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HomeMy WebLinkAboutPV2023-0327 - PermitsWpo City of Newport Beach IIilllllllllllllllllll����� Solar Permit : PV2023-0327 p4jw, Community Development Department - Building Division t100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1069 rPermit Counter Phone: (949) 718-1888 Work Class : Alteration Cnewportbeachca.gov/civic Issued Date : 05/3112023 Inspection Area : 2 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 : 1201 DOLPHIN TER Legal Desc : N TR 1700 BLK LOT 5 Description: SFR SOLAR PV SYSTEM 44 PANELS 17.82 kw Owner: EMERALD BAY 11 TRUST Address : 1201 DOLPHIN TER NEWPORT BEACH, CA 92625 Phone: Applicant: XAVIER CONTRERAS Address : 801 GLENNEYRE ST, A LAGUNA BEACH, CA 92651 Phone: (562)639-9757 Owner/Builder : Address : Phone: Contractor : SADLER SOLAR Address : 801 GLENNEYRE ST #A LAGUNA BEACH, CA 92651 Phone: (949)584-4800 Con State Lic : 982533 Lic Expire : 04/30/2025 Bus Lic : BT30073175 Bus Lic Expire : 10/31/2023 Workers' Compensation Insurance Carrier: STATE COMPENSATION INSURANCE FUND Policy No: 9311933 W. C. Expire : 1/26/2024 Code Edition : 2022 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : R-3,U No of Units : 1 Bldg Height: No of Stories: Building Setbacks : Front: 5, Side: 4, Side: 4 Flood Zone : X Use Zone : R-1 - Single -Unit Residential Processed By: S1 1/0 SPECIAL CONDITIONS: lr2 ac_Yr�tV Architect : f`�; •, i}� Address Phone : State Lic Engineer : MUNYANZIZA, EUGENE Address : 250 WILKERSON AVE APT 160 PERRIS, CA 92570 Phone: (951)355-3348 Designer: SADLER SOLAR Address : 801 GLENNEYRE ST #A LAGUNA BEACH, CA 92651 Phone: (949)584-4800 Construction Valuation : $40,000.00 Type of Solar : SFP Kilowatt: 17 e: ;ay 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) often 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 permit to file a signed statement that he or sheds licensed pursuant to the provisions of the Contractors'State License Law (Chapter 9 (Commencing. with Section 7000) of Division of the Business and fessions Code) or that he or she is exempt from fieensure and the basis for the alleged exemption. Any violation of Section 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of 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 structurS is not intended or offered for sale (Section 7044, ;iness 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 theproperty, provided that the rovemenls 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 ply 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). J I am exempt from licensure under the Contractors' State License Law for the following reason: oy my signature below f acknowledge that, exceptfor my personal residence in which I must haveresided for at least one year prior to completion of the improv all 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 'rofesslons Code, is available upon request when this application Is submitted or at the following Web site:http:/fwww.leginto.ca.gov/calaw.html. signature of Property Owner or Authorized Agent .ICENSED CONTRAGTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 00 ) of Division 3 of the Business and Proh nd effect. License Class License No Dat / 3/! Zu 3 Contractor Signature _ VORKERS' COMPENSATION DECLARATION eARNING: FAILURE TO SECURE WORNERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3106 OF THE LASOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: law, Section Code, and and license is In full force DOLLARS t;iQQ,000), IN ADDITION TO 7HE I have and will maintain a certificate of consentto self -insure for workers compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the tabor Code, for 'ormanceof the work for which this permit is issued. Policy No. 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' carrier and policy number ara: Policy Number Date no of Agent Phone q 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 works compensation laws of California, and agre L if I should becom 1�s�u( jecctttto��the workers' comgetrsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �11�y�% / nature of Applicant 1 / \�t�'V"/ T�� — - Dat¢� L 31 Z� CLARATION REGARDING—C"STRUCTION LENDING AGENCY Ireby 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, Ct it Code) Ides s Name Lender's Address my signature below, Icertify 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 count to �,�"pn�Y+rr'nth^e above-ide0�d property fo_r inspection purposes. �(q nAlee.A of Prn .,fu flwnar nr Ae UhnArwH Ah.ftf O Print PrnriArfi. ll,unar'e nr A,dFnri>aA AnAnt'e Nnmc /I 1 V l e% t DECH:ARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART SS OF TITLE 40 AND AOMD RULE PERMIT EXPIRED CER FICATE OE I I r1' 1 r� I SI RO NAT EH DE 0 U NION I5. \�A —OT LE TO OCCUPANCY ISSUED) (0 !� // MIYI ,r-77T/