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HomeMy WebLinkAboutPV2024-0017 - Permits��eWPoRr City of Newport Beach p ecn Community Development Department- Building Division r 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII����� solar Permit : PV2024-0017 Plan Check No: PC2024-0104 Work Class : Counter Issued Date : 01/1712024 Final Date: Permit Status: Issued Inspection Area : 8 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 : 1609 LINCOLN LN Legal Desc : N TR 3851 BLK LOT 31 Description: SFR SOLAR PV SYSTEM 7 KW (20) MODULES - BATTERYENERGYSTORAGE SYSTEM 5 KW Owner: BROOKES ROBERT J JR TR Address : 1609 LINCOLN LN NEWPORT BEACH, CA 92660 Phone : Applicant: JOJO COLLINS Address : 20104 STATE RD CERRITOS, CA 90703 Phone: (310)795-6453 Owner/Builder : Address : Phone : Contractor: URBAN ENERGY SOLAR INC. Architect Address: 10192 CONSTITUTION DR Address HUNTINGTON BEACH, CA 92646 "" Phone : (310) 795-6453 Phone Can State Lie : 944115 State Lie Lie Expire : 12/31/2025 Bus Lie: BT30064588 Engineer: ' Address Bus Lie Expire : 09/30/2024 Workers' Compensation Insurance Phone: Carrier: STATE FUND Policy No : 9021421 Designer W. C. Expire : 6/1/2024 Address Code Edition : 2022 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : U,R-3 No of Units : Bldg Height: No of Stories : 1 Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) Processed By: J� SPECIAL CONDITIONS: Phone : Construction Valuation : $20,000.00 Energy Storage Valuation : $ 10,000 Type of Solar Kilowatt : 7 sUffla 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) (SeCtiurl 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, Improve. demolish, or repair any structure, prior to its Issuance, also requires tire applicant for the porrrlit 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 ficensure 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).. ❑ 1, 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 structures not intended or offered for sale (Section 7044, Business and Professions Code: The ContractorsState License Law does not apply to an owner of property who, through employees' or personal effort, builds or Improves theproperly, provided that the Improvements are not intended or offered far sale. If, however, the building or improvement is sold within one year of completion, the Owner-Builderwill 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 bulids or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 and exempt from ficensure 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 haveresided for at lea5l one year prior to completion of the Improvements covered by this permit, I cannot legalll soli 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 whenithi appll 'ion' submitted or at the following Web site:http:llwww.leginfo.ca.govlcalaw.html.. Signature of Property Owner or Authorized Agent: Date LICENSED CONTRACTOR'S DECLARATIt I hereby affirmut, ter penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3.of the Business and Professions Code,. and my license Is in full force a.d effect. License Class License No Date Contractor Signature COM."ZNSATION DECLARATION 'ANNING. FArLURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (1000,000), IN ADDmON TO THE 0ST OF CUMPENSATION, OAMAGESAS PROVIDED FOR IN SECTION $105 OF THE LABOR CODE, INTEREST, MDATTORNEYS PEES. hereby affirm undar penalty of perjury one of the following declarations: :.I I tare 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 lh rr'e•rrinee of the worse for which this permit is Issued_ Policy No. Cava 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' r3.icE carrier and policy number are:. Policy Number Date fauna C Agent __ Phone # 3 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 rat, if I should become so ct to f\(1re we ors coommpensation provisions of Section 3700 of the Labor Code,: I shall forthwith comply with those provisions. ignalure of Applicant %_Ue_ ..�„)r i " __..�.��__ ________�..._ ....�._____._.._.. Da! IECLARAT(ON REGAIiD1NG GO STRUCTION LENDING AGENCY_ hereby 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, CM) Cade). ender's Name Lender's Address y 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. € agree to comply with all appliGable city and county ordinances and state caws relating to building construction. I authorize representatives of this city or cod �tyej Ent( thre to e-identified property for inspection purposes. _ .Onature of Property Owner or Authorized Agent' /L 1F u» i2T Print ProoeM Owner's or Authorized ADent's Namet/J Sin 3� cin, j I( ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL 1 FOR OFFICE USE ONLY r REGULATIONS PART 61 OF TITLE AO AND AQMO RULE 1403 PERMIT CANCELLED _...__ LIEPA —------ ASBESTOS PERMlT FINAL 3 / 1 ^�� 'I-_ C( r NOTIFICATION 15 NO3APPUCABIf 70 CERTIFICATE OF ! PROPOSLDA LITION o/+�/f(/�, OCCUPANCY ISSUED ! 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