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Home My WebLink AboutPV2022-0199 - Permits (3)�gWPO,pT City of Newport Beach II II I II I II I II I II III III II II of @ Community Development Department- Building Division SoiarPermit: PV2U22-U199 >'y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-1720 ri z Permit Counter Phone: (949) 644-3288 Work Class : Alteration Inspection Requests Phone: (949) 644-3255 �sciFoaN`P newportbeachca.gov/inspections Issued Date : 9/OB/2022 Inspection Area : 1 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 : 464 62ND ST Legal Desc : TR 772 LOT 7 BLK 22 AND NLY 2. FT LOT 6 AND SLY 2 FT LOT 8 AL L IN BLK 22 SU RFACE AND 500 FT SUBSURFACE Description: SFR 16.00 KW ROOF MOUNTED SOLAR PHOTOVOLTAIC SYSTEM W/ (40) MODULES Owner: BRENT DUQUE - Contractor: FREEDOM FOREVER LLC .:.Architect Address : 464 62ND ST Address : 7200'FENWICK LN Address : .°°° NEWPORT BEACH, CA 92663 WESTMINSTER CA 92680, CA 92680 °....° Phone: Phone: (888);:5576431 Phone: Con State Lie : "1029644 State Lie Lie Expire: 08/31/2023 Applicant: FREEDOM FOREVER LLC Bus Lie: BT30064271 Engineer: Address: 7200 FENWICK LN Address: WESTMINSTER CA 92680, CA 92680 Bus Lie Expire : 08/31/2023 Phone: (888) 557-6431 Workers' Compensation Insurance Phone: Carrier: NATIONAL+CASUALTY+COMPANY ° Policy No: WCC334024A`' Designer: FREEDOM FOREVERL6C W.C. Expire: .6/112023 Address : 7200 FENWICK LN - WESTMINSTERCA 92_%0,£A926W°0°0 Phone: (888)557-6431 Code Edition : 2019 '- Fire Sprinklers : NO Construction Valuation : $40,000.00 Type of Construction : V-B Fire Hazard Zone :.-. NO Occupancy Groups : R-3 No of Units : 1 Type of Solar: SFP Bldg Height: No of Stories : Kilowatt: 16 Building Setbacks : Front: 5, Front: 5, Side: 3, Side: 3 Flood Zone: X Use Zone : R-1 - Single -Unit Residential Processed By: q2I%13-� I ILETO I hereby affirm under penalty of perjury that am exempt from the Gontractors"State. License Law for the reason(s) ration 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, after, improve permit to rile a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State. LICE &Scions Code) or that he or she is exempt from liCarSUre and the basis for the 'alleged exemption. Any violation of checkmark(s) I have placed next to the applicableitem(s) y structure, prior to its Issuance also requires the applicant for rmmencing with Section 7000) of Division 3 of the Business and applicant for a permit subjects the applicant to a civil pertaity of morethanfive hundred dollars:($500)... 1, 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, mess and Professions Codes The Contractors' State License Law does not apply to an owner of property who, through employaes' or personal effort, builds or improves the.. property, provided that the Ovemants 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 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. y 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 licensors under the. Contractors' State License Law for the following reason: ell astructure that I have builtas Ircifessions Code, is availableum signature of Property Owner or Aa .10ENSED CONTRACTOR'S hereby affirm under penalty of nd effect License Class When or m I am licensed under provisions of C„h t 9 ( mencing with Section License No Ill G `7 f� i Date (ERS' C0J#PERyiATtON DECLARATION'.. r Z Of force G: FOILURE TO9•OAE wOR%ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT. AN EMPLOYER TO CRIMINAL PENALTIES AND CND. FINES UPTO ONE HUNDRED THOUSAND DOLLARS tS100,000). IN ADDITION TO THE j.CQMPENSATRH& DANAGES AS PROVIDED FORIN BEGTION 17M OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES, y affirm under.• pity of perjury one. of the following declarations; VJv� •rd 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 trot , e-of the oYoi6forwhich this permit is issued. PoliGy No. "And will rildil't2in workers' compensation insurance, as required by Section 3700 of the Labor. Code, for the performance of thework for which this . permit is issued.. My workers compensatior is caroler rM c number are: • N a ►d h' Cot, V R I t Polioy Number W CC3 &40 Z, A— Expiration Date t -L "/ N1Vent Phone If tify4haL in p5&Mance of the work for which this permit Is Issued. 1 it not employ any person in any manner so as to become subject to the workers' oompensation laws of California, and agree Lr,Vuld bec$rhe subject to the wo'LrkBrB` Dom n'sation or ins of Se Ion 3700 of the Labor Code, I shall forthwith comply with those, provisions. h6 of Aoolitant• •' L�/ C� C DateT `Cg z z I hereby affirm under penalty of perjury that there is a construction lending agencyfor the performance of they 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: 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 a .state laws retail to building construction. I:authorize representatives of this city or county to ter a ab e-ideniifl rop for inspection purposes. Signature of Property Owner or Authorized A gen€ Pont Property Owner's or Acthorized Agent's Name (.. I Cf7•P.F 'wl 13,40 ACTION DATE _ BY. DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61OF TITLE 40 AND AQMD RULE PERMIT EXTENDED FERMI FINAL CERFiFiCATt Or 11 OCCUPANCY ISSUED TO 15NOTAPPLICABLE TO