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Home My WebLink AboutPV2023-0248 - PermitsQ��WPoR� City of Newport Beach 0 Community Development Department - Building Division r}- 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 U ) x Inspection Requests Phone: (949) 644-3255 c"!rroa��P newportbeachca.gov/inspections II I I III I II Solar Permit : PV2022-0248 Plan Work Class kAlterationit022-2038 Issued Date: 08/17/2022 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 : 209 CRYSTAL AVE Legal Desc : A TR BALBOA.ISLAND SEC 5 BILK 6 LOT 24 Description: SFR SOLAR PHOTOVOLTAIC SYSTEM 8 PANELS 3.4 KW Owner: SAILHOUSE CUSTOM HOMES Address : 170 NEWPORT CENTER DR SUITE 220 NEWPORT BEACH, CA 92660 Phone: Applicant: URBAN ENERGY Address : 10192 CONSTITUTION DR HUNTINGTON BEACH, CA 92646 Phone: (562)447-4971 Contractor: URBAN ENERGY Address : 10192 CONSTITUTION DR HUNTINGTON BEACH, CA 92646 Phone: (562)447-4971 Con State Lic : 944115 Lic Expire : 12/31/2023 Bus Lic: BT30064588 Bus Lic Expire : 09/30/2022 Workers' Compensation Insurance Carrier: STATE+COMPENSATION+INSURANCE+FUN Policy No9 9021421 W. C. Expire : 6/1/2023 Code Edition : 2019 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : Y Occupancy Groups : R-3,U No of Units : 1 Bldg Height : No of Stories : 2 Building Setbacks : Front: 6, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone : - Two -Unit Residential, Balboa Island �/V Processed By: jfR�-BBI 9 Public Works Approval: Zoning Approval: /(.//&(J Plan Check By: Grading Approval: Approval To Issue: Architect Address Phone: State Lic Engineer Address Phone : Designer: URBAN ENERGY Address: 10192 CONSTITUTION DR HUNTINGTON BEACH, CA 92646 Phone : (562) 447-4971 Construction Valuation : $20,400.00 Type of Solar: SFP Kilowatt: 3 INSPEECTOIR OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that € am exempt from the Contractors' State License Lew for the reasons) Indicated below by the eheckmark(s) I have placed nest to the applicable Items) Section 7031.3, 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 ie permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stato License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'rofessions Code) or that he or she is exempt from liconsure and the basis for the alleged exemption; Any violation. of $action 7031,5 by any applicant for a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500), 3 I, 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, ,usiness and Professions Coder The Contractors' State License Law does not apply to an owner of property who, Ihmugh employees' or personal effort, builds or improves the property, provided that the nprovements are not intended or offered for sale. It, 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 m 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). I am exempt from lcensure 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 legak) aR a structure that I have built as an owner -builder If it has not been constructed in its entirely by licensed contractors, I understand that copy of the applicable law, Section 7044 of the Businoss and 'rofessions Code, is available upon request when this application is submitted or at the. following Web site:http:lhvww.leginfo.Ca.govicalaw.html. Ignature 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 000) of Pvision 3 of the Business and Prqoj(e�eion Code, and in license is in full force rid effect License Class License No Date 8 `7 Contractor Signature VORKERS' COMPENSATION DECLARATION ,ARNING: 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 t3100,0001, M ADDITION TO THE DST OF COMPENSATION. DAMAGES AS PROVIDED FOR iN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirmnander penalty of perjury one of the following demaratlons: id Mir 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 of the work for which this permit is issued. Policy No. and wit 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 are: Policy Number of Agent Date 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 If I should become subject to the workers' Compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. Iature of Applicant lJ�'t(A�J W— _ Date g l7 2 a` II arvaTtnN aF�rNaFixtirnnM I cluniNrn nixl-niry hereby affirm under ffenairy of perjury thatthere is a oonstructfon lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). _enders Name _ _ Lender's Address _ 3y 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 informational haw provided is correct. I agree to comply with ail applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city ar county t IT r P Cave Identified property for inspection purposes. S�"b Co11Iy1S Signature of Property Owner or Authorized Agent V Print Property Owner's or Authorized Agent's Name Date ACTION DATE By DC RATION OF COMPLIANCE WITH CODE OF FEOERAL FOR OFFICE USE ONLY i 1 ( REGULATIONS PART 51 OF TITLE AO AND AOMD RULE PERMIT EXPIRED PENAnlr EXtENOEE7 L-1AuMD PERMITFINAt _ ` ( ASBESTOS NOTIFICATION lS NOT APPLICABLE TO __ __a/ CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY fSSUED I I�'� I SIGNATURE: All required alarms, latches gates and fences which serve as partof a pool/spa barrier, shall be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the life of the pool.