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HomeMy WebLinkAboutPV2023-0288 - Permits�EwPoRT City of Newport Beach Community Development Department- Building Division n 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 Cq<rcOR��P newportbeachca.gov/civic PV 2 0� �2 3��0 2 a a�� II Solar Permit : PV2023-0288 Plan Check No: PC2023-1142 Work Class : Alteration Issued Date Final Date: Permit Status: Applied Inspection Area :5 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. % 3 —, Job Address : 170 SIDNEY BAY DR Legal Desc : N TR 16269 BLK LOT 6 4 Description: SFR SOLAR PV 9.72 kW (24 PANELS)' fi Owner: DENISON THOMAS R BAYARDELLETR Address : 170 SIDNEY BAY DR NEWPORT COAST, CA 92657 Phone: (949)939-4090 Applicant: XAVIER CONTRERAS Address : 801 GLENNEYRE ST, A LAGUNA BEACH, CA 92651 Phone: (562)639-9757 Owner/Builder : Address : Phone TR ELIZABETH Contractor: SADLER SOLAR Address : 801 GLENNEYRE ST#A LAGUNA BEACH, CA 92651 Phone: (949)584-4800 Con State Lie : 982533 Lie Expire: 04/30/2025 Bus Lie: BT30073175 Bus Lie 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 : Type of Construction : V-B Fire Hazard Zone Occupancy Groups : R-3,U No of Units: Bldg Height: No of Stories Building Setbacks Flood Zone : X Use Zone : PC - Newport Coast Processed By: a(/ti7(//� ` SPECIAL CONDITIONS: Architect : Address : Phone: State Lie 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 NO Construction Valuation : $45,01)0. YES 1 Type of Solar: SFP " Kilowatt: 0 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) 300tion 7031.5, Business and Professions Code. Any city or county that requires e permit to construct, alter, Improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for to 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 3 of the Business and Tofessions Code) or that he or she is exempt from Ilcensure 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). 1 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 Code: The. Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property„ provided that the nprovements 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 n roved for the purpose of sale), 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 l amnowner from I Gansu a o builds or Contractors' thereon, and who Law contracts following projects with a licensed Contractor pursuant to the Contractors State License Law). exempt- 9 . ---- ----- _..------ __ ...— -- '-- ly 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 caverod by this permit. 1 cannot legally all a structure that I have built as an owner -builder if it has not boon constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Tofessions Code, is available upon request when this application Is submitted or at the following Web site:http://www.leginfo.ca-gov/colaw.html. lignature 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 Sectio 7 00) of Division 33 of the Business and Pr {o�r]s�Code, and �,ny license is in full force nd effect. License Class License No Date I IZbZZ Contractor Signature VORKERS' COMPENSATION DECLARATION IARNING: 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 IS100,000), IN ADDITION T'O THE '.OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COOK, INTEREST, AND ATTORNEPS FEES. hereby affirm under penalty of perjury one of the following declarations: -11 have and will maintain a. cerlifcate 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 IT. orforrna nca of the work for which this permit is. issued. Policy No,. and will Ti 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' carrief'and nol,cy number are: Policy Number of "gent _ Date 71 c,rt,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 wcrkera' ompensation laws of California, and agree 4n' q m ensahon provisions of Section 3700 of the Labor Code I shall forthwith comply with those provisions. a tat, d I should been la subject to the workers co 03 lure' of APPlican ..�,,....-..a....._,.,.._..._.m,.__________M.......,......_. Dat / /I / 71 IECLARATION RED. DI G CONS-�. DING AGENCY hereby affirm under penalty of penury malthera is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ernJer s Name Lender's Address _. ly rr, „ig„alure below, I certify to each of the following: I am Cie propbrtX owner or authorized to act on the property owners behalf. .icy= read this application and the information I have provided is Correct. ^ere to con.pl} witL all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or count Xt,)t an r the above-Iden' ied property for inspection purposes. 1 >iunature of Prooertv Owner or Authorized AosnE °� _. Print Property Owner's or Authorized Agent's Name A tr f it— :oA 17litf ate 7/jf {ZOz> ACTION DATE BY J DSCLARATlON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND ADMIT) RULE 1403 PERMIT EXPIRED C3 I SUBMITTED ASBESTOS NOTIFICATION TO CPA PERMIT 6ANCECt ED ... PEAlNIT EXFENOCO ____ ...... _ _. Irr--t1QM PERMIT FINAC S�titi 1�.. ❑ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF V PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: