HomeMy WebLinkAboutPV2023-0426 - Permits (3)City of Newport Beach
p� Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 71B-1888
newportbeachca.gov/civic
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII����� Solar Permit : PV2023-0436
Plan Check No : PC2023-1960
Work Class : Counter
Issued Date : 0811512023
Final Date:
Permit Status: Issued
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 : 20401 UPPER BAY DR Legal Desc : N TR 6407 BLK LOT 8
Description: SFR SOLAR PV 12.8 KW 32 MODULES, NEW SUB-PNL
Owner: JOSEPH ARCHER Contractor: CIRA ENERGY, INC Architect : • ; ' '
Address : 20401 UPPER BAY DR Address : 1440 S STATE COLLEGE STE 4B Address
NEWPORT BEACH, CA 92660 ANAHEIM, CA 92806 ,
Phone: (949)677-5337 Phone: (714)238-1178 Phone: ,
Con State Lie : 949680 State Lie : • "
Lie Expire : 07/31/2024 ,
Applicant: CIRA ENERGY, INC Bus Lie: BT30076377 Engineer: RYAN MCPHERSON j
Address : 1440 S STATE COLLEGE STE 46 Address : 9240 LIMONITE AV
ANAHEIM, CA 92806 Bus Lie Expire : 08/31/2023 JURUPA VALLEY, CA 92509
Phone: (714) 238-1178 Workers' Compensation Insurance Phone: (909) 569-2244
Carrier: STATE FUND
Owner/Builder : Policy No : 9255323 Designer
Address : W. C. Expire: 6/7/2024 Address
Phone: Phone:
Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $38,400.00
Type of Construction : V-B Fire Hazard Zone : NO
Occupancy Groups : U,R-3 No of Units : Type of Solar
Bldg Height : No of Stories : 2 Kilowatt: 12
Building Setbacks : Front: 6, Side: 6, Side: 6, Rear: 6
Flood Zone : X
Use Zone : RR--1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
Processed By: Ok
SPECIAL CONDITIONS:
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) I have placed next to the applicable item(s)
ation 7031.5. Business and Professions Coder Any city or county that requires a permit to construct, alter, improve. demolishor repair any structure, prior to Its E EUar1Ce, also requires the aypilcant for
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Conti ectors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
fessions Code) or that he or she is exempt from llconsure 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
more than five hundred dollars ($500).
1, 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,
;iness and Professions Code: The Contractors' State License Law does not apply to an owner of properly who, through employees' or personal effort, builds or improves the properly, provided that the
rovements 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
roved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The ContractorsState License Law does not
ply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Slate License Law).
J I am exempt from heensure under the Contractors' Stara License Law for the following reason
By my signature below t 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
sell a structure that I have built as an owner -builder if it has not boon constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 71
Professions Code, is available upon request when this application is submitted or at the following Web site:httpd/%' .leglnfo.ce.gov/calaw,html.
Signature of Property Owner or Authorized Agent _ ........ Date _
LICENSED C^R'T. RACTOR'S DECLARATION
I hereby affirm I nde, penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se n 7 of Division 3 of the Busines d Prof ssions Code, and my license is in full force
and effect License Class License No D a f �+- -V7 Contractor S' lure
NORLERS' CGMDENSATION DECLARATION
r'ARN'NG: FAILURE TO SECURE WORRIERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDR THOUSAND DOLLARS IE100.000), IN ADDn10N TO THE
C65T 0, COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES.
hereby affirm inrlrr psnalty of perjuryone of the following declarations:
1 eve and will roatniain a ceritfcate 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 lhi
onr't6rJJrnance of. the wok for which this permit Is issued. Policy No.
his permit. I cannot
of the Business and
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'
carrier and onlicy number are:
jf Agent
Policy Number Expiration Date
Phone 9
. i certify that.. it the performance of the work for which this permit is issued, I shall not aon ploy any person in any manner so as to become subject to the worke ' compensation laws of California, and agre,
� compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. let, 7f I should become subject to file workers' co ////
ignalure of Iberrt nL 0 ®/ f 5 y o "'2 3
tECLARAREGARD G CONSTRIJ ION LE.N DING AGENCY
her affirm L liar pen ty of perjury that there Is a construction landing agencyfor the performance of the work for Which this permit Is Issued (Section 309 , Cwrl Code).
Decors Name _ _ _ _ _ Lenders Address
ily my signature below, certify ko each n(Ihe 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 slate laws relating to building construction.
I authorize representatives of this city or coo
un to enter the. above -identified property for inspection purposes
signature of Property Owner or of Property Owner or Author, gent 10 Prim Property Owners or Authorized Ag����'A�,` O- (Print Property Owners or Authohzad Ag
ACTION I OATE BY nFCLhrc ION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
UA MAR-Tf^l ,�68/fs�2e
REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED
0 1 SUBMITTED ASBESTOS NOTIFICATION TO
PFRMIT CANCELLED
�EPA
PERACI'T EXTENDED
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CERTiRCATE Of
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OCCUPANCY ISSUED
SIGNATURE:
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