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Home My WebLink AboutPV2023-0417 - Permitspo" City of Newport Beach 4 p A�Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 U t z Permit Counter Phone: (949) 718-1888 a c9� F pN�r newportbpachca.gov/civic IIBIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�� Solar Permit : PV2023-0417 Plan Check No : PC2023-1875 Work Class : Counter Issued Date : 0910512023 Final Date: Permit Status: Issued Inspection Area : 5 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: 311 POINSETTIA AVE Legal Desc : A TR CORONA DEL MAR BLK 242 LOT 11 CORONA DEL MAR Description: SFR SOLAR PV SYSTEM 9.2 KW. 23 PANELS. ENERGY STORAGE SYSTEM Owner: BRIAN M KINGMAN Address : 311 POINSETTIA AVE NEWPORT BEACH, CA 92625 Phone Applicant: NICKVERTUCCI Address : 2815 JUNIPERO AV, UNIT 115 SIGNAL HILL, CA 90755 Phone: (714)852-9655 Owner/Builder : Address : Phone: Contractor: RENEWABLE ENERGY ADVANTAGE Address : 2815 JUNIPERO AVE #115 SIGNAL HILL, CA 90755 Phone: (888)416-1415 Con State Lie : 982201 Lie Expire : 03/31/2025 Bus Lie: BT30076463 Bus Lie Expire : 09/30/2023 Workers' Compensation Insurance Carrier: STATE FUND Policy No: 9221975 W. C. Expire : 11130/2023 Code Edition : 2022 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : U,R-3 No of Units : Bldg Height: No of Stories : 2 Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 5 Flood Zone : X Use Zone : R-1 - Single -Unit Residential Processed By: SPECIAL CONDITIONS: INS,1 ECTOR Architect Address Phone: State Lie Engineer: Address Phone : Designer: JAMES GILLETTE Address: 2815 JUNIPERO AV, UNIT 115 SIGNAL HILL, CA 90755 Phone: (661)B78-3711 Construction Valuation : $31,700.00 Type of Solar Kilowatt: 9 , , OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the reasons) indicatedbelow by the checkmark(s) I have placed next io the applicable itenl(s) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit'to construct, after, tmprova, demolish, or repair any structure PHUT to its iSSUBnCe, also requires the applicant for trio 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 7031,6 by any applicant for a permit subjects the applicant to a civil penalty of .not mere 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 Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, build%or improves the properly, 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 -Buller will have the burden of proving that it was not built or irmrypraved for tho purpose of care). I, as owner of the property, arm exclusively contracting with licensed Contractors t0 construct the project (Section 7044, Business and Professions Code: The Contractors' State License Lew 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). '.❑ 1 am exempt from licensure under the Contractors' State License Law for ilia folow`ing reason ,By my signature below f acknowledge that, except for my personal residence In which I must have resided for at least one year prior t0 completion of the Improvements covered by this penmlt I cannot legally{, so€I a structure that I have built as an owner -builder if it has not boon constructed in its entirely 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 fallowing Web site .hHp I www.Ieginfo.oa.govfcaPw hurl. Signature of Property Owner or Authorized Agent _ Date ''.LICENSED CONTRACTOR'S DECL.ARATiON I hereby affirm under penalty of perjury that I am licensed under provisions of Chtr 9 (commencing with Section 7000) of Division 3 of The business and Protessions Code, a d my ense is in full force and affect License Class _�� 0License No Cl2 b l Date �_'S 1 Z'j Contractor Signature (WORKERS' COMPENSATION DECLARATION �— WARNING_ FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADOnION TO THE COST OF COMPENSATION, DAMAGES ASK PROVIDED FOR IN SECTION 3706 OF THE LAaOR CODE, INTEREST, AND ATTORNEY'S PEES.. I hereby affirm under penalty of perjury one at the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' componsalion, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Is issued. Policy No. I 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' compensation insurance carrier and policy number are: Carrier $AS,� Policy Number Expiration Date Name of Agent Phone # ❑1 certify that, In the performance of the work for which this permit is issued., I shall not employ any person in any rnaimter so as to become subject to the workers' compensation laws of California, and agree that, if I should become subje'ay/g ,e worke ` Donrpens h I revisions of Section 3700 of the Labor Code„ I shall forthwith comply with those provisions. Signature of Applicant��e C�S ..».-..m.-,,....__.._m_.._._...�.��___��._.�... Date$/ L DECLARATION REGARDING CONSTRUCTION LENDING AGENCY 1 hereby affirm under penalty of perjury that there is a construction lending agencyfor the performance of the work for which this permit is issued (Section 3097, Civil Code). Lenders Name Lenders Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on the properly owners behalf. I have read this application and The information I have provided is correct, i agree to comply withall applicable city and county ordinances and slate laws relating to building construction. t au'h -inze re.pres3l tobvus of thir,, city or county to enter the oyes= enli0ed property for inspection purposes. / I �, cy Si nature of Property 'CW ter c: Aut ror,zed A ant Print Property Owner's or Authorized Agent's Name ' rC V A'r Date ACTION —� E RY DECtARATION OF COMPLIANCE WITH CODEOF FEDERAL FOR OFFICE USE ONLY [�XI �� RF:GUI.ATIONS PART 61 OF TITLE 44 AND AQMO RULE 1403 PERMIT Ex°(RED i SORMITTFD ASRFSTOS NOTIFICATION TO ____.__..... .........._......... aW„.._...._ t ___ .. ,i......._„_._... PERMIT EXTENDED ¢ LAQMD PERMi7 YINtiL �_ �� Z'� A5HF51NOI THCA11ON IS NOl APPLICABtIk 7O CERPFICATE OF )PROPOSE05 D DEMOLITION OCCUPANCY iS4UED j SIGNATURE: