HomeMy WebLinkAboutPV2023-0288 - Permits�EwPoRT City of Newport Beach
Community Development Department- Building Division
n 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
Cq<rcOR��P newportbeachca.gov/civic
PV 2 0� �2 3��0 2 a a�� II Solar Permit : PV2023-0288
Plan Check No: PC2023-1142
Work Class : Alteration
Issued Date
Final Date:
Permit Status: Applied
Inspection Area :5
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.
% 3 —,
Job Address : 170 SIDNEY BAY DR Legal Desc : N TR 16269 BLK LOT 6 4
Description: SFR SOLAR PV 9.72 kW (24 PANELS)' fi
Owner: DENISON THOMAS R
BAYARDELLETR
Address : 170 SIDNEY BAY DR
NEWPORT COAST, CA 92657
Phone: (949)939-4090
Applicant: XAVIER CONTRERAS
Address : 801 GLENNEYRE ST, A
LAGUNA BEACH, CA 92651
Phone: (562)639-9757
Owner/Builder :
Address :
Phone
TR ELIZABETH Contractor: SADLER SOLAR
Address :
801 GLENNEYRE ST#A
LAGUNA BEACH, CA 92651
Phone:
(949)584-4800
Con State Lie
: 982533
Lie Expire:
04/30/2025
Bus Lie:
BT30073175
Bus Lie Expire : 10/31/2023
Workers' Compensation Insurance
Carrier: STATE COMPENSATION INSURANCE FUND
Policy No: 9311933
W. C. Expire: 1/26/2024
Code Edition :
2022
Fire Sprinklers :
Type of Construction :
V-B
Fire Hazard Zone
Occupancy Groups :
R-3,U
No of Units:
Bldg Height:
No of Stories
Building Setbacks
Flood Zone :
X
Use Zone :
PC - Newport Coast
Processed By:
a(/ti7(//�
`
SPECIAL CONDITIONS:
Architect :
Address :
Phone:
State Lie
Engineer: MUNYANZIZA, EUGENE
Address : 250 WILKERSON AVE APT 160
PERRIS, CA 92570
Phone: (951)355-3348
Designer: SADLER SOLAR
Address : 801 GLENNEYRE ST #A
LAGUNA BEACH, CA 92651
Phone: (949)584-4800
NO Construction Valuation : $45,01)0.
YES
1 Type of Solar: SFP "
Kilowatt: 0
OWNER -BUILDER DECLARATION
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)
300tion 7031.5, Business and Professions Code. Any city or county that requires e 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 provisions of 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 Ilcensure 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).
1 I, 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,
;usiness 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 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
n roved for the purpose of sale),
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
l amnowner
from
I Gansu a o builds or Contractors' thereon,
and who
Law contracts
following projects
with a licensed Contractor pursuant to the Contractors State License Law).
exempt- 9 . ---- ----- _..------ __ ...— -- '--
ly 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 caverod by this permit. 1 cannot legally
all a structure that I have built as an owner -builder if it has not boon constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Tofessions Code, is available upon request when this application Is submitted or at the following Web site:http://www.leginfo.ca-gov/colaw.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 Sectio 7 00) of Division 33 of the Business and Pr {o�r]s�Code, and �,ny license is in full force
nd effect. License Class License No Date I IZbZZ Contractor Signature
VORKERS' COMPENSATION DECLARATION
IARNING: 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 IS100,000), IN ADDITION T'O THE
'.OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COOK, INTEREST, AND ATTORNEPS FEES.
hereby affirm under penalty of perjury one of the following declarations:
-11 have and will maintain a. cerlifcate 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 IT.
orforrna nca of the work for which this permit is. issued. Policy No,.
and will Ti 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'
carrief'and nol,cy number are:
Policy Number
of "gent _
Date
71 c,rt,fy that, in 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 wcrkera' ompensation laws of California, and agree
4n' q m ensahon provisions of Section 3700 of the Labor Code I shall forthwith comply with those provisions. a
tat, d I should been la subject to the workers co
03
lure' of APPlican ..�,,....-..a....._,.,.._..._.m,.__________M.......,......_. Dat / /I / 71
IECLARATION RED. DI G CONS-�. DING AGENCY
hereby affirm under penalty of penury malthera is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
ernJer s Name Lender's Address _.
ly rr, „ig„alure below, I certify to each of the following:
I am Cie propbrtX owner or authorized to act on the property owners behalf.
.icy= read this application and the information I have provided is Correct.
^ere to con.pl} witL all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or count Xt,)t an r the above-Iden' ied property for inspection purposes. 1
>iunature of Prooertv Owner or Authorized AosnE °� _. Print Property Owner's or Authorized Agent's Name A tr f it— :oA 17litf ate 7/jf {ZOz>
ACTION
DATE
BY J DSCLARATlON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND ADMIT) RULE
1403
PERMIT EXPIRED
C3 I SUBMITTED ASBESTOS NOTIFICATION TO
CPA
PERMIT 6ANCECt ED
...
PEAlNIT EXFENOCO
____
...... _ _.
Irr--t1QM
PERMIT FINAC
S�titi
1�.. ❑ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF
V PROPOSED DEMOLITION
OCCUPANCYISSUED
SIGNATURE: