HomeMy WebLinkAboutPV2023-0190 - Permits�£WPOR, City of Newport Beach I�IIpl119111111111111111111111111111111111111111111111[1111111 Solar Permit : PV2023-0190
o� 6 Community Development Department- Building Division
n 100 Civic Center Drive, Newport Beach, CA 92660 Plat) Check No : PC2023-0741
o �' Permit Counter Phone: (949) 718-1888 Work Class : Alteration
CgC�FOR��P newportbeachca.gov/civic Issued Date : 05/31/2023
Inspection Area : 8
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 : 1124 ESSEX LN Legal Desc : N TR 3000 BLK LOT 50
Description: SFR - SOLAR PV SYSTEM 12.75 kw W/ 30 MODULES.
Owner:
HEINKE KEITH L TR
Address :
1124 ESSEX LN
NEWPORT BEACH, CA 92660
Phone:
(949)233-6931
Applicant:
JOJO COLLINS
Address :
20104 STATE RD
CERRITOS, CA 90703
Phone:
(310)795-6453
Owner/Builder :
Address :
Phone :
Code Edition :
Type of Construction
Occupancy Groups:
Bldg Height :
Building Setbacks
Flood Zone
Use Zone :
Processed By:
SPECIAL CONDITIONS:
Contractor: URBAN ENERGY SOLAR INC.
Architect
Address : 10192 CONSTITUTION DR
Address
HUNTINGTON BEACH, CA 92646
Phone: (310) 795-6453
Phone
Con State Lic : 944115
State Lic
Lic Expire : 12/31/2023
Bus Lic : BT30064588
Engineer :
TRUONG PHONG
Address :
3000 E BIRCH ST
Bus Lic Expire : 09/30/2023
BREA, CA 92821
Workers' Compensation Insurance
Phone:
(949) 254-2751
Carrier: STATE FUND
Policy No: 9021421
Designer :
URBAN ENERGY SOLAR INC.
W. C. Expire: 6/1/2023
Address :
10192 CONSTITUTION DR
2022
Fire Sprinklers :
V-B
Fire Hazard Zone
R-3,U
No of Units:
No of Stories
HUNTINGTON BEACH, CA 92646
Phone: (310)795-6453
NO Construction Valuation : $30,000.00
NO
1 Type of Solar: SFP
Kilowatt: 12
Front: 20, Side: 6, Side: 6, Rear: 6
X
R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
� 1
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that 1 am exempt from the Contractors' State License Law for the reason(s) indicated below bythe checkmark(s) I have. placed next to the applicable hems)
Section 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish. or repair anystructure, prior to its Issuance, also requires the applicant for
Is permit torte a signed statement that he or sheds licensed pursuant to the provisions of the Contractors' State License Law (Chapterg (commencing with Section 7000) of Division 3 or the Business and
rofessions Code) or that he or she is exempt from Iloertsure and the basis for the alleged exemption. Any violation of Section 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of
Ot 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 (_) 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 theproperty, provided that the
nprovements are not Intended or offered for sate. 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
nyproved for the purpose of sale).
1 1, as owner of the properly, am exclusively contracting with licensed Contractors to construct [be 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 pursuant t0 the Contractors' State License Law).
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
all a structure that i have built as an owner -builder If it has not been constructed In itsentirety by licensed contractors. 1 understand that a copy of the applicable law, Section 7044 or the Business and
'rofessions Code, is available upon request when this application is submitted or at the following Web site:hip:tAw .leginfo.ca.gov/calaw.htmi,
signature of Property Owner or Authorized Agent Date
.10ENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of 'si 3.of the Business and Prate ions oda, and my license is in full force
nd effect. License Class License NO Data 31 Contractor SignaturL61.6 la7
VORKERS' 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 (0100,000), IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
1 have and will maintain a certificate of consent to selfdnsure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for Hit
<ormance O1 the work for which this permit is issued. Policy ND.
f h a and will maintain workers compensation insurance, as required by Section 3700 of the Labor Cade, for the performance of the work for which this permit is issued. My workers` compensatio
uran a carrier and policy numberare:
amar Policy Number Expiration Date
lame of Agent Phone #
]I certify that, in the performance of the work for which this permit. Is issued, t shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
Tat, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Ignalure of Applicant Jr 4& 3 1 Z 2, 3
DECLARATION REGARDINGGCCONSTRUCTION LENDING AGENCY'
hereby affirm under penalty of perjury that there is a construction lending agencyfor the performance of the work for which this permit is issued (Section 3097, Civil Code).
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,
1 have read this application and the information I have provided is correct
I agree to comply with all applicable city and county ordinances and slate laws relating to building construction.
I authorize representatives of this city or cou t0 eri ` the above -identified property for inspection purposes. ; v
ignature Of Property Owner or Authorized Agent C+-K� Print Property Owner's or Authorized A ent'$ Name �-� co Date
1CTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
PERMITEXPIRED I I I UISUBMITTEn ASBESTOSNOliF�LATIONl6
PERMIT EXTENDED
U
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L-IAW-11)
PERMIT FINAL
17VV
ASRESTOS NOTIFICATION 15 NOT APPLICABLE TO
CERTiF/GATE OF
PROPOSED DEMOLITION
OCCUPANCY ISSUED
SIGNATURE: