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Home My WebLink AboutPV2023-0125 - Permits�.WPp4,T City of Newport Beach 1111IIII IIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII11 Jill Solar Permit : PV2023-0125 o� e Community Development Department- Building Division ' n 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0492 N'b 2 Permit Counter Phone: (949) 644-3288 Work Class : Alteration o- Cq(r%O0.N�P Inspection Requests Phone: (949) 644-3255 Issued Date : 0312112023 newportbeachca.gov/inspections Inspection Area : 6 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: 33 BARGEMON Legal Desc : N TR 15934 BLK LOT 39 Description: SFR SOLAR PV SYSTEM 19 MODULES, 7,79 KW. Owner: JAMES TRUONG Contractor: SOLAR OPTIMUM INC Architect Address : 33 BARGEMON Address : 614 W Colorado St. Address NEWPORT COAST, CA 92657 GLENDALE, CA 91204 Phone: Phone: (818)804-3122 Phone: ° Con State Lie : 972228 State Lie Lie Expire : 04/30/2024 - - Applicant: WALDIR HENRIQUEZ Bus Lie : BT30063259 Engineer: MOKSUDUR RAHMAN Address: 614 W COLORADO ST Address : 13611 12TH ST, STE B GLENDALE, CA 91204 Bus Lie Expire: 05/31/2023 CHINO, CA 91710 Phone: (818) 804-3122 Workers' Compensation Insurance Phone: (213) 400-8078 Carrier: STARNET INS CO Owner/Builder: Policy No: BNUWC0157027 Designer: Address: W. C. Expire: 5/18/2023 Address Phone: a ° Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $20,000.00 Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups: R-3,U No of Units : 1 Type of Solar : SFP Bldg Height : No of Stories : 2 Kilowatt : 7 Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone: PC - Newport Ridge 69v �N✓dij' Processed By: , LP':-i LLL IU _ CTRi Abii SPECIAL CONDITIONS: (EMT) is NOT ALLOWED FOR EXTERIOR APPLICATIOPdS 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 items) 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 1e 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 'rofossions 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 of more than five hundred dollars ($500)- 3 1, as owner of the property, or my employees with wages as their sole Compensation, will do (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Iusiness 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 properly, provided that the nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year at completion, the Owner -Builder will have the burden of proving that fl was not built or uproved for the purpose of sale). - 3 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 poly 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). 3 1 am exempt from licensure-under the Contractors' State License Law for the following reason: ,y 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, oil a structure that I have built as an owner-buildor if it has not been constructed in its entirety by liconsed contractors. I understand that a copy of the applicable law. Section 7044 of the Business and 'rufessions Code, is available upon request when this application Is submitted or at the following Web site:http:i/www.leginfo.ca.govlcalaw,html. signature of Property Owner or Authorized Agent _ Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 commencing with Section 7000 df Division 3 of the Business and Professions Code. and m license is in full force nd effect. License Class 1 License No Q ��Date Contractor SignsI VORKERS' COMPENSATION ECLARATION 'ARNING: FAILURE TO SECURE WORMERS' COMPENSATION COVERAGE 18 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP 70 ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE DST OF COMPENSA. tob, JAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm un,�Lr penalty Of perjury one of the following deciara0ons: 7 I have and r'RI nairlain 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 Cade, for Ih or once. of Le work for which this permit is issued. Policy No. it 11 cs and will maintain workers' compensation insurance, as required by Section VOL) of the Labor Cade, for the performance of the work for which this permit is Issued. My workers' comper iol ran7carriarand e'ICy number are: arse _.,,_,�Ky,(A� C_Qd�olicy Number �(\e�P (h�l, �°n 9 r� Expiration Daate�. � am9 c' Agent _ Phone # E9-\ 9 9 9 I 2 L 0 6) ]; Lbd,fy 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 .3', *f I s. iould become subject to the workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Ignature of Applicant hEn.by affirm Lode, 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). Doi Name Lenders Address y 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. 1 authorize representatives of this city or county to end the abov^"--' r'-' ^roperly for inspection purposes. L ., ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED i (SUBMITTED ASBESTOS NOTIFICATION To PERMIT EXTENDED LIAQMD PERMITFINAL ASBESTOS NOTIFICATION IS NOTAPPLKABLE TO CERTIFICATE OFr PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: