HomeMy WebLinkAboutPV2023-0320 - Permits��,EwroRT City of Newport Beach
p dcn Community Development Department - Building Division
F i 100 Civic Center Drive, Newport Beach, CA 92660
G ) S Permit Counter Phone: (949) 718-1888
C,��ORN`P newportbeachca.gov/civic
llll1IIIl1111101l1121lll111111lllllllll111111lllll1111111 Solar Permit : PV2O23-0320
Plan Check No: PC2023-1290
Work Class : Alteration
Issued Date : 06105/2023
Inspection Area: 6
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:OD a.m. to 6:00 p.m. No work on Sundays or Holidays.
Job Address : 1027 GOLDENROD AVE Legal Desc : N TR 2202 BLK LOT 48
Description: SFR INSTALL SOLAR PV SYSTEM 12.32 KW WITH 28 MODULES. (X2021-1284)
Owner: JOEL CALDERON
Address : 1027 GOLDENROD AVE
CORONA DEL MAR, CA 92625
Phone:
Applicant:
RENEWABLE ENERGY ADVANTAGE
Address:
2815 JUNIPERO AVE #115
SIGNAL HILL, CA 90755
Phone:
(888)416-1415
Owner/Builder :
Address :
Phone
Contractor:
RENEWABLE ENERGY ADVANTAGE
Address :
2815 JUNIPERO AVE #115
SIGNAL HILL, CA 90755
Phone:
(888)416-1415
Con State Lic
: 982201
Lic Expire :
03/31/2025
Bus Lic:
BT30076463
Bus Lic Expire : 09/30/2023
Wor rs' Compensation Insurance
Carr4r : STATE FUND
;Policy No: 9221975
W. C. Expire : 11/30/2023
Code Edition :
2022
Fire Sprinklers : YES
Type of Construction :
V-B
Fire Hazard Zone : NO
Occupancy Groups:
R-3,U
No of Units : 1
Bldg Height:
No of Stories : 2
Building Setbacks :
Front: B, Side: 6, Side: 6, Rear: 6
Flood Zone:
X
Use Zone:
- Single -Unit Residential (6000 indicates minimum lot area)
(�R-1-6000
Processed By:
SPECIAL CONDITIONS:
Architect
Address
Phone:
State Lic:
Engineer:
Address :
Phone:
Designer: RENEWABLE ENERGY ADVANTAGE
Address: 2815 JUNIPERO AVE #115
SIGNAL HILL, CA 90755
Phone: (888) 416-1415
Construction Valuation : $24,250.00
Type of Solar: SFP
Kilowatt: 12
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) 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, after, improve, demolish, or repair anystructure, prior to Its Issuance, also requires the applicant for
the permit to Ale 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 of the Business and
Professions Code) or that he or she is exempt from Ilconsure and the basis for the alleged exemption.. Any violation of Section 7031:5 by any applicant fora permit subjects the applicant to a civil penalty of
lot 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,
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 sate. 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
Irmproved for the purpose of safe).
-I
u I, as owner cf ,t,e property, am exclusively contracting with licensed Contractors to renstroet the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an Owns- Y property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I I err• exempt 1w,n licensure under the Contractors' Slate License Law for the following reason:
3y my signature belm) 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 legaly
soli a Ltructure that I have built as an owner -builder if it has not been constructed In itsentirety by licensed contractors. I understand that a copy of tho applicable law, Section 7044 of the Business and
Nrotes ;ions Code, is available upon request when this application is submitted or at the following Web site:http:Nwww.leginfo.ca.gov/calaw.html.
Signau Ire of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
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. ode, ar�d my license Is 1n full lone
and effect. License ,;lass License No ':,: Date -k • - ?3 Contractor Signature
✓JORKERS' COMPENSATION DECLARATION
NIRCING: 7AILURE To SFCURE WORKERS' COMPENSATION COVERAGE le UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVILFINES UP TO ONE HUNDRED THOUSANO DOLLARS (St00,000), IN ADDITION TO THE
COST OF COMPENSAT`I'N, Of MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
L.�reby affirm order prnaity of perjury one of the following declarations:
1 have and wi5 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 ih�
)erformance of the work for which this permit is issued. Policy No.
2(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' compensaiior
nsurance carder qnd poFlicy number are:
3arier 5- Policy Number 1 T2 19 % Expiration Date
Vame of Agent Phone N
I 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
,hat, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
31gnature of Applicant it y ��T ..-t,� Qata_®`o ' 1 Z
PW 1. FYJATII�\I dCf1l10�f t\I/1 FfY\iCTO1 ICY r C\[RIIIR Ar chIPV'
Neby 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
ides s 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 owners 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 state laws relating to building construction.
I authorize representatives of this city or County to enter the. atib (Identified property for inspection purposes. ,
nature of ProDarly Owner or Authorized Agent �9 L/ , Print Prooerty Owners or Authorized ADent's Name /V1
ACTION I DATE BY j REGULATIONS PART 61 OF TITLE 40 Alf1 AQMD RULEI DECLARATION OF COMPLIANCE ITH CODE OFFEDERAL FOR OFFICE USE ONLY
PERMITEXPIREO I I / I I U I SUBMITTED ASBESTOS NOTIFICATION
PERMITFtNAL OCCUPANCY ISSUED NI / l � Ylfl S�IGNATURE;EMUT / fSN--ICABt.E TO
Civil Code).
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