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Home My WebLink AboutPV2022-0407 - Permits��F,WPORT City of Newport Beach D e� Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 u >+� Permit Counter Phone: (949) 644-3288 c cq<�ppµN`r Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�� Solar Permit : PV2022-0407 Plan Check No : PC2022-2955 Work Class : Alteration Issued Date: 01/19/2023 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. Job Address : 44 TIMOR SEA Legal Desc : N TR 15856 BLK LOT 8 Description: SFR - SOLAR PV SYSTEM 10.22 KW (28) MODULES Owner: MASHOUR NICK H TR Contractor: EFFECT ENERGY INC Architect Address : 1 KENT CT Address : 1007 W GROVE AVE STE D Address LADERA RANCH, CA 92694 ORANGE, CA 92865 Phone : Phone : (310) 972-8277 Phone Con State Lic : 1014270 State Lie Lie Expire : 05/31/2024 Applicant : EFFECT ENERGY INC Bus Lie: BT30078573 Engineer Address : 1007 W GROVE AVE STE D Address ORANGE, CA 92865 Bus Lie Expire : 04/30/2023 , Phone: (310) 972-8277 Workers' Compensation Insurance Phone: Carrier: STATE COMPENSATION INSURANCE FUND Policy No : 9278779 Designer: EFFECT ENERGY PIC W. C. Expire: 6/23/2023 Address : 1007 W GROVE AVE STEP ORANGE, CA 9286E Phone: (310) 972-827- e ,. o , Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $28,000.00 Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : R-3,U No of Units : 1 Type of Solar: SFP Bldg Height: No of Stories : 2 Kilowatt: 10 Building Setbacks Flood Zone : X Use Zone : PC - Newport Coast IS I Processed By: ("`. SPECIAL CONDITIONS: 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) 'action 7031.5, Business and Professions Cade: Any city or county that requires a permit to construct, after, improve, demolish, or repair any structure, odor to Its issuance, also requires the applicant for ie permit to file a signed statement that hear 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 rofessions Code) or that he or she is exempt from licensure andthe 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). 11, 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 ContractorsState 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 nproved for the purpose of sale). 1 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 an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuantto the Contractors' State License Law), I I am exempt from licensure under the Contractors' State License Law for the following reason _ :y my signature below 1 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) GN a structure that I have built asan owner -builder if it has not boon constructed in itsentirety by licensed contractors. I understand that a copy of the applicable law. Section 70" of the Business and 'rofessions Code, Is available upon request when this application is submitted or at the fallowing Web site:htip:Rwww.leginfo.Ge.govlDelaw.html. signature of Property owner or Authorized Agent ,Date .ICEN'.SED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjurythat I am licensed under provisions of Chapter 9 (commencing with Section 70Qo of i isjoP 3 of the Business and Profess i s my license is in fall force nd effect. License Class License No Date I ZS Contractor Signature VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURETO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS L$100A00), IN ADDITION TO THE CST OF COMPENSATION', DAMAGES AS PROVIDED FOR IN SECTION 5704 OF THE LASOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty c; ,rurjury one of the following declarations: I have and v01 maintain a certificate of consent to self-insura for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for ih ei rformance of the wor's for crhich Lis permit is Issued. Policy No. WI have 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' compensatiol tsurance Carrie' 9n,khiliey rurr5er are: rier Policy Number Expiration Date ne of Agent _ _ _ _ Phone # 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 agree , if I should becorre subject to lice workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Nature of Applicant �... Datei_41 /�----�-�—___.� = I ADATtnA1'rlCre DI Y 1J I CMY511.1.(_ tln CMl`V 7-�" hereby affirm under penalty of Fe.jury that there Is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code), enders Name Lender's Address y my signature below, I certify to each of the following. I am the property owner or authorized W 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 slate laws relating to building construction. I authorize representatives of this city or county to e9 er the abo-rdegtif'ad property for inspection purposes. iunature of PrODertv Owner or Authorized Agent %'�� Print Procertv Owner's or Authorized ADent's Name FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EMENDED PERMITFINAL 114 A513ES rOS NOTIFICATION IS NOT APPUCABLE TO CCRTIOCATIFCUPANCY OF l rl'— PROPOSED iJEMOLI 7t ,/m " OCCUPANCY ISSUED SIGNATURE: ELT/f/�/ j