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HomeMy WebLinkAboutPV2022-019 - PermitsCity of Newport Beach - Building Divistion SOLAR Permit: PV2022-019 *PV2022-019* i CX v PO Box 1768 Newport Beach, California 92658-8915 n Permit Counter Telephone (949)644-3288 No : 0250-2022 c7. Inspection Requestsrrelephone (949)644-3255 Project ay�gs Job Address: 1221 BERKSHIRE LN NB OU;TORIssued Date : 0211512022 Description:SFR SOLAR PHOTOVOLTAIC SYSTEM 6.12 kw 18 PANELS Inspector Area: 3 Legal Desc.: N TR 3031 LOT 18 Owner: PHAN PHUOC Contractor: SADLER SOLAR Architect: Address: 3 GRASS VALLEY Address: 801 GLENNEYRE ST #A Address: IRVINE CA 92602 LAGUNA BEACH CA 92651 Phone: 714-478-7334 Phone: 949-584-4800 Phone: State Lic: Applicant: CONTRERRAS XAVIER Con State Lic: 982533 Engineer: Address: 801 GLENNEYRE ST STE A Lic Expire: 04/30/2023 Address: ... LAGUNA BEACH, CA 92651 Bus Lic: BT30073175 Phone: 562-639-9457 Lic Exp Date: 10/3112022 Phone: State Lic: ° ¢vo Code Edit: 2019 Worker's Compensation Insurance Designer: CONTRERRAS XAVIER occam Type of Construction: V-B-SPR Carrier: EXEMPT Address: 801 GLENNEYRE ST STE A 0°soo° Occupancy Group: R3/ll Policy No: NO EMPLOYEES LAGUNA BEACH, CA 92661 No of Stories: 0 Expire: Phone: ©6°f Building Setbacks Rear: 6 B Jp Use Zone: Front: 20 Bldg Height: 0 Left: 6 Right: 6 Valutaion : $36,720.00 Building Permit Fee $240.00 Record Management (8 1/2 X 11) $0.00 Plan Check Fee : $210.00 Record Management (Plans) : $0.00 TOTAL FEE: $450.00 Plan Check Fee : $210.00 Fee Due at Permit Issuance : $240.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: pop PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: DEA 01) 3R PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. INSTALL OR VERIFY SMOKE AND CARBON MONOXIDE DETECTORS ARE EXISTING PER CRCR 314.1 & 315.2 NER-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) ction 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 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 Cessions 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 more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, - iness 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 rovements 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 roved for the purpose of sale). I, as ownej pt lj a property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not ly 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). .... I sm exempt frQrp licensure under the Contractors' State License Law for the following reason: 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 legal) 3 structure'tnat 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 fessions Code, is available upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.html. nature of Paoperrty Owner or Authorized Agent Date :ENSEDV6A%ACTOR'S DECLARATION .IIbby affirra"dar 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 AseC ; '„C.-qb T92- y33 2lj�fy Contractor Signature ^J(/'V�ytA/f aAse Class Y License No Date g )Fq[ERS' (;6KP,ENSATION DECLARATION MITIG: FAILUq T8 SCCURE 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 jT.gF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370G OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. jgby 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 the 'ormance 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' compensatior uance carrier and policy number are: Policy Number of Agent Date 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 if I should become subject to the worw-.mDanaation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Applicant Date 2//S /2u2�Z, iECLARATION REGARDING CONSTRUCTION LENDING AGENCY 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). ender's Name Lender's Address y 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 and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter the above= entified no a for ins ectiOn purposes. signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name x Q. ce r t 19 P7P Oy S Date ACTION DATE By DECLARATION OFCOMPLIANCE WITH CODEOF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF T17LE40AND AQMO RULE 1403, PERMIT EXPIRED ❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMITEXTENDED ❑ ASBESTOS M077FICA770N IS NOTAPPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL -2'L CERTIFICATE OF SIGNATURE. OCCUPANCYISSUED