HomeMy WebLinkAboutPV2022-0264 - Permits�wxaoRr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : PV2�22-�264
C4 @ Community Development Department- Building Division p V 2 0 2 2 0 2 6 4
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 2864-2021
r r Permit Counter Phone: (949) 718-1888 Issued Date : 08/25/2022
n
U<.newportbeachca.gov/civic Final Date:
cq<iFonN`r. Combination Type - Permit Status: Expired
Work Class - Other Inspection Area : 3
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address : 20182 KLINE DR
Description: UPDATE PV MODULE MODEL # (PV2021-251)
Owner: ROBERT TELLER
Address : 20182 KLINE DR
NEWPORT BEACH, CA 92660
Phone
Applicant: SUMMER MORRIS
Address: 2500 WHITE AV, A
IRVINE, CA 92614
Phone: (951)425-8684
Owner/Builder :
Address :
Phone:
Legal Desc : N TR 4146 BILK LOT 9
Contractor: SUNRUN
Address : 2500 WHITE RD, A
IRVINE, CA 92614
Phone:
(714)854-2083
Con State Lic
: 750184
Lic Expire :
06/30/2024
Bus Lic:
BT30066837
Bus Lic Expire : 04/30/2024
Workers' Compensation Insurance
Carrier: AMERICAN ZURICH INSURANCE CO
Policy No : WC614287602
W. C. Expire: 10/1/2024
Code Edition :
2019 Fire Sprinklers :
Type of Construction :
V-B Fire Hazard Zone
Occupancy Groups :
R-3,U No of Units :
Bldg Height:
No of Stories
Building Setbacks :
Front: 20, Side: 5, Side: 5, Rear: 25
Flood Zone :
X
Use Zone :
SP-7 - Santa Ana Heights Specific Plan
PROCESSED BY:
SPECIAL CONDITIONS:
Architect
Address
Phone:
State Lic
Engineer: ZACHERPAUL
Address : 1478 STONE PT DR, 190
ROSEVILLE, CA 95661
Phone: (916)961-3965
Designer:
Address :
Phone:
NO Construction Valuation :
NO Added/New/Ti sq. ft. Bldg
1 Alteration sq. ft. Bldg :
Added/New sq. ft. Garage
TOTAL sq. ft. :
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) 1 have placed next 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
he 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 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
tot more than five hundred dollars 1$500).
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L.) portions of the work, and the structure is not Intended or offered for sale (Section 7044,
3usiness 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 that the
mprovements 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
mproved 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
Ipply 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).
1 am exempt from licensure under the Conlractors' State License Law for the following reason:
3y 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
)rofesslons Code, Is available upon request when this application is submitted or at the following Web slte:http:llwww.leginfo.ca.govlcelaw.html.
Signature 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 7000) of Division 3 of the Business and Professions Code, and my license is in full force
Ind effect. License Class License No Date Contractor Signature
YORKERS' COMPENSATION DECLARATION
1ARNiNG: 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 ($100,000), IN ADDITION TO THE
:DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
7 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 IN
performance 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'
rance carrier and policy number are:
Policy Number
of Agent
Date
certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and
, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant Dale
CLARATION REGARDING CONSTRUCTION LENDING AGENCY --
ireby 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, Civil Code).
Ides s Name Lenders Address
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 ordinances and state laws relating to building construction.
I authorize representatives of this city or county to enter the above -identified property for inspection purposes.
nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Anent's Name
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXTENDED I_IAQMD
PERMITFINAL OASEIESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATEOF 1 PROPOSED DEMOLITION
OCCUPANCYISSUED `���? SIGNATURE: