HomeMy WebLinkAboutPV2022-0247 - Permits�atiW °Rr City of Newport Beach
@ Community Development Department- Building Division
F 100 Civic Center Drive, Newport Beach, CA 92660
S Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
°gciFoaN`P newportbeachca.gov/inspections
II II I II I I I II I II II I I II I II Sour Permit : PV2022-0247
Plan Work Class k Alteration022-2037
Issued Date : 08/17/2022
Inspection Area : 2
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: 221 SAPPHIRE AVE Legal Desc : A TR BALBOA.ISLAND SEC 3 BLK 9 LOT 27
Description: MFR SOLAR PHOTOVOLTAIC SYSTEM 8 PANELS 3.4 kw
Owner: SAILHOUSE HOMES INC
Contractor: URBAN ENERGY
Address : 170 NEWPORT CENTER DR #260 NEWPORT
Address: 10192 CONSTITUTION DR
BEACH, CA 92660
HUNTINGTON BEACH, CA 92646
Phone:
Phone: (562)447-4971
Con State Lie : 944115
Applicant : URBAN ENERGY
Lie Expire : 12/31/2023
Address : 10192 CONSTITUTION DR HUNTINGTON
Bus Lie: BT30064588
BEACH, CA 92646
Phone: (562) 447-4971
Bus Lie Expire : 09/30/2022
Workers' Compensation Insurance
Carrier: STATE+COMPENSATION+INSURANCE+FUN
Policy No 9021421
W. C. Expire : 6/1/2023
Code Edition : 2019
Fire Sprinklers : NO
Type of Construction :
Fire Hazard Zone : Y
Occupancy Groups : R-3
No of Units : 1
Bldg Height :
No of Stories : 2
Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 5
Flood Zone : X
Use Zone : R-BI - Two -Unit Residential, Balboa Island
Processed By: Public Works Approval:
Zoning Approval:
Plan Check By:
Grading Approval: Approval To Issue:
Architect
Address
Phone:
State Lie
Engineer :
Address
Phone:
Designer: URBAN ENERGY
Address: 10192 CONSTITUTION DR, HUNTINGT. Q%
BEACH, CA 92646
Phone: (562)447-4971
Construction Valuation : $20,400.80 ....
Type of Solar: MFP
Kilowatt: 3
INSPECTOR
OWNER -BUILDER DECLARATION'
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable Iterl
section 7031.5, Business and Professions Code: Any city or county that requires a permit to Construct, after, improve, demolish, or repair any structure, prior to Its issuance, also requires the applicant for
to permit to file a signed statement that he or she is licensed pursuant to the provisions of the ContractorsState License Law (Chapter 9 (commencing with Section 7000) Of Division 3 of the 13usloess and
'rofessions Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a ch41 penalty of
at more than five hundred dollars {$SOO),
3 1, as owner of the property or my employees with wages as their sole compensation, will do (_) all Of 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 properly who, through employees' or personal effort, builds or Improves the property: provided that the
Nprovements 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
nproved for the purpose of sale).
1 I, as owner of the property, am exclusively contracting with licensed Contractors to Construct the project (Section 7044, Business andProfessionsCode: The Contractors' State License Law does not
poly to an owner of property who builds or Improves thereon, and wine contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
d am exempt from licensors under the Contractors' State License Law for the following reason
ly my signature below I acknowledge that, except for Icy 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
ell a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
'rofessions Code, in available upon request when this application is submitted or at the follwving Web site;http:lfw w.leginfo.ca.gov/calew.html.
lignature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section O00) of ivis" n J of the Business and P ofe sions o¢ey�n�f my license is in full force
:nd effect. License Class License No Date F 7 a Contactor S gnats ( Gy
VORKERS' COMPENSATION DECLARATION U
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE M UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FRIES UP TO. ONE HUNDRED THOUSAND DOLLARS ($10s000), IN ADDnwN TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST. AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I I s 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 thl
arf fiance ..f tt a work for which this permit is issued. Policy No.
nave and wi'I 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`
rance carrier and noilcy number are:
Policy Number
Date
alnH of AgoM NnORO r)
JI certify Thai, :n 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 agre
lot, d I should bccorae subject to the workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions_ 6
lynatvre of Anpiic^nt �.__,.._ .__..__,__-__,,,,-,,,,,Dat__
ECLARATION f.EGA 1NG ONSTRUCTION LENDING AGENCY
heratr' affirm udder {;analty of perjury that there is a construction lending agency for the performance cf the work for which this permit Is issued (Section 3097
owoer's Name Lender's Address .�
y nay s€gnature be_low, 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. I agree to comply with all applicable city and county Ordinances and state laws relating to building construction. -J!oS
1 authorize representatives of this city or nounhl toe r�^tthep'.yyyBove-identified property for inspection purposes. ``II� �/�f /�
ianature of Pronarty Owner or Authorize( Aos13i \/. '%, , t' Print Property Owner's or Authorized Agent's Name , Q a�
ACTION
PERMIT EXTENDED
pERW FINAI,
CrArIFICArEOE
OCCUPANCY ISSUED
DYCLARATION OF COMPLIANCE, WITH CODE OF FEDERAL
REGULATIONS PART 51. OF TITi F 40 AND AQMD RUtE
ASBESTOS NOTIFICATION TO
LJ'ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
PROPOSED DEMOLITION
FOR OFFICE USE ONLY
Civil Cade).
C,) I1ns =
All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the
life of the pool.