HomeMy WebLinkAboutPV2023-0046 - Permits�eWPoR, City of Newport Beach
Community Development Department- Building Division
r 10D Civic Center Drive, Newport Beach, CA 92660
n
0 � S Permit Counter Phone: (949) 644-3286
CgGiGO ftN\P Inspection Requests Phone: (949) 644-3255
n ewportbeachca.g ov/inspections
iiiii3iigiuiSolar Permit : PV2023-0046
Plan Check No: PC2023-0219
Work Class : Alteration
Issued Date : 03/21/2023
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.
Job Address : 434 FERNLEAF AVE Legal Desc : A TR CORONA DEL MAR BLK 433 LOT 16
Description: MFR SOLAR PV SYSTEM - 15 PANELS 4.35 KW
Owner: MARTIN JOHN ANDREW TR
Address : 1724 PORT MARGATE PL
NEWPORT BEACH, CA 92660
Phone :
Applicant:
LOWELL MARTIN
Address :
2832 N OLIVE AV
ORANGE, CA 92865
Phone:
(714)715-3903
Owner/Builder :
Address:
Phone:
Code Edition : 2022
Type of Construction : V-B
Occupancy Groups: R-3,U
Bldg Height:
Building Setbacks : Front: 15, Side: 3, Side: 3, Rear: 5
Contractor:
DEPINHO ROOFING INC
Address :
2832 N OLIVE AVE
ORANGE, CA 92865
Phone:
(714)632-7663
Con State Lie:
683894
Lie Expire :
02/29/2024
Bus Lie :
BT30009054
Bus Lie Expire : 05/31/2023
Workers' Compensation Insurance
Carrier: TRANSVERSE INS CO
Policy No : 000000141
W. C. Expire.: 12/14/2023
Architect : "
Address:
Phone: "
State Lie: ,
Engineer: .•
Address
Phone: ��'••
Designer: JOEDEPINHO "
Address : 2832 N OLIVE AV
ORANGE, CA 92865
Phone: (714)632-7663
Fire Sprinklers : NO Construction Valuation : $19,100.00
Fire Hazard
No of Units Zone: 2O�I° Type ofSolar: MFP
No of Stories : Kilowatt: 4
Flood Zone : X
Use Zone: R-2-Two-Unit Residential NO CONSTRUCTION NOISE
Processed By: L-
E_C I nICPXL E:, A E LLIC
FOR
SPECIAL CONDITIONS: EXTERIOR APPLICATIONS
ON THE WEEKEND
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 io the applicable Items)
3eefion 7031.5, Business and Professions Code: Any city or county that requires a permlt to construct, altar, improve, demolish, or rapair any structure, prior to its Issuance, also requires the applicant for
to porni t 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 for a permit subjects the applicant to a Civil penalty of
of more than five hundred dollars (5500).
3 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,
usmass and Professions Code: The ContractorsState License Law does not apply to an owner of property who, through employees' or personal effort, builds or Improves theproperty, 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 bLillt or
nproved for the purpose of sale).
1 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
pply 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).
I I am exempt from l censure under the Contractors' State License Law for the following reason: _ T —
: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
all a structure that I have built as an owner -butler 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
'rofassions Code., is available upon request when this application is submitted or at the following Web site:http:tlwww.leginfo,ca.govlcalavr.hlml,.
.ignature of Property Owner or Authorized Agent,Date
_,
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm uncle' =rally of perjury that I am licensed under provisions of Chapter o (commencing with Section ( 000 of Division 3 of the Business and Professions ode, and m ense is in f II force
nd effect. License Class License No Date Contractor Sggnature
VttRKERS' COMPENSATION DECLARATION
rARNING: FAILURE Tt, SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I5100,000j, IN ADDRWN T'O THE
'OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hcreby ^form under penalty of perjury one of the following declarations:
F-¢ave and wi6 m ,rI a certificate of consent to self insure for workers' compensation, issuedby the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
er,or w.Ice of the work for which this permit is issued. Policy No.
eve Pnd will maul -I 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' compensatiol
'sin a.l,e carrier and policy number are:
;acne Policy Number. Expiration Date
Jame of Agent Phone tf
�f certify .hat, in '.ha ps.-formanee of th work for which this permit is issued, I shall not am ploy any person in any manner so as to become subject to the workers' compensation laws of California, and agre
hat, if should be^rm�o -0ject to the r m , r Sion of Section 3700 of the Labor Code,.. I shall forthwith comply with those provisions.
Signature of Applicant �,(�.-__. �_� Date
)ECLARATION REGN41NG" NS RUCTION LENDING AGENCY
hereby affirm under penalty of perjury that there Is a construction lending agency for the performance of the work for which this. permitis issued (Section 3097, Civil Code).
-enders Name Lenders Address
3y 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 Ordure cos and state laws relating to building construction. L�
I authorize representatives of this city orcounty to enter t above = I ty r Inspection purposes. ) r)✓E-T (Qf`��
'ai nature of Property Owner or Authorized Agent / - t Pro art Ovmer's or Authorized Agent's Nam L, Date
ACTION DATE BY 1 DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 51 OF TITLE 40 AND AO,MD RULE
1403
PERMI r EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PER,WITCANCEUED _LJEPA___
PERMIT EXTENDED �� _ ? �OMD
PERMIT FINAL � /Z-�/Y � J(Z J ASeh5T05 NOTIFICATION IS NOT APPLICABLE 70
CERTIFICATE OF 1 ) PROPOSCDDEMOLITION
OCCUPANCY ISSUED ( SIGNATURE: