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HomeMy WebLinkAboutPV2023-0134 - Permits�aEWaogT City of Newport Beach p M Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 o- c9C1FppN�P Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII����� Sour Permit : PV2023-0134 Plan Check No : PC2023-0525 Work Class : Alteration Issued Date : 04/28/2023 Inspection Area : 8 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. A'... 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. U7 Job Address : 604 ALDEAN PL Legal Desc : N TR 1583 BLK LOT 2 Description: SFR SOLAR PV SYSTEM 12 MODULES 4.8 KW Owner: RICHARD NELSON Contractor: VASCO SOLAR ENERGY CONST Architect Address : 604 ALDEAN PL Address : 17150 NEWHOPE ST#403 Address NEWPORT BEACH, CA 92663 FOUNTAIN VALLEY, CA 92708 Phone : Phone : (714) 968-8845 Phone Con State Lie : 608260 State Lie Lie Expire : 11/30/2023 Applicant: RICHARD VASQUEZ Bus Lie : BT30058273 Engineer: XIE XIAOJIAN Address : 17150 NEWHOPE ST, 403 Address : 8044 LOMBARD WY FOUNTAIN VALLEY, CA 92708 Bus Lie Expire : 03/3112024 DUBLIN, OH 43016 Phone: (714) 968-8845 Workers' Compensation Insurance Phone: Carrier: STATE FUND Owner/Builder : Policy No : 1567165 Designer : RICHARD VASQUEZ Address : W. C. Expire: 7/1/2023 Address : 17150 NEWHOPE ST, 403 FOUNTAIN VALLEY, CA 92708 Phone: Phone: (714) 968-8845 Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $17,575.00 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 : 4 Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 10 Flood Zone : X Use Zone: R-1 - Single -Unit Residential Processed By: 4 — SPECIAL CONDITIONS: � I " 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) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair anystructure, 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 Iicensure and the basis for the alleged exemption. Any violation of Section 7031.6 by any applicent fora permit subjects the applicant to a civil penalty of not mora than five hundred dollars ($500). ❑ 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, 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 the property,, 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). © 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 apply 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 Iicensure 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 legally soil a structure that 1 have built ns an 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:t/ w .leginfo.oa.gov/calaw.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 7000) of Dfvi ion 3 of the Business and Professions fC�, d'�rr��y �liican§§��ts_ in full force and effect. License Class License No Date Zb 2 Contractor Signal h / pl! ' g,/'-�X.�SL. WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 19 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. -hereby affirm under penalty of perjury one of the fallowing declarations: t J 1 have and will 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 IN p�iormance of the workfor which this permit is issued. Policy No. 5have 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' compensatior rance opera and policy number are: Carrier fR7-1 rG�7,�. lb? 5 Policy Number / 56 Expiration Date of Agent certify that., in the performance of the work for which this permitis issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree t, If I should become subject to the • orkers' compensation provisions of Section 3700 of the Labor Code,. I shall forthwith comply with those provisions. nature of App. 3, CLLARATION RE nt M 1NN 0 5 UN'E DING AGENCY areby affirm under penalty of perjury that there is a construction lending agencyfor the performance of the work for which this permit is issued (Section 3097, Civil Code), ider's Name Lender's Address my signature below, I certify to each of the fallowing: I am the property owner or authorized to act on the property owners 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 state laws relating to building construction. I authorize representatives of this city or county to enter h ab a-iden Effect property for inspection purposes. / nature of Property Owner or Authorized Agent �� ---- _. 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