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Home My WebLink AboutPV2021-230 - PermitsCity of Newport Beach - Building Divistion r ; n PO Box 1768 Newport Beach, California 92658-8915 r � '�<iyylll�* SOLAR Permit : PV2021-230 Permit Counter Telephone (949)644-3288 Inspection Requests/Telephone (949)644-3255 Job Address: 1221 OUTRIGGER DR NB Description:SFR SOLAR PHOTOVOLTAIC SYSTEM 11.7kw, (35) ROOF MOUNTED PANELS Inspector Area: 6 Legal Desc.: N TR 6634 LOT 44 Owner: SALOMON JIM Contractor: URBAN ENERGY Address: 1221 OUTRIGGER DR Address: 10192 CONSTITUTION DR CORONA DEL MAR, CA 92625 HUNTINGTON BEACH, CA 92646 Phone: Phone: 562-447-4971 Applicant: ALEXANDER MITCH Con State Lic: 944115 Address: 10192 CONSTITUTION DR Lic Expire: 1213112023 HUNTINGTON BEACH CA 92646 Bus Lic: BT30064588 Phone: 530/515-5561 Lic Exp Date: 09/30/2022 Code Edit: 2019 Worker's Compensation Insurance Type of Construction: V-B Carrier: STATE FUND Occupancy Group: R3/U Policy No: 9021421 HUNTINGTON BEACH CA 92646 No of Stories: 1 Expire: 06/01/2022 Building Setbacks Rear: Use Zone: Front: Bldg Height: 0 Left: Right: IIII IIIIII IIIII IIII IIIII IIII IIIIII IIII IIIII IIII IIII Project No : 2720-2021 Issued Date : 12/14/2021 r0 Architect: r g1 Address: 1��ad77 Phone: State Lic: '� Engineer: TRUONG PHONG Address: 20754 TIMBERLINE LN WALNUT CA 91789 .� Phone: 949-254-2751 State Lic: C-070784 Designer: MENDOZA MARK Address: 10192 CONSTITRYTION DR - 0 Phone: 562-447-4971 Valutaion : $70,200.00 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: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: _ "APPROVAL TO ISSUE: a r s e a PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. INSTALL OR VERIFY SMOKE AND C 4RHON MONO}7DE LsETE(-T(-,RS ARE EXISTING PER CRCR 314.1 & 315.2 )WNER-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 IS 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 'rofessions Code) or that he or she is exempt from Iicensure 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 of 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 nprovements 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 nproved for the 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 pply 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 am exempt from Iicensure under the Contractors' State License Law for the following reason: ly 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 le 'I ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. lignature of Property Owner or Authorized Agent Date .ICENSED 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 andPfession Co e, and my license is in full force nd effect. icense Class License No Dat . 'Z 1 �I Contractor Signature VORKERS' COMPENSATION DECLARATION IARNING: 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 DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 3 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 e.ormance of the work for which this permit is issued. Policy No. have and will ma in workers' co nsation insurance, as lquired by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' ranee carrier and ollc umber e: r l / Date of Agent 11 certify that, in the p�Onnance of the w k 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 agrE tat, if I should become su 1ec to the or s' omp nsatton ovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.XD_11/I 4 I ignature of Applicant �—f IECLARATION REGA DI CONSTRUCTION E DING AGENCY hereby affirm under nalty 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 9rdmances and state laws relating to building construction. I authorize representatives of this city or county a ter a e-id tif' d property for inspection purposes. ignature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Date ACTION DATE E ay DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONIY FEDERAL PEGUt OTIONF PART 54 OF TI?L E40 AND' AQMD RULE 1403. PERMIT EXPIRED ❑ I SUDM.TTEDASCESTCS NORFC ATION TO: ❑ EOA - ❑ AQMD PERMIT CANCELLED PERMIT EXTENDED ❑ ASBESTOS N077HCA RON IS NOT APPLICABLE TO PROPOSED DEMOLITIOV. PERMIT FINAL - 4 • 2 %.: [.r•• FVA- `7 CERTIRCATEOF SIGNATURE:. OCCUPANCYISSUED