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Home My WebLink AboutPV2022-037 - Permits0`ry v,� ¢ City of Newport Beach - Building Divistion ., PO Box 1768 Newport Beach, California 92658-8915 `' e � SOLAR Permit: PV2022-037 II�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Permit Counter Telephone (949)644-3288 Inspection Requests/Telephone (949)644-3255 Project No : 0445-2022 ��n �o Tg� C , d 015E Job Address: 115 41ST ST NB Issued Date : 02122/2022 Description:SFR SOLAR PHOTOVOLTAIC SYSTEM 13 PANELS 4.68 kw Inspector Area: 1 Legal Desc.: N TR 7031 LOT 27 Owner: OVERFELT SHEA & BRENT Contractor: URBAN ENERGY �: pA1'chSteci E WEE KED, Address: 1937 PORT TRINITY Address: 10192 CONSTITUTION DR Address: Pit NEWPORT BEACH CA 92660 HUNTINGTON BEACH, CA 92646 Phone: Phone: 562-447-4971 Phone: State Lic: Applicant: URBAN ENERGY Con State Lic: 944115 Engineer: TRUONG PHONG Address: 10192 CONSTITUTION DR Lic Expire: 12131/2023 Address: 20754 TIMBERLINE LN HUNTINGTON BEACH, CA 92646 Bus Lic: BT30064588 WALNUT CA 91789 Phone: 562-447-4971 Lic Exp Date: 09/30/2022 Phone: 949.254-2751 State Lic:C-070784 Code Edit : 2019 Worker's Compensation Insurance Designer: MENDOZA MARK Type of Construction: V-B Occupancy Group: R3/U Carrier: Policy No: STATE FUND Address: 9021421 10192 CONSTITYTION DR HUNTINGTON BEACH CA 92646 No of Stories: 2 Expire: 06101/2022 Phone: 630-515-5561 Building Setbacks Rear: Use Zone: Front: Bldg Height: 0 Left: Right: Valutaion : $28,080.00 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: $210.00 Fee Due at Permit Issuance : $240.00 PROCESSED BY: PUBLIC WORKS APPROVAL: _ ZONING APPROVAL: PLAN CHECK BY: ' GRADING APPROVAL: • ••• APPROp'AE TO ISSUE:\ • c• • a• e c a PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. INSTALL OR VERIFY SMOKE AND CARBON IOdNO.k4PFa19FTFtTO � AP,C EXISTING PER CRCR 314.1 & 315.2 IWNER-BUILDER DECLARATION Fhereby 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, priorto its issuance, also requires the applicant for ie 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 of 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, 'usiness 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 nprovements 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 nproved for the purpose of sale). 1 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 pply 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). 7 1 am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 Iegall) ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.htm]. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION 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 ProfessioW Code, and license i in full force nd effect. !cerise Class License No Date 2 Contractor Signatu IIORKERS' COMPENSATION DECLARATION 'ARNING: 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 ($100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNETS 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 th, erformance 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 po umber are — � f; A 'Aurdbed—i Exoiration Date of Agent JI certify that, in the performance of the worlf' 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 tat, if I should become s ject t999999 t w rker co a lion provlslo of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant ,� ,/if// D Z�2Z�ZZ IECLARATIONREGAFJDII CONSTRUCTION LENDING AGENCY/ 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). enders Name Lender's Address sy 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 cou ty t t ab a-i n ' property for inspection purposes. signature of Property Owner or Authorized Agen Print Property Owners or Authorized Agent's Name 4G Dat Z G ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART df OF T17LE40AND 1DR!LE $Qt • • • • e PERMIT EXPIRED P IStIBUTFVDASBEST.OS.MO71 IC21TiONTO: • E •EPA• • ❑i AQMIT PERMITCANCELLED PERMIT EXTENDED ❑ ASBESTOS M077RCA77ON IS NOT APPLICABLE TO PROPOSED DEMOLIT ION. . •• `• PERMIT FINAi (, CER77FICATEOF OCCUPANCYISSUED SIQNATUI : �°, 0 o e s o • o