HomeMy WebLinkAboutPV2022-0437 - Permits��E,WPORr City of Newport Beach
Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
cq[/FORN�P Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/lnspections
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII����� Sour Permit : PV2022-0437
Plan Check No: PC2022-3137
Work Class : Alteration
Issued Date : 02/01/2023
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 : 1821 TAHUNA TER Legal Desc : N TR 2813 BILK LOT 107
Description: SFR - SOLAR PV SYSTEM 3.60 KW (9) MODULES *2120-2021*
Owner: WILLIAM RIGHEIMER
Address : 1821 TAHUNA TER
CORONA DEL MAR, CA 92625
Phone :
Applicant: JANE WINSTON
Address : 5 HOLLAND, 215
IRVINE, CA 92618
Phone: (714)493-8473
Owner/Builder
Address :
Phone
Contractor:
SUNTREK INDUSTRIES INC
Address :
5 HOLLAND DRIVE #215
IRVINE, CA 92618
Phone :
(949) 348-9276
Con State Lie
: 859460
Lie Expire:
05/31/2023
Bus Lie:
BT30077361
Bus Lie Expire : 12/31/2023
Workers' Compensation Insurance
Carrier: MIDWEST EMPLOYERS CASUALTY COMPAN
Policy No: BNUWC0157683
W. C. Expire : 9/1/2023
Code Edition :
2019
Fire Sprinklers :
NO
Type of Construction :
V-B
Fire Hazard Zone
: NO
Occupancy Groups :
R-3,U
No of Units :
1
Bldg Height:
No of Stories :
1
Building Setbacks :
Front: 10, Side: 4, Side: 4, Rear: 10
Flood Zone :
X
Use Zone :
R-1 - Single -Unit Residential
Processed By:
! q ��
p `'� r
SPECIAL CONDITIONS:
Architect
Address
Phone:
State Lie
Engineer:
Address
Phone:
Designer: SUNTREK INDUSTRIES INC
Address: 5 HOLLAND DRIVE #215
IRVINE, CA 92618
Phone: (949)348-9276
Construction Valuation : $17,500.00
Type of Solar: SFP
Kilowatt : 3
I hereby affirm under penally of 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
to permit to file a signed statement that he or sheds licensed pursuant to the provisionsof the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Tofessions Code) or that he or she is exempt from llcensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a. permit subjects the applicant to a civil penalty of
o€ more than five hundred dollars (S500)..
1 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,
:ustness 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
nprovemenl5 are not intended or offered for sale. If, however, the building or improvement is said 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).
3 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
pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Slate License taw).
I I am exempt from licensure under the Contractors' State License Law for the following reason
.y my signature below I acknowledge that, except for my 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
Gil a structure that I have built asan owner-buildor if it has not been constructed in itsentirety by licensed contractors, I understand that a copy of the applicable law, Section 7044 of the Business and
'Tofessions Code, isavailable upon request when this application Is submitted or at the following Web site:http:/Awww.leginfo.ca.gov/calaw.html.
signature of Property Owner or Authorized Agent ___ Date
.10ENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sedtia D Sip 3 of the Business and PeREND
a my liben ads in full for
nd effect. License Class License No Cat Contractor Signalu
PORKERS' COMPENSATION DECLARATION
'ARMING: FAILURE TO SECURE WORMERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDOLLARS (Sl DD,000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR 1N SECTION a705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES,
hereby afflrm under penalty of perjury one of the following declarations:
I have 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 ihl
S!Iormance of the work for which this permit is issued. Policy No.
have and will 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' compensation
Isur carrier and policy number are:
arrer Policy Number Expiration Date
area of Agent Phone #
71 certify that, in the LIerfo :Dceof the work for whiclrgN permit' issued, I shall not employ any person in any manner so as to become subject to the workers' o pansation laws of California, and ogre
tat if I should become su ct to't a rker '� compensation pray' ions of Se Lion 3700 of the Labor Code, I shall forthwith comply with those provisions.
Ignature of Applicant _ Da t 6
ECLARATIGN REGA BI G C R `TION LENOING AGENCY
hereby affirm under penalty at there is a construction lending agency for the performance of the Work for which this permit is issued (Section 3097, Civil Cade).
Order's Name Lender's Address
y my signature below, I certify to each of the fallowing:
I am the property owner or authorized to act on the property owners behalf.
I have read this application and the Information I have provided is correct. �
I agree to comply with all applicable city and coup i antes a state larva rel Ing to building construction.
I authorize representatives of this city or county t r f abo ntified pro rty for inspection purposes. 7�{-�j .`��N.S( LyV(
i g nature of Prop" Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name to
10TICN DATE BY DEC1A N OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGU IONS PART 61 OF TITLE 40 AND AOMD RULE
PERMIT EXPIRED
LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
EPA
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PERMIT EXTENDED
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A586TOS NO'I IFICAr10N 15 NOT APPLICABLE TO
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OCCUPANCYr55UFO
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/ ? SIGNATURE: