HomeMy WebLinkAboutPV2023-0554 - PermitsCity of Newport Beach 11�1111I111111111ill11113II 1111111111I1111I1111111� jj� Sour Permit : PV2023-0554
Community Development Department -Building Division
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-2193
eye"Permit Counter Phone: (949) 718-1888 Work Class : Counter
newportbeachca.gov/civic Issued Date : 10/23/2023
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? Permit Status: Issued
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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:D0 a.m. to 6:00 p.m. No work on Sundays or Holidays.
Job Address : 280 EVENING CANYON RD Legal Desc : N TR 1116 BLK LOT49
Description : ***RENEW EXPIRED PERMIT PV2022-0270 & XR2022-2346*** SFR SOLAR PV SYSTEM. 24 PANELS. 10.2 KW. 1 BATTERY ESS 5 KW
Owner: ROACH 0 TR S L TR
Address : 1851 ALEXANDER BELL DR STE410
RESTON, VA 20191
Phone
Applicant: JOJO COLLINS
Address : 20104 STATE RD
CERRITOS, CA 90703
Phone: (310)795-6453
Owner/Builder
Address :
Phone
Code Edition : 2019
Type of Construction : V-B
Occupancy Groups: U,R-3
Bldg Height :
Building Setbacks
Flood Zone:
Use Zone:
Processed By:
SPECIAL CONDITIONS:
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 : 09/3012024
Workers' Compensation Insurance
Carrier: STATE FUND
Policy No : 9021421
W. C. Expire : 6/1/2024
Fire Sprinklers : NO
Fire Hazard Zone : NO
No of Units :
No of Stories : 2
Front: 20, Side: 6, Rear: 6
X
R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
R5
Architect
Address
Phone :
State Lie
Engineer: TRUONG PHONG
Address : 3000 E BIRCH ST
BREA, CA 92821
Phone: (949)254-2751
Designer: MARK MENDOZA
Address : 20104 STATE RD
CERRITOS, CA 90703
Phone: (562)447-4971
Construction Valuation
Type of Solar:
Kilowatt: 10
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 placednext 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
Is 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 Ilcensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of
at more than five hundred dollars S500).
I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure Is not intended or offered for sale (Section 7044,
La nese and Professions Code: The Contractors' Stale License Law does not apply to an owner of property who, through ampioyees' or personal effort, builds or improves the property, provided that the
nprovements are not Intended or offered for sale, If, however, the holding 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 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
p..ply 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 Levi),
] 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
ell a structure that I have built as an owner -builder If If has not been constructed in itsentirety 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://wwtiv.leginfa.ca.gov/celaw.html.
d nature of Property Owner or Authorized Agent Dale _
ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) f OWED 3 of the Business and Professionls CogsL and �my license is in full fame
no effect. License Class License No Dale � Contractor Signature kC� ITL
JORKERS' 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 (s100,0000N ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3704 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
7 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 the
erformance 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'
ranee carrier and policy number are.
Policy Plumber
of Agent
Date
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 agree
If I should become subja t to the workem' ccompensation provisions of Section 3700 or the Labor Code, I shall forthwith comply with those provisions. I �1
iature of Applicant_., __ _Date_
:I ARATION RFCARnIN ONSTL1rTl_F_—_ING AGFNOV
hereby affirm under penalty of perjury thatthere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097
tinder's Name Lender's Address
y my signature DBlov, I certify to each of the following;
I am the property 'wvner or authorized to act on the property owner's behalf.
I have readthir ipplicatien and the information I have provided is correct.
I agree to cnranly with all applicable city and county ordinances and state laws relating to building construction.
I authorize recrosentatives of this city or county to ent��i r heal bove-identified property for inspection purposes.
ionalure of Prooelty Owner or Authorized Agent .�>rPEL, Pool Prooerty Owner's or Authorized Anent's Name
FOR OFFICE USE ONLY
REGULATIONS PART sl OF TITif. 40 ANO AQMD RIJtE
TO
PFRN.7 EXiEfiDEO �_ r ,nQMp
I3&SBES TOS NOt I FICA rION I5 NOT APPUCABLE f0
'tR`(FICATt CF `` Jli pppPOSIEDOEMOLIj{O M1j ./,n
OCCUPANCY, 1 SIGNATURE: �L(' 1(�
Civil Code)-
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