HomeMy WebLinkAboutPV2023-0080 - PermitsC, City of Newport Beach
19' Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
Cq� cORN�P newportbeachca.gov/civic
IIUIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIISolar Permit : PV2023-0080
Plan Check No : PC2023-0318
Work Class : Alteration
Issued Date : 10/02/2023
Final Date:
Permit Status: Issued
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 : 107 HIGHLAND ST, 1/2 Legal Desc : A TR SEASHORE COLONY TR BLK K LOT 10 SEASHORE COLONY TR LOT 10 BLK K SWLY 31 FT
Description : DUPLEX SOLAR PHOTOVOLTAIC 3.555 KW (9 PANELS)
Owner:
JOHN VON DER AHE
Address :
107 HIGHLAND ST
NEWPORT BEACH, CA 92663
Phone:
(949)400-7047
Applicant:
CARLOS QUINTO-URIBE
Address :
7200 FENWICK LN
WESTMINSTER, CA 92683
Phone:
(562)340-1524
Owner/Builder:
Address :
Phone
Contractor:
FREEDOM FOREVER LLC
Address :
7200 FENWICK LN
WESTMINSTER, CA 92680
Phone :
(888) 557-6431
Con State Lie
: 1029644
Lie Expire :
08/31/2025
Bus Lie:
BT30064271
Bus Lie Expire : 08/31/2024
Workers' Compensation Insurance
Carrier: NATIONAL CASUALTY CO
Policy No : WCC334024A
W. C. Expire : 6/1/2024
Code Edition :
2022
Fire Sprinklers : NO
Type of Construction :
V-B
Fire Hazard Zone : NO
Occupancy Groups :
R-3,U
No of Units : 2
Bldg Height:
No of Stories :
Building Setbacks : Front: 3, Side: 3, Side: 3, Rear: 10
Flood Zone : X
Use Zone : R-2 - Two -Unit Residential
Processed By:
SPECIAL CONDITIONS:
rya
Architect
Address
Phone:
State Lie:
Engineer:
Address
Phone:
Designer:
Address
Phone:
Construction Valuation : $9,000.00
Type of Solar: SFP
Kilowatt: 3
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason($) indicated below by the checkneark(s) I have placed next to the applicable items)
3sctlon 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
ie 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 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
of more than five hundred dollars ($500)..
7 1, as owner of the property, or my employees with wages as their sole compensation, will do t, 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 thatihe
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 buiit or
eproved for the purpose of sale).
7 1, 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
pply 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).
3 [am exempt from licensure under the Contractors' Stale License Law for Ine 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 Iega11,
all a structure that I have built as an owner-buildar if it has not boon Constructed in Its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
'rofessions Code, isavailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.govlcalaw.html..
�Ignature 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 Section 700 of ivlsion 3 of the Business and Profes s Cods, -and rj license is In full force
nd effect License Class CL License No JI `: ® `3 contractor Signa' ,
WORKERS" COMPENSATION DECLARATION
'ARNINO: FAILURE TO SECURE WORMERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOL ($100.000), IN ADDmON TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ 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 Ih
errforrnance at 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:
is of Agent _
certify that, in the p
if I should become.
Policy Number Expiration Date
the work f r ion this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation lays of California, and
-workers' omp nation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. L I
IECLARATION REGARD? STRUC`ilOt� LENDING AGENCY `
hereby affirm under penalty of perjury that the is a constrLIChon lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Cade).
ender's Name Lender's 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 this application and the information I havelprevided is correct.
I agree to comply with all applicable city and county o dinances a s to laws relating to building construction.
i authorize representatives of this city or county r e abov -ides ied property for inspection purposes,
iicnture of Prcoertv Owneeor Authorized Aden n Print Property Owner's or Authorized Aoent's Name
ACTION DATE BY -_—rQLARATION OF WMPIIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOMO RULE
1403
PERMiEXPIREO ��I'S'rU��B_MITTED ASBESTOS NOTIFICATION TO
PERMIT CA,✓+aLLfo '--�r�-tyEp{t —_
...._... .... _.. .._...._... ..I._-._MQA -M-D -_._
PERMIT FXiENOEf' Ir�I qq %��rjASBESTOS NOT I
CERTIFICATE Of I�LI�•/ ! SIGNATURE! OSEDEMOUTIONTION IS NOT APPLICABLE tU
OCCUPANCY ISSUED
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