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HomeMy WebLinkAboutPV2022-0215 - Permits�EWPoRr City of Newport Beach 0'< Community Development Department- Building Division F q 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 u Inspection Requests Phone: (949) 644-3255 c9(/Fpp��P newportbeachca.gov/inspections II II I II I II I I II I I II III Solar Permit : PV2022-0215 Plan Check Work Issued e Class : At022-1849 Alteration Inspection Area :2 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. �� F- 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 orrFS�inP%TWP METALLIC TUBIf IG Job Address : 74 LINDA ISLE Legal Desc : N TR 4003 BLK LOT 74 Description: SFR INSTALL SOLAR 9.78 kW, (23) MODULES, Owner: MUMMA JULIE A TR Contractor: URBAN ENERGY SOLAR INC. Address : 513 DRAGON GATE CT Address : 10192 CONSTITUTION DR HENDERSON, NV 89012 HUNTINGTON BEACH, CA 92646 Phone Applicant: JOJO COLLINS Address : 20104 STATE RD CERRITOS, CA 90703 Phone: (310)795-6453 Code Edition : 2019 Type of Construction : V-B Occupancy Groups: R-3 Bldg Height : Building Setbacks Flood Zone Use Zone : Processed By: SPECIAL CONDITIONS: Front: 10, Front: 25, Side: 4, Side: 4 X R-1 - Single -Unit Residential Phone: Con State Lie: 944115 Lie Expire : 12/31/2023 Bus Lie: BT30064588 Bus Lie Expire : 09/30/2023 Architect Address Phone: State Lie Engineer Address Workers' Compensation Insurance Phone: Carrier: STATE FUND Policy No : 9021421 �O\4�dd ee sr.. W. C. Expire : 6!1/2023 Pho \)G,\O ;EMT) IS NOT ALLOWED FOR EXTERIOR ARRUCATIO" S TRUONGPHONG 3000 E BIRCH ST BREA, CA 92821 (949)254-2751 Fire Sprinklers : NO S�� Construction Valuation Fire Hazard Zone : J No of Units Type of Solar : SFP !� No ofStorie� 1 �iA1 Kilowatt:9 011 e $45,000.00 771 I hereby affirm under penalty of penury 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 itemis) 'Section 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, eemotfsh, or repair any structure, prior to its issuance, also requires the applicant for he 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 Crofessfons 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 Tot 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044. 3usfness and Professions Cnde: Fhe. Contractors' State License Law does not apply to an owner of property who, through employees' or personal eflort, builds or improves the properly, provided that the mprovements 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 II was not built or mproved for the purpose of sale). 1 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' Slate License Law for the following reason: By my signature below I acknowledge that, exceptfor 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 Tha(. I havebuilt asan owner -builder if it has not boon constructed In itsentirety 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 Nleb site:htip:tfwww.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (Commencing with Section 00) of it ion 3 of the Business and Professions ode. rid my I` ense is to full force and effect. License Class License No D to .5 Contractor Signaturefib NORKERS' COMPENSATION DECLARATION MARRING: 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 fS1D0,00D), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, Me ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: -11 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 Ih T3tformance 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 are: _ Policy Number Li O oZ I ifa I of Agent Date -1I 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 [hat, if I should become subject to the w rkers compensation provisions of Section 3700 of the Labor Code,. I shall forthwith comply with those provisions. Signature of Applicant j"� Date_.�G��.J( $ z� DECLARATION REGA DC STRUCTION LENDING AGENCY I 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, Civil Code). I..ender's Name Lender's Address By my signature below, I certify to each of the following: I art the property owner or authorized to Tact 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. l authorize representatives of this city or c unty to Piertr �t� above-i ❑titled property for inspection purposes. ^ / I O Sionature of ProDertv Owner or Authorized P n � Lo�C 1r✓r- I� Print Property Owner's or Authorized Anent s Name/ R �O C° �1 f �S Date ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 CFTITLE 40 AND AEIMD RULE 1403 PERMIT EXPIRED [ ISLIBMITTEDASRFSTOSNOTIFICATIONTO ..............._.... NCELLE—..._._ PFRM7T CANCELdFD .___.____...___...__.... EPA PERMIT FXTENOFD_ .. ............ __.__...___ ..__ ❑AQM D ...._._.... _. _. _.____ _._._........ PERMITFINAL ❑ASBES IOS NOTIFICATION I5'NOT APPLICABLE 10 CERTIFICATEOF PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: