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Home My WebLink Aboutpv2021-229 - PermitsCity of Newport Beach - Building Divistion Box 1768 Newport Beach, California 92658-8915 a SOLAR Permit: PV2021-229IIPO Permit Counter Telephone (949)644-3288 Inspection Requests/Telephone (949)644-3255 Project No : 2719-2021 Job Address: 1853 PORT SHEFFIELD PL NB Issue"ate : 1112912021 q, -1 ".•� Description:SFR INSTALL SOLAR PHOTOVOLTAIC 18 PANELS 6.38 KW'- 11 Inspector Area: 4 Legal Desc.: N TR 6620 LOT 10 Owner: FRAZIER BRYAN & CHRISTIIE Contractor: URBAN ENERGY Architect: r^ '" ^-`"""�' " Address: 1853 PORT SHEFFIELD PL Address: 10192 CONSTITUTION DR Address: NEWPORT BEACH, CA 92660 HUNTINGTON BEACH, CA 92646 Phone: 714-865-5567 Phone: 562-447-4971 Phone: State Lie: Applicant: ALEXANDER MITCH Con State Lie: 944115 Engineer: TRUONG PHONG Address: 10192 CONSTITUTION DR Lie Expire: 12/31/2021 Address: 20754 TIMBERLINE LN HUNTINGTON BEACH CA 92646 Bus Lie: BT30064588 WALNUT CA 91789 Phone: 5301515-5561 Lie Exp Date: 09/30/2022 Phone: 949-254-2751 State Lic:C-070784 Code Edit : 2019 Worker's Compensation Insurance Designer: MENDOZA MARK Type of Construction: V-B-SPR Carrier: STATE FUND Address: 10192 CONSTITUTION DR Occupancy Group: R3 Policy No: 9021421 HB CA 92646 No of Stories: 2 Expire: 0610112022 Phone: Building Setbacks Rear: Use Zone: Front: Bldg Height: 0 Left: Right: Valutaion: $44,280.00 Building Permit Fee - $240.00 - Record Management (8 112 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: PUBLIC WORKS APPROVAL: PLAN CHECK BY: V5 W " 6O •'1,kPPR0VAL aO ISSUE: 00 P o O P flP P O 0 O O O p O O O VOJ J O P OG 41p PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. INSTALL OR VERIFY SMOKE AND CARBON ticI NOxl;7EodE�TE,I�7�OR.YARcoE°XISTING PER CRCR 314.1 & 315.2 P • °Y Yi• 9 • 90 00 OOP OWNER -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 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). ❑ 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, 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, 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 improved 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 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 least one year prior to completion of the improvements covered by this permit, I cannot legail) sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I 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 and Professions Code, and my license is in full force and effect. I Z 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 HUN RED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 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 self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the Fante of the work for which this permit is issued. Policy No. h e 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 insu nce carrier and policy numb r are: q arrier�.�"arG i' .X3V1��1 1N5- Policy Number IoZ1,qZ1 Expiration Date IIzZ- Name of Agent Cr IP,S YIS. 5rAzy'(6--S Phone # ❑1 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 that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant X / t.��G[liL.. ,•'°[��P,yGI Da I1 fZg ZI DECLARATION REGAARALONSTRUCTION LE DING AGENCY I 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, ivil Code). Lender's Name Lender's Address By 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 �o g ter t ov id ntified property for inspection purposes. Signature of Property Owner or Authorized Agent county Print Property Owners or Authorized Agent's Name VIy((iG�-�KQyy�J�rL ACTION PERMITC4NCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED DATE I BY FEDERAL REOULATIONSPART 61 OF TITLE40 AND •AN•Lgf}RUT'At09!• 7•• •�• ❑ •I SUBMFTfEf39VB�STCJ NOJ'IFICATIONTO: •:❑• &P.E •❑ ACtMD' • s ❑ ASBESTOS NODFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. ••• • s • ••s •• SfAATUR-E •o e e eo o n