for a permit su Dts the applicant to a civil penalty of
of more then rive hundred dollars ($500),
I, as owner of the property, or my employees with wages as their axle compensation, will do L) all of or ❑s of the work Elie structure Dpp't�l � or fared for sale (section 7044,
usiness and Professions Code; The Gontractors' Stato License Law does not apply to an owner of pro o, through r perso dulids or improv, the property, provided that the
nprovements are not intended or offered for sale. If, however, the building or improvement is sold. wrl In one year of`�arQ ja n, the Ow B%I�will have the burden proving that it was not built or
nproved for the purpose of sate). „r Or O( V
11, as owner of the property, am exclusively contracting with licensed Contrac_ construct the projec Section 7and Professions Cc . e Contractor State License Law does not
ply to an owner of property who builds or improves thereon, and who c for the projects wi Ceased Contra dtelL pu uant to the Contr State License. Law)..
I am exempt from licensors under the Contractors' State Li aw For the fo11 win an:
y nay signature below i acknowledge that, except for in ial residence In whi ust have r 111111I iffiliast one r 0M completion of the improvements covers y this permit, I cannot lerp
ell a structure that I have built as an owner -builder' ant nstru In its entire "c itl
ors urn rand that a copy of the applicable law, Section 7 of the Business and
rofessions Code, is available upon request 's p at n s I ador at t foil ng a XAPPIllwalginki.c 3,govfcaiav,Atml,
ignaturo of PC it Owner nr Auin gent L.990 Date
ICENSED CONTRALTO CLARATION
hereby affirm under penalty o arjury alf�i 4i s unde vial h m rig with 3ecn n ision 3 of the Business and P ns lions Co license is in full force
nd effect. License Class OPr No a Contractor Signature
ORNING: FAILURE TO SECURE WORME 'COM ION RAGEMOLA Uel
:DST OF COMPEN%AT{ON, DAMAGE% AS OYIOE DR I. E N 3Ta9 �[[qq
Thereby affirm under penalty of perj. one f th o g declarations;
.1 1 have and will maintain a CAME to of salt-tns
Ma,�y�rmance of the work for which this rmit is uad. icy N
f.11 pave and will maintain workers' c eens% sur , as air
Jame of'Agent ' -
"It certify that, in the pesob
pt the wor for which this ermit is Issue
Tat, if I should become a or mperisaklo
bgnature of Applicant_,
IECLARATION REGAR LIC N £ND Cy
hereby affirm under penalty of perjury that there i a c Ion lench gi
anders Name
ly my signatur3 bit>w, I certify to each of the follow g:
1 .am the property owner or authorized to act ant properly owners ne ww
I nave reed this a;apllcaLon and the information t h e �Q��QQ fa re4reci.
I ngrea to comply with all applicable city and county rd{I'lr!Irces and state
I authorize representatives of this city X r f e above-i I i
SHALL
by the
3700 of the Labor Code,
person in any manner to
r Code, I shalt forlhwiIjim
for the performyR06of the work
ytCSuilding Construction.
for inspection purposes.
CIVIL FRIES UP TO 00
. _ f'*a,C
for which this
ADDITION TO THE
)Or Code, for
laws of California, and
;, Date— vI r &G_..__._._m__...,..
is issued (Section 3097, Civil Code).
' A0ION DATE E
BY ft F COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
1
REGU ION PART 510E TITLE 40 AND AQMD RULE
1403
I ''Pd'IT EXPIREDU
I SUBMITTED ASBESTOS NOTI IT CATION TO
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