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Home My WebLink AboutPV2023-0558 - Permits��eWPORT City of Newport Beach 11111111111111111111111111 IIIIIIIIIIIIIIIIIIIIII11111 Sour Permit : PV2023-0558III p emm Community Development Department- Building Division r:90 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2620 Permit Counter Phone: (949) 718-1888 Work Class : Counter C9� OQN�P newportbeachca.gov/civic Issued Date : 1110812023 Final Date: Permit Status: Issued Inspection Area : 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: 4740 VON KARMAN AVE Legal Desc : r N� ! Description: COMM SOLAR PV SYSTEM B9.38KW 164 PANELS Owner: BARRY SAYWITZ PROPERTIES ONE LP Contractor : NATIONAL ENERGY INSTALLERS LLC Architect Address : 4740 VON KARMAN AVE STE100 Address : 2801 COAST HWY W Address NEWPORT BEACH, CA 92660 NEWPORT BEACH, CA 92663 Phone: (949) 636-1467 Phone: (949) 386-4428 Phone: Con State Lic : 1038437 State Lic Lic Expire : 12/31/2023 Applicant: KRIS REASER Bus Lic : BT30069480 Engineer : RYAN MCPHERSON Address : 2801 W COAST HWY, 200 Address : 9240 LIMONITE AV NEWPORT BEACH, CA 92633 Bus Lic Expire : 10/31/2023 JURUPA VALLEY, CA 92500 Phone: (855) 346-3888 Workers' Compensation Insurance Phone: (909) 569-2244 Carrier: SIRIUSPOINT AMERICA INS CO Owner/Builder : Policy No : WC10670400 Designer: ; Address : W. C. Expire : 10/9/2024 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $134,000.00 Type of Construction : II-B Fire Hazard Zone : NO Energy Storage Valuation Occupancy Groups : B No of Units : Type of Solar Bldg Height: No of Stories : 1 Kilowatt : 89 Building Setbacks : Flood Zone : X Use Zone : PC - of enter Processed By: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate 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: Arty city or county that requires a perrnil to construct, alter, improve, demolish, or repair any structure, prior to its Issuance, also requiresrlhe applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Slato License Law (Chapter 9 (commencing with Section 7000) of Division 3 of Lne BLLLness and Professions 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 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 of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The ContractorsState License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the properly, provided that the improvemets are not intended or offered for sale. If, however, ilia 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 forthe 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 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). LJ I am exempt front Ilcensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that. except formy 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 sell a structure that I hava built as an owner-buildor 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:http:llwwnv.leginfo.ca.gov/calaw.htmf, ; Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with SOCtKJ OG�p ' r iigB a Susl ss nd Professlp�6r Code, and my If n�aN-fF and effect. license Class License No Date on Too r I ature 7�/// i �/ WORKERS' CGhl EASATION DECLARATION ING: P+ILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL rENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUS/t�14 DOLLARS 1$160Ae01, IN ADDITION TO OF COMPIeNSA"Inn', 711aAGES AS PROVIDED FOR IN SECTION 370A OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. // hereby affirm under penalty of perjury one of the following declarations: I hbva 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 ihnnience of th^ work fnr which this permit is issued. Policy No. have and will maintain workers' compensation msu�ncare?xl by Section 3700 of the Labor NT, cue r' fit; Ilu b�J are. �U�Q/er $ y `�/-(�-(= Pr I ,a of Agent the performance of the work for which this. Date /0/9 pp Ot� p s issued I shall not employ any person in any manner so as to become subject to the certify ho d in toei1eay ormat t e ofethorkers co whI sabon Br visions of Section 3700 of the Labor Code,. I shall forthwith comply with those provisions. dp\ P� once f the P lature of A IttierfR p,_/l/. _ ___ hereby affirm under penalty of perjury that tit1104e is a construction lending agencyfor the performance of the work for which this permit Is Issued (Section enders Name Lendefs Address ly my signature below, I certify to each of the following: T I am the property owner or authorized to act on the property owner'.. I have read this application iI a information I have provided is tract. I agree to comply With. all a. bus city and county dinance state laws rate' g construction. I authorize representativ of this city or county to t r the a-ide property for inspection purposes. ;,ry// ii :nature of Pro rt Own or Authorized Agent Print Property Owner's or Auth ize ent'S Namgr C ' 9CTION DATE 777, E AR N OF COMPLIANCEWITH CODE OF FEDERAL FOR OFFICE US LY GU IONS PART 61 OF TITLE 40 AND, RULE PERMI r EXPIRED PERMITEXTENDED E LJAQMD PERMNNNAL9 G ❑ASBESrO5 NOTIFICATION 15 NOT APPLICABLE TO CERT19GATE Of 3 PROPOSED DEMOLITION OCCUPANCY ISSUED ' SIGNATURE: Is sued. My workers' compen. iensa4ionAws of California, and //