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HomeMy WebLinkAboutPV2023-0146 - Permit04", City of Newport Beach Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic IIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII����� sour Permit : PV2023-0146 Plan Check No : PC2023-0573 Work Class : Addition/Alteration Issued Date : 1010512023 Final Date: Permit Status: Issued Insoection Area : 1 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 dir Holidays. Job Address : 407 39TH ST Legal Desc : A TR CANAL SECTION BLK 439 LOT 10 Description: SFR -SOLAR PV SYSTEM 4.3KW (10) MODULES Owner: MARK S MARKOS Address : 407 39TH ST NEWPORT BEACH, CA 92663 Phone: (949)524-6094 Applicant: FREEVOLT USA INC Address: 42005 COOK ST STE 310 SAN DIEGO, CA 92111 Phone: (760)345-0080 Owner/Builder : MARKS MARKOS Address : 407 39TH ST NEWPORT BEACH, CA 92663 Phone: (949)524-6094 Contractor Address : Phone : Con State Lie Lie Expire Bus Lie : Bus Lie Expire : Workers' Compensation Insurance Carrier : Policy No W. C. Expire: Code Edition : 2022 Fire Sprinklers : NO 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: 10, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone : R-2 - Two -Unit Residential Processed By: SPECIAL CONDITIONS: LIQUEFACTION; HIGH -DENSITY ZONE Architect Address Phone: State Lie Engineer: Address Phone Designer: FREEVOLT USA INC Address: 42005 COOK ST STE 310 SAN DIEGO, CA 92111 Phone: (760)345-0080 Construction Valuation : $6,450.00 Type of Solar : SFP Kilowatt : 4 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). ❑ I, as owner of the property,. or my employees with wages as their BOIS 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 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). ti":iructure 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 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 Lai exempt from licensure under the Contractors' State License Law for the following reason. gnature below I acknowledge that, except for my personal residence in which I must have resided for al least one year prior to completion of the Improvements covered by this permit, I cannot legally that I have built as an ewner-buildor if it has not been construct Gn' ery by licensed contractors. I understand that a copy of the applicable law, SBctiom7044 0l the usin ss and Professions Code, Is available upon request when s appi' sub 'tied or at ollowing Web site:http:il% , .leginfo.ca.gov/calaw.html. O Z f) Signature of Property Owner or Authorized Agent �,a�_ Oath / LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisi. of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions , and to se's In full force and effect. License Class License No Date Contractor Signature x ��— 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 (S100.000), IN AODRION TO THE COST OF COMPENSATION, OAMAGESAS PROVIDED FOR IN SECTION 3716 OF THE "BOA CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I 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 orrnance of the work for which this permit Is Issued. Policy No. 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' compense trance carrier and policy number are: of Agent rtify that, in the performance of the work for I should become subject to�th�he- rkers/Dot ire of Aeolicant Policy Number Date is issued', I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre tons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Dat _._.._. ;Y hereby affirm under penalty of perjury that Ate a is a construction lending agencyfor the performance of the work for which this permit is issued (Section 3097, it Code). .enders Name Lender's Address _ ly my signature below, I carlify to each Df 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 and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to'myl ahoy pre rly for inspection purposes. r liunalure of Property Owner or Authorized AaenL✓ /!�/Print Property Owner's or Authorized Aoent's Name✓ YWIVI'M IM,/ Date ACTION DATE BV - J(/DErI ARATnN OF MPLFANCE WITH CODE OF FEDERAL RFGULATION. ART 61 OF TITLE 40 AND AQMD RULE 1403 FOR OFFICE USE ONLY _ PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CAACELLEJ EPA IS NOT APPLICABLE TO JQ CERFICATE OF PROPOSED DEMOLiTIONIDN OCCUPANCY ISSUED SIGNATURE.