HomeMy WebLinkAboutPV2023-0184 - Permits2EWPORT City of
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Development Department - Building Division
nter Drive, Newport Beach, CA 92660
ter Phone: (949) 718-1888
Solar Permit : PV2023-0184
Plan Check No : PC2023-0720
Work Class : Online
Issued Date :
Inspection Area : 4
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID
INSPECTION.
C
nstruction 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: 1814 PORT
SEABOURNE WAY
Legal Desc : N TR 7027 BILK LOT 11
Description: SFR SOLAR
PV SYSTEM - 9.60 KW (24 MODULES)
WITH (N) 225A MAIN PANEL UPGRADE, (N) 13 kWh ENERGY STORAGE SYSTEM AND (N) 200A HUB
Owner: ZAMARY FAM
LY TRUST / ZAMARY KIRELLOS
Contractor: SUNPOWER CORPORATION SYSTEMS Architect
RAAFAT / ZA
ARY TERESA ISHAK
Address : 1814 PORTS
ABOURNE WAY
Address : 1414 HARBOR WAY S #1901
Address
NEWPORT BEACH,
CA 92660
RICHMOND CA 94804, CA 94804
Phone :
Phone : (941) 720-3850
Phone
Con State Lie : 890895
State Lie:
Lie Expire : 02/28/2025
Applicant: SUNPOWER
ORPORATION SYSTEMS
Bus Lie : BT30051733
Engineer : XIE XIAOJIAN
Address: 1414 HARBO
WAYS #1901
Address : 8044 LOMBARD WY
RICHMOND C
4, 94804, CA 94804
Bus Lie Expire : 07/31/2023
DUBLIN, OH 43016
Phone: (941) 720-3850
Workers' Compensation Insurance
Phone:
Carrier: HARTFORD FIRE INSURANCE COMPANY
Owner/Builder:
Policy No : 57WVW00015
Designer
Address :
W. C. Expire: 4/1/2024
Address
Phone:
Phone:
Code Edition : 20
2
Fire Sprinklers : NO
Construction Valuation : $20,700.00
Type of Construction : V-13
Fire Hazard Zone : NO
Occupancy Groups : U,
-3
No of Units :
Type of Solar
Bldg Height :
No of Stories : 1
Kilowatt: 9
Building Setbacks : Front:
23, Side: 5, Side: 5, Rear: 10
Flood Zone : X
Use Zone : P
-Harbor View Hills
Processed By:
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) (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 the 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 not more than five hundred dollars ($500).
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do all or portions of the work, and the structure is not intended 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 the property,
provided that 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).
111, 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 apply 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).
0 1 am exempt from Iicensure 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 legally sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:https://ieginfo.legislature.ca.gov.
LICENSED CONTRACTOR'S DECLARATION
I 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 and effect. License Class: B, C10 License Number: 890895
WORKERS' COMPENSATION DECLARATION
WARNING: 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS 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 the performance of the work for which this permit is issued. Policy Number: 57WVWQ0015
❑ I 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'
compensation insurance carrier and policy number are:
Carrier: Hartford Fire Policy Number: 57WVWQ0015 Expiration Date: 0410112024 Name of Agent: Marsh Risk Insurance Phone #: 408.564-4016
® 1 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 agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
DECLARATION REGARDING CONSTRUCTION LENDING AGENCY
I hereby 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).
Lender's Name: Lender's Address:
By my signature, I certify to each of the following: SUNPOWER CORPORATION SYSTEMS
I am the property owner or authorized to act on the property owner's behalf. May, 00 2023
1 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.
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