HomeMy WebLinkAboutPV2023-0380 - Permits"tW 0R�, City of Newport Beach
0 6 Community Development Department - Building Division
n 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
oq- nN�P newportbeachca.gov/civic
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Plan Check No : PC2023-1635
Work Class : Counter
Issued Date : 07/18/2023
Final Date:
Permit Status: Issued
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 : 3410 CATAMARAN DR Legal Desc : N TR 6152 BLK LOT 8
Description : SFR SOLAR PV SYSTEM. 8 KW. 20 PANELS
Owner: SAM WINKLER
Address : 3410 CATAMARAN DR
NEWPORT BEACH, CA 92625
Phone : (949) 870-7884
Applicant: KRIS REASER
Address: 2801 W COAST HWY, 200
NEWPORT BEACH, CA 92633
Phone: (949)302-9868
Owner/Builder
Address :
Phone
Contractor:
NATIONAL ENERGY INSTALLERS LLC
Address :
2801 COAST HWY W
NEWPORT BEACH, CA 92663
Phone :
(949) 386-4428
Con State Lic
: 1038437
Lic Expire :
12/31/2023
Bus Lic :
BT30069480
Bus Lic Expire : 10/31/2023
Workers' Compensation Insurance
Carrier: SIRIUSPOINT AMERICA INS CO
Policy No : WC10670400
W. C. Expire : 10/9/2023
Architect
Address
Phone:
State Lic
Engineer:
RYAN MCPHERSON
Address:
9240 LIMONITE AV
JURUPA VALLEY, CA 92509
Phone:
(909)569-2244
Designer: NATIONAL ENERGY INSTALLERS LLC
Address : 2801 COAST HWY W
NEWPORT BEACH, CA 92663
Phone: (949)386-4428
Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $18,955.00.
Type of Construction : V-B Fire Hazard Zone : NO ,
Occupancy Groups : U,R-3 No of Units : Type of Solar
Bldg Height: No of Stories : 2 Kilowatt : 8
Building Setbacks : Front: 10, Side: 6, Side: 6, Rear: 6
Flood Zone : X
Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) ... _. _ - U L,.t j
Processed By:
SPECIAL CONDITIONS:
OWNER -BUILDER
I hereby affirm under penalty 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: Arty city or county that requires a perfnit'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 she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business 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 civil penalty of
of more than five hundred dollars ($500).
11, 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
nprovements are not intended or offered for safe 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 bui€t or
pproved for the purpose of sale).
J I, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
poly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuantto the Contractors' State License Law).
J I am Exempt from licensors under the Contractors' Slate 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
ell a structure that 1 have built as an owner-buildor if it has not been constructed in itsentirety by Itconsed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
'rofessions Code, isavailable upon request when this application is submitted or at the following Web site:http:!/www eginfo.ca.gov/calaw.html.
ignatur . of Property Owner or Authorized Agent ........ Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirmunder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) f iv Sion 3 of the Business and Profe55jpns C my license is In full force
nd effect. License Class License No Date Z. Contractor Signature
VORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS {S100.0001, IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES..
hereby affirm under penalty of perjury one of the following declarations:
have and will maintain a certificate of consent to self-insare for workers' compensation, issued by the Director of industrial Relations as provided for by Section 3700 of the Labor Code, for IN
mrnance of the workfor 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 per it is issued. My workers' compensator
mince carrier and pol'ay number are:
iecs i 2f If WI etVY.4 Policy Number WC /0�07V4/00 Expiration Date 3/ 21'
is of Agent _A" ti lM i [ -eR Phone NO /Q_i/ � y
certify that, in the performance of the work for which this permit is issued. I shall not employ any person inany manner so as to become subject to the workers' compensation laws of Califomta, and agree
if I should become s b' •t to the w ors compensation provisions of Section 3700 of the Labor Cods I shall forthwith comply with those provisions,
iature of Applicant _ Date '� /� Q2
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I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Lender's Name _elo____ Lender's Address
mb By y signature w, Lcerfify to each of the followfng:
I am the prope,t; v:mer or authorized to act on the property owner's behalf.
I have read the ipoication and the information i have provided is correct.
I sg.Le to comply vi"t all applicable city and county ordinances and state laws relating to building construction.
I authorize re;'esentalives of this city or county tp ❑ter t4 eve -identified property for inspection purposes.
S_:gn ,IurE of Propert7 Owner or Authorized Agent
_./L.c� Print PropertyOwner's or -Authorized Agent's Name
2'/ eQst Date
ACTION DATE I By DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
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