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HomeMy WebLinkAboutPV2023-0556 - PermitsEv Pogr City of Newport Beach 0� Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 Cq� FC pN�P newportbeachca.gov/civic Illliipiiiiiii!i91111 Solar Permit : PV2023-0556 Plan Check No : 0427.2022 Work Class : Counter Issued Date : 10/2512023 Final Date: Permit Status: Issued Insoection Area : 1 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 : 1 BAY ISLAND Legal Desc : S TWP 6 RGE 1D SEC 34 Description: RENEW EXPIRED PERMIT & CHANGE OF CONTRACTOR FOR PV2D22-031** SFR INSTALL SOLAR PHOTOVOLTAIC 3.5 kW (10) PANELS Owner: BERNEEVANS Address: 1 BAY ISLAND NEWPORT BEACH, CA 92661 Phone: Applicant: INTERIOR ELECTRIC INCORPORATED Address : 747 N MAIN STREET ORANGE, CA 92868 Phone: (949)295-5896 Owner/Builder Address : Phone Code Edition : Type of Construction Occupancy Groups: Bldg Height : Building Setbacks Flood Zone Use Zone : Processed By: SPECIAL CONDITIONS: Contractor: INTERIOR ELECTRIC INCORPORATED Address : 747 N MAIN STREET ORANGE, CA 92868 Phone: (949)295-5896 Con State Lie : 449124 Lie Expire : 11/30/2025 Bus Lie: BT30047860 Bus Lie Expire : 07/31/2024 Workers' Compensation Insurance Carrier: TRAVELERS PROPERTY Policy No: UB8TB627932326G W. C. Expire : 1/1/2024 Architect Address Phone : State Lie Engineer: TRUONG PHONG Address : 3000 E BIRCH ST BREA, CA 92821 Phone: (949)254-2751 Designer: Address Phone : 2019 Fire Sprinklers : NO Construction Valuation V-B Fire Hazard Zone : NO U,R-3 No of Units : Type of Solar No of Stories : 3 Kilowatt: 3 AE,RM 8 ul 9 y P(,j O RM -Multiple Residential, RM -Multiple Residential, RM -Multiple Residential, RM -Multiple Residential, W rh�d�' b�5 ON SATURDAYS 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 item($) {Section 7031.5, Business and ProfeSSIUnc Code: Any city or counly that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the apptloant 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 licensure 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 not more 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). © 1, 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 properly who builds or improves thereon, and who contracts ror the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am exempt from licensure 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 sell a structure that I have built as an owner -builder if it has not been Constructed in its enlireiy 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.http7,'"wm.leginto.ca.govlcalaw.htmi. 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 f DGvrs'on 3 of the Business and Professio Co , my licem e i in full force 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 AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS t5100.000j, IN 610N TO THE COST OF COMPENSATION, DANI AS PROVIDED FOR IN SECTION 3704 OF THE U80R CODE, INTEREST, Me ATTORNEY'$ FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ I 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 the Vper manpermit e of the work for which this peris Issued. Policy No. I 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' compensalker insurance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent , Phone It 01 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 became subject to the workers' compensation laws of California, and agree that, if I should become subject to the i rk ompensaU p ovisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. Signature of Applies�_ }....._.._-.. ._..._.._.m.,..... ..,._, _®.__�._ Date,��__ I hereby affirm under penalty of perjury that there is a constru "01 ending agency for the performance of the work for which this permit Is issued (Sectlon 3097, Civil Code). Lender's Name Lender's Address By my signature below, I eertily to each of the following. i am tire property owner or authorized to act on the property owner's behalf, I have read this application and the information I have provided Is correct. t agree to comply with all applicable city and county or nand state J n relating to building construction. I authorize rep. a_,I Littives of this city or county toe i tl�..a._ e-identif ed,property for inspection purposes. Si nature of Pro erty Owner or Authorzed Aye A,:TION I DATE I BY PEAMfTWWO PCRMI ANCELCED FlLF'0-_XTENDEL PTAYLI , INAL CE.,37 1 E OF Oi7CUPAN''Y ISRJE 7 OF COMPLIAVI_CVWITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE. 40 AND AQMD RULE 1403 PROPOSED DEN SIGNATUREi ASBESTOS NOTIFICATION TO TO Date 10- n