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PV2022-0427 - Permits
��EWPoRr City of Newport Beach p ecru Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII����� Solar Permit : PV2022-0427 Plan Check No: PC2022-3056 Work Class : Alteration Issued Date : 02/22/2023 Inspection Area : 2 -:7 PERMITS EXPIRE 180 DAYS AFTER ISSaNCE OR LAST VALID INSPECTION. Construction Hours; ' -Monday Friday 7:06 a.m. to 6:30 p.m. and Saturday 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays. 4&`O FTTF2 9 BLK LOT 488 TR 907 LOT 488 SELY 20 FT AND NWLY 10 F T LOT 489 Job Address : 434 VIA LIDO NORD ON legg Description: SFR- SOLAR PV SYSTEM 9.2 KW 23 MODULES Owner: MICHAELFONG Address: 434 VIA LIDO NORD NEWPORT BEACH, CA Phone: (949)280-8959 Applicant: MIKE FERKETIC Address : 360 E. 1st St. #947 E. 1st St. #947 Tustin, CA 92780 Phone: (714)258-3900 Owner/Builder : Address : Contractor: PEAK POWER SOLUTIONS INC Address : 360 E 1 ST STREET #947 TUSTIN, CA 92780 Phone: (800)265-6357 Con State Lie : 973253 Lie Expire : 05/31/2024 Bus Lie: BT30053975 Bus Lie Expire : 02/28/2023 Workers' Compensation Insurance Carrier: STATE COMPENSATION INSURANCE FUND Policy No: 9204002 W. C. Expire: 2/1/2024 Phone: Code Edition : 2019 Fire Sprinklers : NO Type of Construction : V-B Occupancy Groups : R-3,U Fire Hazard Zone : No of Units : NO 1 Bldg Height: No of Stories : 2 Building Setbacks : Front: 0, Front: 4 _ Flood Zone : X Use Zone : RM - Multiple Residential Processed By:^-_ SPECIAL CONDITIONS: Architect Address Phone: State Lie Engineer: NEALWANKET Address : 1608 W FESCUE LN, #203 COUER d'ALENE, ID 83815 Phone: (951)506-6507 Designer: Address : Phone : Construction Valuation Type of Solar : SFP Kilowatt: 9 $21,600.00 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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). ❑ 1, as owner of the property,or my employees with wages as their sole compensation, will do (J 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, file 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). ❑ I, as owner of the properly, 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). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason By my signature below I acknowledge that, except for my personal residence In which I must have resided for at feast one year prior to completion of the improvements covered by this permit, I Gannet legail sell a structure that I havo built as an owner-buildor if it has not been constructed in its entirety by licensed contractors. I understand that a copy of tho applicable law, Section 7044 of Cho Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http:1'"w,leginfo.ca.gov/calaw.html.. Signature of Property Owner or Authorized Agent _ Date LICENSED CONTRACTOR'S DECLARATION n I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of ivi � of the Business and Profeasio Code( Kd m+r license is in full farce and effect. License Class License No Date Contractor Signature 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 OUSAND DOLLARS ($100,000), IN ADDRION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37O OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to sell -insure for workers' compensation, issued by the Director 0f Industrial Relations as provided for by Section 3700 of the Labor Code, for to ormance of the work for which this permit Is issued. Policy No. Eve 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' compensatio insu ance Carrier and policy number are: rier 5�� �� �' : �_ j C eC zt Policy Number g7 t5 �f©o 2 Z a Expiration Date 3/ Z Name of Agent I-.-»r' '�— � co, /111 Phone # -r rzt - Z �- !m5n ("1 ©I certify that., in the performance Of the work for which this permitis issued., I shall not employ any person In any manner so as to become subject to the workers' compensation laws of California., and agre that, if I should become subject to th works co. pensabon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / /' { Signature of Applicant Date) -iL / L _ DECLARATION REGARDING S IO�L UCTcNOING AGENCY \ . A � _ / -- I hereby affirmnder upenalty of r)ury that there Is a construction lending agency for the performance of the work for which this permit is issued(Section 3097, Civil Cade). Lenders Name Lender's Address By my signature below, I certify to each of the following: l 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 ` �1!'✓YCS ��� I agree to comply with all applicable city and county ortlina and state laws relating to building construction. J SignI authorize representatives of this city orcouoty t enter t ove-identified property for inspection purposes. ature of Property Owner or Authorized A ent Print Property Owner's or Authorized Agent's Name � � - _ Date 2 ACTION DATE BY f OECLARATIONOF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RECULATION5 PART 63. OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED ISUBMITTED ASBESTOS NOTIFICATION TO PERMITFINAL r1, UASBFSTi)S NOTIFCATION IS NOT APPLICABLE TO LERAFlCATE OP Zi 1 yr "'- - PROPOSED DEMOLITION OCCUPANCY ISSUED I SIGNATURE; LO H CO xz LO VrSr^ W N m U o0 W c" W w D M F,O� a0 W [G>z] a 0, OC7� W �Am� Z W � r o a Oa) c N � Uo u 0 0 0 � ui J U) Q `) W V J U Z J Q Q F- U)LLI J 0 z s L vQ a N a a :l W LLJ w (3 O O U � Q MW W uj d L 0 it d ,A V/ m CL E w V no Q Q �) o H —0 w Q JT oIL a v v > o o _0 ° o W v v 75Qj f06 vi "Cv c o W 2 E m ° Z v o o� F— V CL •� O F U 0 Q O E u a a > a, `= v Cl) d o Z CL N Z +.. u O- ra O c O Cz v aj m L r L r� a 0 � i L 3 m FR o Q t`a ca �O z LU O cu U G. a)O j aJ E � O L v CLo E m (D O N ra Y s n f s L Q o u v0. \ra n u ti m z x CD O) a Uo O w W m� HC)a� F�"'I Giy A m QIl (o W z F H �Aco x U z W�o0 A 3 N O � c C�� v U o U 0 0 Al IN] 00 W 0 z O El L 22 w I 7 14 rV (+1 N Q W Q Q I Q Mzz n n a a C C C O O O N N C. .. N N w N u m m a O. 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