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HomeMy WebLinkAboutPV2023-0378 - Permits��EWPORr City of Newport Beach ii�iiiiiiiigiSolar Permit : PV2023-0378 o d Community Development Department- Building Division r ?w' 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1620 Z Permit Counter Phone: (949) 718-1 B88 Work Class : Counter CgG�F00.N�P newportbeachca.gov/civic Issued Date: 09/27/2023 Final Date: Permit Status: Issued Inspection Area : 7 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 : 2200 SAN JOAQUIN HILLS RD Legal Desc : P BK 347 PG 32 PAR 1 Description: COMM SOLAR PV SYSTEM 60.14 KW WITH 124 MODULES Owner: CHURCH ST MARK PRESBYTERIAN CORONA Contractor: DEL MAR Address : 2200 SAN JOAQUIN HILLS RD Address NEWPORT BEACH, CA 92660 Phone: (949)760-3810 Phone: Applicant: DAVID AYALA Address : 1050 W LAKES DR, 225 WEST COVINA, CA 91790 Phone: (323)373-6215 Owner/Builder Address : Phone : Con State Lic Lic Expire Bus Lic: DAVID AYALA 1050 W LAKES DR, 225 WEST COVINA, CA 91790 (323)373-6215 102BO12 06/30/2025 BT300818/35 Bus Lic Expire: 06/30/2024 Workers' Compensation Insurance Carrier : Policy No : 9218558 W. C. Expire : 9/27/2024 Code Edition : 2022 Fire Sprinklers : Type of Construction : III -A Fire Hazard Zone Occupancy Groups : U,A-3 No of Units : Bldg Height: No of Stories Building Setbacks Flood Zone : X�p Use Zone: PC.y- Big Canyon Processed By SPECIAL CONDITIONS: Architect : Address : Phone: State Lic Engineer: MARTIN LOYD Address : 9924 UNVERSAL BLVD, 224 ORLANDO, FL 32819 Phone : (310) 534-1776 Designer: SUNISTICS Address : 2272 Colorado Blvd, #1290 Los Angeles, CA 90041 Phone : (323) 207-6350 NO Construction Valuation : $105,000.00 NO Type of Solar 2 Kilowatt: 60 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 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 �rofessjons Code) or that he or she is exempt from licensors 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 ($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 not intended or offered for sale (Section 7044, 311SIneSS 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 mpiovements 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, an, Exclushrely contracting with licensed Contractors to Construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and w410 contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am exempt from licensors 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 permit. I cannot legalll .ell a structure that I have buih 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 7044 of the Business and Professions Code, is available upon request when this application Is submitted or at the following Web site:htip:llwww.leginfo.ca.gov/calaw,html.. Signature of Property Owner or Authorized Agent �„ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Be 'On 7 of Division 3 of t s1 as and Professions Code, and my likens III force and effect. License Class C ` (C7 License No C (ry - (O Z /SG ( Z— D Z — 2 3 Contra r Signature - WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORXERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI L PENALTIES AND CNIL FINES UP TOON UNDRED THOUSAND DOLLARS (SID0.0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CODE, INTEREST, ANDATTORNEY'S fEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 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 th 9fyrmance of the work for which this permit is. Issued. Policy No.. tie 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' compensatio insurance carrier and policy number are: Policy Number of Agent Date entity that, in the edormance of the work for which this perms y p t is issued. I shall not employ any person in any manner so as to become subject to the if I shoull bacome subject to the workers' coin en3i�own provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. natureof pplican 5 RUCTION _ ... ._......._.._.......-_e____ . _.___.__.._w .................n______m_,-----...._-- OLARATI REGA —. NL.END NG AGENCY Ireby affirm under pe alty of perjury that there Is a construction lending agency for the performance of the work for which this permit is issued der Name _ Lender's 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 an ty ordinances and state la relating to building cons(ruction. I authorize representatives of this county tof enter theme -id '�sperty-for inspection purposes�� 3ignature of Property Owner or Aulhonzepyrga� ACTION I DATE I BY PERMIT EXPIRED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED OF COMPLIANCE WITH CODE OF FEDEI PART 61 OF TITLE 40 AND AOMD RULE NOTIFICATION TO UASBES FO$ N01'IFICATION I$ NOT APPLICABLE TO PROPOSED DEMOLITION ONLY Name 7kers' compensation laws of California, and agre Date____-_ ��3_._._..