HomeMy WebLinkAboutPV2022-183 - PermitstiwPoRr City of Newport Beach
O�eD Community Development Department- Building Division
} 100 Civic Center Drive, Newport Beach, CA 92660
0 }r5 Permit Counter Phone: (949) 644-3288
Cq�p0.N�P Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
I11111IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII1�1 Solar Permit : PV2022-183
Plan Check No : 1580-2022
Work Class : Other
Issued Date : 04/19/2023
Inspection Area : 3
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 : 1343 MARINERS DR Legal Desc : N TR 3763 BLK LOT 12
Description: SFR INSTALL 15.56KW(DC) SOLAR PHOTOVOLTAIC SYSTEM W/ (17) MODULES.
Owner: BERGEN CHRISTOPHER VOLNEY / KIENY Contractor: ALTAIR SOLAR INC
HEATHER COE
Address : 1343 MARINERS DR Address : 12 MAUCHLY, BLDG B
NEWPORT BEACH, CA 92660 IRVINE, CA 92618
Phone
Applicant: ALTAIR SOLAR INC
Address : 12 MAUCHLY, BLDG B
IRVINE, CA 92618
Phone: (949)783-8681
Owner/Builder
Address :
Phone:
Phone:
(949)783-8681
Con State Lic
: 1001983
Lic Expire :
03/31/2025
Bus Lic:
BT30053293
Bus Lic Expire : 08/31/2023
Workers' Compensation Insurance
Carrier: CAROLINA CASUALTY INSURANCE CO
Policy No: BNUWC0156593
W. C. Expire : 3/28/2024
Code Edition : 2019
Fire Sprinklers :
YES
Type of Construction : V-B
Fire Hazard Zone :
NO
Occupancy Groups : R-3
No of Units :
0
Bldg Height :
No of Stories :
2
Architect :
Address :
Phone:
State Lic
Engineer: DASS PRAVEEN
Address : 1945 SHERINGTON PL Z 202
NEWPORT BEACH, CA 92663
Phone: (949)295-7943
Designer: ALTAIR SOLAR INC
Address : 12 MAUCHLY, BLDG B
IRVINE, CA 92618
Phone: (949)783-8681
Construction Valuation : $20,428.00
Type of Solar: SFP
Kilowatt: 15
Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 _
Flood Zone : X
Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
`FRICALi�,�--7`
Processed By: {1= 17) IS NO A(_LOVVED FC;
SPECIAL CONDITIONS: w
�t ti�a
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 to the applicable items)
Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, poor to its Issuance, also requires the applicant for
to 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
professions 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
of more than five hundred dollars ($500).
3 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 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 employeesor 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-Bullderwiil have the burden of proving that it was not built or
n roved 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
pply to an owner rf F-cperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
3 1 am exempt frct.l;Lensurs under the Contractors' State License Law for the following reason: T_
ly my signature he'cv' 1. acknowledge that, except for my personal residence in which I must haveresided for at least one year prior to completion of the improvements covered by this permit, I cannot legally
ctl a stru�turc that I. he',e 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
'rofsssiins Code, is available upon request when this application is submitted or at the following Web site!htip:IMv�w.leginto.ca.gov/Galaw.htmi.
�jpnamre of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION �_ ,
hareJv a,firm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 ) ,f iv'ssion 3 of the Business and Professib Ps C de, n rce �e is In full force
nd effect. License Jlas, License No Date Contractor Signature
VORKEKS' CONIF-ENSATION DECLARATION
IARNING: 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 ($100,000), IN ADOPTION TO THE
OSl OF COMPENSATION, DR NAGES AS PROVIDED FOR IN SECTION 3706 OF THE LAaOR CODE, INTEREST, AND ATTORNEY'$ fEES.
hsreby affirm under nena'ty of perjury one of the following declarations:
I ! have and wit( 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 th
erfprmance of the v,or`.'or which this permit is issued. Policy No..
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'
canter and policy number are:
le of Agent
certify that, in the performance of
if I should become sub! ct
lature of Applicant
Policy Number
Date
for which this permit Is issued, I shell not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
compensation previsions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions'.% / -
Data
areby affirm under penefty of perjury that there is a construction fending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code)
ides s Name Lender's Address
my signature below, I certify to each of the following:
I am Tile 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.
f agree to comply withall applicable city and county ordinances and state laws relating to building construction. J
I authorize representatives of this city or county to enter t/jntifi roperty for inspection purposes.
nAtn.P of Pmoerty Owner nr Authorzed Anent %%�� Print Progeny Owner's or Authorized Anent's Name
ACTION ( DATE I BY REG DECrRATION
ATIONS PART fit OF TIT E 40 AND AQMO RUtFWITH CODE OF RAL I FOR OFFICE USE ONLY
PERMITEXPiRED I I I iJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT EXTENDED j 11AOM0 _
J� �/(�� 8ESrOSNO,I'IFII ATIO PERMITFINAL IS U7 PPLICABLf TO
CEflTiFfCATEOF -( /iJ!/ F PROPOSED DFLj�fOt�
OCCUPANCY ISSUED SIGNATURE: .�H�.
Date