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HomeMy WebLinkAboutPV2022-186 - Permits04�- City of Newport Beach ����IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111111IIIIIIIII�(�Community Development Department- Building Division a v zezz lee Plan C eck No :P9-2022 1SV100 Civic CenterDrive, Newport Beach, CA92660Plan Check No : 1609-2022Permit Counter Phone: (949) 644-3288 Work Class : Other Inspection Requests Phone: (949) 644-3255 . Issued Date: 12108/2022 newportbeachca.gov/inspections '�+ t - _ - 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 : 1207 SUSSEX LN Legal Dose : N TR 1896 ELK LOT 21 Description: SFR INSTALL SOLAR PHOTOVOLTAIC 6.840 kW (19) MODULES, 1 INVERTER Owner: FALLIERS JOHN C TR Address : 1207 SUSSEX LN NEWPORT BEACH, CA 92660 Phone Applicant: MORRIS SUMMER Address: 2500 WHITE AV, A IRVINE, CA 92614 Phone: (951)425-8684 Contractor: Sunrun Installations Address : 2500 WHITE RD UNIT A IRVINE, CA 92614 Phone: (949)460-3433 Con State Lie : 750184 Lie Expire : 06/30/2024 Bus Lie : BT30066837 Bus Lie Expire : 04/30/2023 Workers' Compensation Insurance Carrier: AMERICAN ZURICH INSURANCE COMPANY Policy No : WC614287600 W. C. Expire : 10/1/2023 Code Edition : Fire Sprinklers : NO Type of Construction : Fire Hazard Zone : NO Occupancy Groups ; No of Units : 0 Bldg Height : No of Stories Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 10 Flood Zone: X Use Zone : R-1 - Single-UnitResidential Processed By: •/ SPECIAL CONDITIONS: Architect Address Phone : State Lie Engineer: ZACHER PAUL Address: 1478 STONE PT DR 190 ROSEVILLE CA 95661, CA 95661 Phone: (916)961-3965 Designer : Sunrun Installations Address : 2500 WHITE RD UNIT A IRVINE, CA 92614 Phone : (949) 460-3433 Construction Valuation Type of Solar : SFP Kilowatt: 6 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable hem(s) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolisiz 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 ( haplor 9 (commencing with Section 7000) of Division 3 of the Business and Professions Cads) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7 131,5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($50D). ❑ I, as owner of the property, or my employees with wages As their sole compensation, will do L) all of or L) portions of the w irk, 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 emph yees' or personal effort, builds or improves the property, provided that the improvements are not Intended or offered for sate. If, however, the building or improvement Is sold within one yearof completio , the Owner -Builder will have the burden of proving that it was not built or improved for the purpose or safe). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Susi iess 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 purs jant to the Contractors' State License Law). ❑ 1 am exempt from licensure under the Contractors' State License Law for the fallowing reason: __ _ rior to completion of the improvements covered by this permit, I cannot legall By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year I sell a structure that I have built as an owner -builder if it has not been constructed in its enfrety, by licensed contractors. I undersi and that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submittedor at the following Web site:httpJiwww.leginfo.ca govfealaw.html. 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 7Q of M jgn-3 of the Business and Professions Q9de, and icense is in full for e and effect. License Class License No Date ;` (� Contractor Signature WORKERS.' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES ND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100,000),. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, Me ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 1 have and will maintain a certificate of consent to self -Insure for workers' compensation, issued by the Director of Incli strial Relationsas provided for by Section 3700 of the Labor Code, for th performance of the work for which this permit is issued. Policy No. I have and will maintain workers' compensation insurance,as required by Section 3700 of the Labor Code, for the perforn ante of the work for which this permit is issued. My workers' compensatio insurance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone ©1 certify that, In the performance of th work for which this permit is issued, I shall not employ any person in any manner so a to become subject 10 the workers' compensation laws of California, and agre that if I should become subject to t n rkers' comp don provisions of Section 3700 of the Labor Code, I shall forthwith con ply with those provisions. 1 L_ Signature of Applicant' _ Date _ DECLARATION REGARDI ' CONSTRUCTION LFNDING. 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). 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 I'-ave read this applicalion and the Information I have provided Is correct. I agree toaompiy .vith all applicable city and county ordinances and state laws relating to building construction. authorize representatives of this city or county to enter t bove-id ad property for inspection purposes. �Q { Sir nJlure of PropertyOwner or Authorized Anent Print Property Owner's or Authorized Agent's Nam Date 12 ACTION DATE BY DECLARATION OPCOMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 63. OF TILE 40 AND AQMD RULE I 1403 twit tT EXPIRED I LJ SUBMITTED ASBESTOS NOTIFICATION TO PEgM'TCAA'CEILED I PERM T EXTE6'?ED -_.-....-- r-EEPPA '� LIp,QM D_ 77', TFINAL 1_755-2 ,V4-5 'aESTOS NOTIFICATION OTAPPLICABLE TO /Fit lrICATE OF }}} PROPOSED DEAR LITION OCCUPANCY 155„ D , SVGNA7URE: " / I I Z