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HomeMy WebLinkAboutPV2022-0319 - Permits¢��WPORr City of Newport Beach p e Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 u >3, Permit Counter Phone: (949) 644-3288 C9�DRN�P Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Illliiigiiiiiigiiilllll Solar Permit : PV2022-0319 Plan Check No : PC2022-2437 Work Class : Alteration Issued Date : 12/16/2022 Inspection Area : 3 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 : 330 SNUG HARBOR RD Legal Desc :.N TR 1218 BLK LOT 122 Description: SFR -SOLAR PV SYSTEM 13.20 KW DC (33) MODULES DERATE PANEL TO 175A Owner: BLAND CLAYTON Address : 330 SNUG HARBOR RD NEWPORT BEACH, CA Phone: (425)516-9224 Applicant: Amy Vang Address : 170 N MAPLE # 105 MAPLE N, 105 CORONA, CA 92880 Phone: (951)264-1261 Contractor: RENEWABLE ENERGY PARTNERS INC Address : 170 N MAPLE UNIT 105 CORONA, CA 92880 Phone: (855)519-6633 Con State Lic : 989857 Lic Expire : 01/31/2024 Bus Lic: BT30080264 Bus Lic Expire : 12/31/2023 Workers' Compensation Insurance Carrier: PROPERTY AND CASUALTY INSURANCE COMPANY OF HARTFORD Policy No: 76WEGZH1477 W. C. Expire : 4/17/2023 Code Edition : 2019 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : R-3,U No of Units : 0 Bldg Height: No of Stories : 2 Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 10 Flood Zone : X Use Zone : R-1 - Single -Unit Residential Processed By: SPECIAL CONDITIONS: Architect Address Phone: State Lic Engineer: ' Address : Phone Designer: RENEWABLE ENERGY PARTNERS INC Address : 170 N MAPLE UNIT 105 CORONA, CA 92880 Phone : (855) 519-6633 Construction Valuation : $40,000.00 Type of Solar: SFP Kilowatt : 13 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, demoiish, 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. Anyviolation 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).. El 1, as owner of the property,or my employees with wages as their sole compensation, will do (_) all of or (_) 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 theproperty, 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 wfth a licensed Contractor pursuant to the Contractors' State License Law). El I. 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 lagall sell a structure that I have built asan 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:/] nwr.leginfo.ca.govlcalaw.html.. Signature of Property Owner or Authorized Agent __ Date LICENSED CON FRACTOR'S DECLARATION I hereby a fmt under penalty of perjury that I am licensed under provisions of Chapter 9 f commencing with Section 7000) of Division 3 of the Business and Prof sio d . and y license is in full force and effect License Class B. C (O L€cense No 9$q�d 5l Date 12l lfe/22 Contractor Signature WORKERS' COMPENSATION DECLARATION WARNINS. FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL; AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDREDTH N o0L I5100,000I, IN ADDn1ON TO THE COST Of r:OMPEN!i OAAAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES. I hereby arrirm under penalty of perjury one of the following declarations: C . h.r:e and Wit ;,iaintain a certificate of consent la self -insure, for workerscompensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th per°:•m^.nce of the WOrK for which this permit is issued. Policy No. b�l Nava 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' Compensation Ih..urance carrier -and polby number are: C,i, ia,, Policy Number Expiration Dale Nand o, 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 lays of California, and agre 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 Dal DECLARATION REGARDING CONSTRUCTION LENDING 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 Cade). 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 l have provided is correct I agree to comply with all applicable city and county ordin cos arl state laws relating to building construction. I authorize representatives of this city or couI'M t -identified property for inspection purposes. Sig nature of Property Owner or Aulhgrized A IF Print Property Owner's or Authorized. A. ent's Name _ _Date /27 6'?9,1„ ACTION DATE BY H r CLAR N ICIMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY I REO. TIONSP Tat. OF TITLE 40 AND ALLMD RULE 7403 PERMIT' EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED 0 EPA PERMIT EMENDED PERMITFINAL �13-Z'zj F A59ES IDS NOTIFICATION IS NOT APPUCABL£' TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED I SIGNATURE;