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Home My WebLink AboutPV2023-0603 - Permits (3)�twnokr City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 P.:rmit Co6nter Phone: (949) 718-1888 C4�ORN�P newportbeachca.gov/civic ��IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIjj� sour Permit : PV2023--060 Plan Check No : PC2023-2884 Work Class : Counter Issued Date : 12/12/2023 Final Date: Permit Status: Issued 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: 512 CARNATION AVE Legal Desc : A TR CORONA DEL MAR BILK 531 LOT 14 Description: SFR SOLAR PV SYSTEM 5.33 KW WITH (13) MODULES, INSTALL 5 KW ENERGY STORAGE SYSTEM WITH 1 BATTERY. Owner: MYERS JAY E TR J E MYERS SEP PPTY TR Address : 512 CARNATION AVE CORONA DEL MAR, CA 92625 Phone: Applicant : JOJO COLLINS Address : 20104 STATE RD CERRITOS, CA 90703 Phone: (310)795-6453 Owner/Builder : Address : Phone Contractor: URBAN ENERGY SOLAR INC. Address : 10192 CONSTITUTION DR HUNTINGTON BEACH, CA 92646 Phone: (310)795-6453 Con State Lie : 944115 Lie Expire : 12/31/2023 Bus Lie: BT30064588 Bus Lie Expire : 09/30/2024 Workers' Compensation Insurance Carrier: STATE FUND Policy No: 9021421 W. C. Expire: 6/1/2024 Code Edition : Fire Sprinklers : Type of Construction : V-B Fire Hazard Zone Occupancy Groups : U,R-3 No of Units : Bldg Height : No of Stories Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 2.5 Flood Zone : X Use Zone : PC - Corona del Mar Homes Processed By: SPECIAL CONDITIONS: Architect Address Phone: State Lie: Engineer: Address Phone : Designer: MARK MENDOZA Address : 20104 STATE RD CERRITOS, CA 90703 Phone: (562)447-4971 NO Construction Valuation : $7,000.00 NO Energy Storage Valuation : $ 16,000 Type of Solar 2 Kilowatt: 5 OWNER-CU'LDER DLPL;,.-?ATION I hereby affl:ni ui penally of oerjury that I am exempt from the Contractors' State License Law for the reason(s)indicated below by the checkmark(s) 1 have ,placed next to the applicable items) (Section'. 021.b. Ei and Pro`essions Code: Any city or county that requires a permit to construct, alter, To prove, demolish, or repair any structure, 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 provisionsof the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Divi»ion 3 of the Business and Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Anyviclation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of no, ,nom than five hundred dollars ($50D). I, as owner of the property, Gritty e.T.ployees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not inteaded or offered for sale (Section 7044, f;uslness 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 oot is itanded rr 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 �rmyproved for the purpose of sale). LI 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 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 licensure under the Contractors' Stale License Law for the following reason:.__ By my signature below h. 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 boon 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 whenthis application is submitted or at the following Web site:http:IAmw.leginfo.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) of lvi5 n 3 of the Business and Prof Cod and y license is In full force and effect. License Class License No Date / ° Contractor Signature l WORKERS' COMPENSATION DECLARATION. NARNING: 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 1E16S.600), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SEC71ON 7706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. 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 thi peTFD manco of the work for which this permit Is issued. Policy No. 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' carrier and policy number area 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 agre if I should becorne subject to the workers' compensation provisions of Section 3700 of the Labor Code. I shall forthwith comply with those provisions. lature of Applicant f0 ....___ ___.... Date a�j ao-.3 `1 ne nrinNl nendaniu r_ rnrlci^n17711rrinu I er,unrur nrcnle^v� r hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 enders Name Lender's Address ly 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 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 th abov -Identified property for inspection purposes. Jonature of Pmoerty Owner or Authorized APrint Prooertv Owner's or Authorized Anent's Name �) O ACTION I DATE I BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL J FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND Anil RULE j FFAMIT EMENDED `s LIAQMD PERMIT FWAL 1 gygy ASBES105 NOTIFICATION IS NOT APPLiCABI TO CERTIFCA7E0f 1 (� ?' �+� ] PROPOSED DEMOLITION OCCUPANCY ISSUED jj SIGNATURE: Civil Code).