HomeMy WebLinkAboutPV2023-0426 - PermitsEW or, City of Newport Beach
p� e Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 926B0
Permit Counter Phone: (949) 718-1888
e
c'�ttF ter,- newportbeachca.gov/civic
iiiiiiii26Solar Permit : PV2023-0426
Plan Check No: PC2023-1914
Work Class : Counter
Issued Date : 0810812023
Final Date:
Permit Status: Issued
Inspection Area : 6
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. ,p.t; ;C
Job Address : 1215 OUTRIGGER DR Legal Desc : N TR 6634 BILK LOT 45
Description: SFR SOLAR PV SYSTEM. 8.5 KW. 20 MODULE. (2) POWERWALL/ESS 10 KW
Owner:
BRETT ELLIOTT
Address :
1215 OUTRIGGER DR
CORONA DEL MAR, CA 92625
Phone:
(949)922-2208
Applicant:
JOJO COLLINS
Address :
20104 STATE RD
CERRITOS, CA 90703
Phone :
(310) 795-6453
Owner/Builder:
Address :
Phone:
Contractor:
URBAN ENERGY SOLAR INC.
Address:
10192 CONSTITUTION DR
HUNTINGTON BEACH, CA 92646
Phone:
(310)795-6453
Con State Lie
: 944115
Lie Expire :
12/31/2023
Bus Lie:
BT30064588
Bus Lie Expire : 09/30/2023
Workers' Compensation Insurance
Carrier: STATE FUND
Policy No : 9021421
W. C. Expire: 6/1/2024
Architect:
Address
Phone :
State Lie:
Engineer: TRUONG PHONG
Address : 3000 E BIRCH ST
BREA, CA 92821
Phone: (949)254-2751
Designer:
Address :
Phone:
Code Edition :
2022
Fire Sprinklers : NO
Construction Valuation
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: 21, Side: 6, Side: 6, Rear: 6
Flood Zone :
X
Use Zone :
R-1-6004 : Single -Unit Residential (6000
indicates minimum lot area)
Processed By:��
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SPECIAL CONDITIONS:
$20,000.00
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 items)
Section 7031.5, Business and Professions Code. Any city or county that requires a permit 10 construct, after, improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for
10 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 Saction 7000) of Division 3 of the Business and
'rofessions Code) or that he or she is exempt from licensure 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 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,
:usiness and Professions CodeThe 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
nproved far 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
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).
7 1 am Exempt from lirensure 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
ell 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
'rofessions Code., is available upon request when this application is submitted or at the following Web site:http:l/,AwwJ%into.ca.gov/calaw,htmf.
signature of Property Owner or Authorized Agent _ Date
.ICEN'SED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0) of QwPinon 3 of the Business and ProfesyionsCode, and aylicenseis in full force
nd effect. License Class License No Dat `6 a '' Contractor Signatur r91
VORKERS' COMPENSATION DECLARATION Lam_
'ARMNG: FAILURE TO SECURE WOR%ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100.000), IN ADDITION TO THE
OST 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 fallowing declarations:
1 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 Ihr
formance of the work for which this permit is issued. PDiicy 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'
ranee carrier and policy number are:
Policy Number
of Agent
Date
JI certify that., in the performance Of the work for which this permitis issued., I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agrer
tat, if I should become subject to the rk,,ars compensation provisions of Section 3700 of the Labor Code,. 1 shall forthwith comply with those provisions.
gesture of APPlica _ _ :`_.._.� /1'" _... _ ._.... __._,.... Data DAZE`
ECLARATION RE"_ INSTRUCTION LENDING AGENCY
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, C�Code).
ender's Name Lenders Address
y 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 thisapplication 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.
I authorize representatives of this city or county to entiRr theAbove-idgntified property for inspection purposes. T
Date
ACTION I DATE BY v I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
j RECULATIONS PART 61 OF TITLF 40 AND AQMD RULE
PERM T FNPIRfD
i LJ I SURMIT FD ASBFSTOS NOTIFICATION TO
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PERVI+T CANCEO.ED
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PEHAVTEXTENDED
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ASSES rUSNOT IFICATIUN IS NOT APPLICABLE TO
CERTlFlCATE OF
pROP05ED DEMOLITION
OCCUPANCY ISSUED
SIGNATURE;