HomeMy WebLinkAboutPV2022-118 - Permitsu City of Newport Beach - Building Divistion
4
1 PO Box 1768 Newport Beach, California 92658-8915
Job Address: 1924 IRVINE AVE NB
Description:SFR SOLAR PHOTVOLTAIC SYSTEM 45 PANELS 16.2 kw
Inspector Area: 3 Legal Desc.: N TR 3801 LOT 56
SOLAR Permit: PV2022-118
Permit Counter Telephone (949)644-3288
Inspection Requests/Telephone (949)644-3255
Owner:
TORRES KATHLEEN
Contractor:
SUNRUN
Address:
1924 IRVINE AVE
Address:
225 BUSH ST #1400
NEWPORT BEACH, CA 92660
SAN FRANCISCO, CA 94104
Phone:
Phone:
855-478-6786
Applicant:
DURAN MALISSA
Con State Lic:
750184
Address:
2500 WHITE RDUNITA
Lic Expire:
0613012022
IRVINE, CA 92614
Bus Lic:
BT30066837
Phone:
714-726-4999
Lic Exp Date:
04/30/2023
Code Edit:
2019
Worker's Compensation Insurance
Type of Construction:
V-B
Carrier:
ZURICH AMERICAN INS CO
Occupancy Group:
R3/U
Policy No:
WC614287600
No of Stories:
1
Expire:
10/01/2022
Building Setbacks
Rear:
Illlliiigiiiilliiilllll
Project No : 1214-2022
— .0 r issue3M?022
MT) IS NOT ALLOVVED FOR
Architect: EXTERIOR APPLICATI'DNS
Address:
Phone: State Lin:
Engineer: ZACHER PAUL
Address: 1478 STONE PT DR 190
ROSEVILLE CA 95661
Phone: 916-961-3965 State Lic:S-003878
Designer:
Address:
Phone
Use Zone: Front:
Bldg Height: 0 Left: /�
Right: ^^'�1 g' 1
O!
Valutaion : $97,200.00 �1r� 'i•/
Building Permit Fee $255.00 Record Management (8 1/2 X 11) $0.00
Plan Check Fee : $223.13 Record Management (Plans) $0.00
TOTAL FEE: $4781.113 Plan Check Fee : $223.13 Fee Due at Permit Issuance : $255.00
PROCESSED BY: PUBLIC WORKS APPROVAL:
ZONING APPROVAL: — ✓rry PLAN CHECK BY: U� ,
GRADING APPROVAL: _ _ APPROVAL TO ISSUE:
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
INSTALL OR VERIFY3^CGYF.1ND CP.RAON VnNDY!DE DETECTORS ARE EXISTING PER CRCR 314.1 6 315.2
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 item(s)
;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
:he 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
Professions Code) or that he or she is exempt from Iicensure 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
not more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U 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 property who, through employees' or personal effort, builds or improves the property, provided that the
'.mprovements 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
improved for the purpose of sale).
❑ 1, 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
apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
❑ 1 am exempt from Iicensure under the Contractors' State License Law for the following reason:
By 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 legal)
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.htmi.
Signature of Property Owner or Authorized Agent Date,
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Prof s ions ode, and my license is in full force
and effect.
License Class License No Date Contractor Signature
NORKERS' COMPENSATION DECLARATION ,
NARNING: 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 ($100,000), IN ADDITION TO THE'
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm 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 the
3p{formance 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'
rance carrier and policy number are:
ie of Agent
certify that, in the performance
, if I should become subjOctj'o 1
Policy Number
Date
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 agree
``,, ker ' compe ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
signature of ApplicantY � ��Dat 5
IECLARATION REGARDING CONST CTI AGENCY
PIZ—
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).
ender's Name Lender's Address
ly my signature below, 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 ssatg laws relating to building construction.
I authorize representatives of this city or county to enter thhl��hgve-id 11 ied property for inspection purposes. /',(//,///�i 1J }�
signature of Property Owner or Authorized Agents /�lA�//rG-=— — Print Property Owner's or Authorized Agent's Name,I M . 0, ✓G! /Date
ACTION
DATE
BY
DECLARATION OF COMPUA CL INU N CULL OF FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART b! (1F T'TP c 49 AN7
AQO RULE 1403. -
❑ I SUBMITTEDASBESTJ5 CC71.K�ATjOS �C:
PERP✓IIT EXPhRED
PERMIT CANCELLFD
❑ EPA
❑ AQMO
ASBESTOS NOT APPLICABLE TO
PERMIT EXTENDED
PERMIT FINAL
P❑ROPOSEDDEMOUT ONAT✓ONIS
CERTIFICATE OF
OCCUPANCYISSUED
SIGNATURE: