HomeMy WebLinkAboutPV2022-088 - PermitsQ ��WPpRT City of Newport Beach
Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
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Cq��FORN\P newportbeachca.gov/civic
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Plan Check No : 0893-2022
Work Class : Other
Issued Date : 05/2512023
Inspection Area : 4
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: 12 ANONDALE Legal Desc : N TR 15409 BILK LOT 106
Description: SFR SOLAR PV SYSTEM. 13.68 KW. 38 MODULES DE -RATED (E) MSP TO 175A.
Owner: PLIHA CHRISTOPHER R TR
Address : 12 ANONDALE
NEWPORT BEACH, CA 92660
Phone
Applicant: MORRIS SUMMER
Address: 2500 WHITE AV, A
IRVINE, CA 92614
Phone: (951)425-8684
Owner/Builder
Address :
Phone
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: WC614287600
W. C. Expire : 10/1/2023
Code Edition : 2019 Fire Sprinklers : NO
Type of Construction : V-B Fire Hazard Zone : NO
Occupancy Groups : R-3,U No of Units : 1
Bldg Height: No of Stories
Building Setbacks : Front: 15, Side: 5, Side: 5, Rear: 5
Flood Zone : X
Use Zone : PC -Bonita CaC-L'/�
Processed By:
SPECIAL CONDITIONS:
Architect
Address:
Phone:
State Lic
Engineer: ZACHERPAUL
Address : 1478 STONE PT DR, 1qG
ROSEVILLE, CA 95661
Phone:
(916)961-3965
Designer:
SUNRUN
Address :
2500 WHITE RD, A '
IRVINE, CA 92614
Phone:
(714)854-2083
Construction Valuation : $44,000.00
Type of Solar: SFP
Kilowatt; 13
(LMT) IS NOT ALLOWED FON
EXTERIOR AFPLICATI C_ !S
I hereby affirm under penalty of perjury that 1 am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I 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, Char, improve. demolish, or repair any structure, prior to Its Issuance, also requires the applicant for
the permit to file a signed statement that ho or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter S (commencing with Section 7000) of Division 3 of the Business and
Professions Code) or that he or she is exempt from licensors 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
not more than five hundred dollars 1$500).
❑ I, as owner of the property,. or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the Work, and the structure is notintended or offered for sale (Section 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or Improves theproperly, provided [hat the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
Improved for the purpose of sale).
(� I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project ($action 7044, Business and Professions Code: The Contractors' Slate License Law does not
apply to an owner of property who builds or improves thereon, and who contracts for the projects with alicensed Contractor pursuant to the Contractors' State License Law).
❑ I am exempt from licensure under the Contractors' State License Law for the following reason __,_......
By 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 p nnit, I cannot legall)
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by liconsod contractors. I understand that a copy of the applicable law, Section 7044 o a Business and
Professions Code, Isavailable upon request when this application is submitted or at the following Web site:http:!lwww.leginto.ca.gDvIcalaw.html..
Signature Of Property Owner or Authorized Agent _ Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm and^r penalty of ppwju t t I am licensed under provisionsv�g Ming with Section 7 0 vl n of the Business and Profess! ns C 'c se is in full force
and effect. License Class li License No Date 3Coniraclor Signature
lriOPY..ERS' COMPENSATION DECLARATION _
NARNING: FAILURE 10 SEcuRE WOR%ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEN 0.LTIES AND CIVIL FINES UP TO ONE HUNDR T DOLLARS (SliDmon TO THE
COS- OF ^.OMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
t3ret7 affirm under penalty of perjury one of the following declarations:
L have and wdl mdiri ain a certiticate of cons to self -insure for workers:' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
i: orcm of the work for which this permit is s ad. Policy No..
ham and wd-ain+am workers' compe at' n insurance, as required by Section 3700 of the Labor Code„ for the performance of the work for which this permit is issued. My workers' compensatto
rence carnets f/,,'tm�dRollcy n I e. y ` � , , / q �� � P 100
Nr_ t'i"Y I _ folic Number VI,i�Ca Expiration Date
IS of Agent ��-((("'��� Phone tt
certify that, in the porformanc of a work for which this rmit. is' sued., I shall not employ any person in any manner so as to become subject to the workers' compensation laws of lifomia, and agre
if I should b",)rre subject th era' compensa n provisio s of Section 3700 of the Labor e, I shall forthwith comply with those provisions,
mature of Applicant _ od Date ✓
:LARATION Ril G ONSTRUCTI N�L^ G AGBN
hereby affirm under p'efi7tlty�of perjury that theme construction
Seder's Name
�y my signatureb�Yov,✓Yf certify to each of the following:
I am the proper owner or authorized to act on the property o,
I have read this application and the information I have provide!
I agree to comply with all applicable city and county ordinary,a
I authorize representatives of this city or county to nter t / t
icnature of PrODertv Owner or Authorized Anent //
DATE I BY
PERMIT EXTENDED
PERMIT FfNAI
CERTIFICATE OF
OCCUPANCY ISSUED
for the performance of the work for which this permit is issued (Section 3097, Civil Code).
_. Lender's Address
laws relating to building construction.
ad property for iWectlon purposes.
OF FOMPLIANCktA9TH COOF OF FFDI $ur I FOR OFFICE USE ONLY
61 ObXITLE AO
TO
LIASBESTOS NOTIPICA'T ON IS NO'f APPLICABLE' TO
PROPOSED DEMOLITION