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Home My WebLink AboutPV2021-138 - PermitsCity of Newport Beach - Building Divistion n PO Box 1768 Newport Beach, California 92658-8915 c Job Address: 22 BELFORT NB Description:SFR SOLAR PHOTOVOLTAIC 6.84kw, It 9) ROOF MOUNTED PANELS SOLAR Permit: PV2021-138 Permit Counter Telephone (949)644-3288 Inspection Requests/Telephone (949)644-3255 Project No: 1822-2021 p,1 -r� 99 [` U,, sued Date : 11/02/2021 E9_�CC��1ii+AL iY1� l AL�� T+ ii S.'i�iY Inspector Area: 6 Legal Desc.: (EIAT) 1S NOT ALLOWED FOR Owner: SIEGAEL EVAN/JEAN Contractor: SUNRUN r esA.E�L9CATiOf�isJ �e's: Address: 22 BELFORT Address: 225 BUSH ST 91400 �-� NEWPORT COAST CA 92657 SAN FRANCISCO, CA 94104 Phone: Phone: 855-478-6786 Phone: State Lic: Applicant: STANTON DEANA Con State Lic: 750184 Engineer: LOPEZ SAGE Address: 20512 CRESCENT BAY Lic Expire: 0613012022 Address: 133 TECHNOLOGY WAY LAKE FOREST CA 92630 Bus Lic: BT30066837 IRVINE CA 92618 Phone: 949-460-3433 Lic Exp Date: 04/30/2022 Phone: 949-3863-0993 State Lic:C-075870 Code Edit : 2019 Worker's Compensation Insurance Designer: FORTES JOHNMAR Type of Construction: VB Carrier: ZURICH AMERICAN INS CO Address: 20512 CRESCENT BAY Occupancy Group: R3/U Policy No: WC614287600 LAKE FOREST CA 92630 No of Stories: 2 Expire: 1010112022 Phone: 949-460-3433 Building Setbacks Rear: Use Zone: X Front: Bldg Height: 0 Left: Right: tp rgq Valutaion: $41,040.00 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: ZONING APPROVAL: GRADING APPROVAL: PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: oeo oo° • o 0 0 • o PERMITS fd',PI#E 180 DAo"/5 °AF-CEW IS9UAHCE OF' LAST VALID INSPECTION. • • • °•° •• o0 INSTALL OR VERIFY SMOKE AND CARBON MONOXIDE DETECTORS ARE EXISTING PER CRCR 314.1 8 315.2 0 0 000 0 0 000 o• •o o • • • s 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 iteal(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 B%i 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 U 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). ❑ 1, 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 Iicensure 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 legal) 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://w .leginfo.ca.gov/calaw.htmi. 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 Profes ions,Code,l a y license is in full force and effect. ' .� I License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION 06 WARNING: 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: ave 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 th eroor ance 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' compensatio insur nce carrier and policy number are: rrier Policy Number Expiration Date Name of Agent Phone # I 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 agre that, if I should become subject to w////pp'rkerss''/cyr/fS�ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. // Signature of Applicant x �Z /I / i— Z (9/ DECLARATION REGARBAONSTRUCTI NDING 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, Civil 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 to an r th ab e-identi roperty for inspection purposes. %� >> Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam /Date - l ACTION 4DATEBY DEClARATfONOFCOMPLI ANCE4NTHCQOEOF FOR OFFfCED5EONIY FEDERALREGUt.ATlONSPARTtefOFTiRE40AND AQMO RDtE 4403, PERMIT EXPIRED 1$V6Mi7TEDA58E5Tf35-1JQITF/^.5TX3j'�tTO: ❑;EPA :.PERMITEXTENDED❑AQMD PERMI7CAPiCELLEO O QPQSED DEMQLIT ON.D8N15 NQT APPLtCABt-E TO PERMIT FINAL P— fL_ � CERTIFICATEOF SIQNATUREo OCCDPANCYISSOED 0 ss• es �•e s s eee e•