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PV2022-045 - Permits
�rhdt City of Newport Beach - Building Divistion PO Box 1768 Newport Beach, California 92658-8915 r'aknraia+'}a . Job Address: 1500 SANTANELLA TER INS Description:SFR SOLAR PHOTOVOLTAIC 5.47kw, (15) ROOF MOUNTED PANELS Inspector Area: 2 Legal Desc.: N TR 1701 LOT 18 Owner: WILEY ANNETTE Address: 1500 SANTANELLA TER CORONA DEL MAR, CA 92625 Phone Applicant: CONTRERAS XAVIER Address: 801 GLENNEYRE ST #A LAGUNA BEACH CA 92651 Phone: 562.639-9757 Code Edit : 2019 Type of Construction: VB Occupancy Group: R3/U No of Stories: 1 Use Zone: Bldg Height: 0 SOLAR Permit: PV2022-045 Permit Counter Telephone (949)644-3288 Inspection Requests/Telephone (949)644-3255 Contractor: SADLER SOLAR Address: 801 GLENNEYRE ST #A LAGUNA BEACH CA 92651 Phone: 949-584-4800 Con State Lie: 982533 Lie Expire: 04/30/2023 Bus Lie: BT30073175 Lie Exp Date: 10131/2022 Worker's Compensation Insurance Carrier: STATE COMP. INS Policy No: 9311933 Expire: 01/26/2023 Building Setbacks Rear: Front: Left: Right: Architect: Address: Phone: P V 0���� III�� 0 4 5�I III Project No : 0527-2022 Issued Date : 03/01/2022 , State Lie: Engineer: MCPHERSON RYAN JAMES Address:, 6169 SUNNY CIR MIRA LOMA CA 91752 Phone: ' 909.569-2244 State Lic:C-082088 Designer: MCPHERSON RYAN Address: 801 GLENNEYRE ST#A LAGUNA BEACH CA 92661 Phone: 949-584-4800 Valutaion : $32,820.00 Building Permit Fee $240.00 Record Management (8 1/2 X 11) $0.00 Plan Check Fee : $210.00 Record Management (Plans) $0.00 TOTAL FEE: $450.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $450.00 PROCESSED BY: \ PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: e a • • • APPROVAL TO ISSUE: C O L O R f 4 V Q O V • • Y O O - 3f i 6• a 9• Lf. p f 4 009 O O PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, INSTALL OR VERIFY SMOKE AND CARS04MONOWDEsDETECTOR&ARE EXISTING PER CRCR 314.1 & 315.2 • • L e m� c ••i ••O •• • 4 •9• YYL OWNER -BUILDER DECLARATION 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 item(s) (Section 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 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 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 L) all of or U 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). ❑ 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 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://www.leginfo.ca.gov/calaw.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 Division 3 of the Business and Professions Code, and my license is in full force and effect. (License Class ( r 46 License No 992533 Date /1Z02Z Contractor Signal Obi WORKERS' COMPENSATION DECLARATION �I NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDREDTH OUSAND DOLLARS I$100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S 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 thf p ormance of the work for which this permit is issued. Policy No. I have and will aintain 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 nsurance carriE ndrpolicy number ai'n A Date of Agent certify that, in the performance of the_'�vork 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 agref if I should become subjec to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. r .vum-,tsl — IatureofApplicantT• � 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). 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. 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 count o nter the above -identified property for inspection purposes. 18 Prl f PwpBI v Owner's or Authorized Agent's Nani R V f ii C0 h 45 e ianature of Propertv Owner or Authorized Agent � �/) 9 ACTION DATE 81' DE-. RATIONOFCOMPLIANCEMTNCODE OF FOR OFFICE USE ONLY FED +RE hAT10NSPART•61 OF-TITLE40 AND AQf E 14"' v : : • PERMIT EXPIRED V •1;U iTEC,YSjTOS j+B7TItiCgT1ON TO:. • • E • • • ❑ A MD �. ASBE OSNOTIFICA71ON1SNOTAPPLICABLETO Pgt�FO. 6 DEtWOL AON� U . r PERMITCANCELLED PERMITEXTENDED PERMIT FINAi CERTfFICATEOF DCCUPANCYISSUEO z \ \g Go 2 k H �§5\ �z2f& £ �[K co ==/E co §]) W / wdd'of ©2�# O \ 6 ƒ) \ \ U u / a 2 7 § / k m \ ) 0 A E # E ] » i 2 2 c m / Q . / k m ± / / aj d 0 \ 2 � / f ( f \® \ U / f / 7 2 0 e = M § u 3 k a)§ / � /� : �E A _ E ) / t a 7 m = z u ` ai u 2 E j ( \ / E \ 7 z. 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