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Home My WebLink AboutPV2021-203 - Permitswrra�r City of Newport Beach - Building Divistion e•, PO Box 1768 Newport Beach, California 92658-8915 SOLAR Permit: PV2021-203 Permit Counter Telephone (949)644-3288 Inspection Requests/Telephone (949)644-3255 IIIIIIIIIIIIIIIIIIIIII�IIIIII�IIIIIIIII Project No : 2416-2021 Job Address: 2012 SANTIAGO DR NB Issued Date : 1211512021 Description:SFR SOLAR PHOTOVOLTAIC 6.65 KW, 19 MODULES Inspector Area: 3 Legal Desc.: N TR 4224 LOT 310 Owner: DORIA RICHARD ANTHONY Contractor: FREEDOM FOREVER LLC Architect: Address: 2012 SANTIAGO DR Address: 7200 FENWICK LN Address: NEWPORT BEACH, CA 92660 WESTMINSTER CA 92680 Phone: 949-533-2162 Phone: 888-557-6431 Phone: State Lic: ni Applicant: CHA KOOK Con State Lic: 1029644 Engineer: 0 Address: 7200 FENWICK LN Lic Expire: 0813112023 Address: g WESTMINSTER, CA 92683 Bus Lic: BT30064271 —I . 9 Phone: 949-468-6091 Lic Exp Date: 08131/2022 Phone: State Lic: ��a i p `�j-� Code Edit : - 2019 Worker's Compensation Insurance Designer: FREEDOM FOREVER LLC Type of Construction: V-B-SPR Carrier: BERKSHIRE HATHAWAY HOMESTATE Address: 43445 BUSINESS PARK DR STE'PfB' Occupancy Group: R3/U Policy No: FRWC217374 TEMECULA, CA 92590 No of Stories: 2 Expire: 06101/2022 Phone: 951-319-4975 Building Setbacks Rear: Use Zone: Front: Bldg Height: 0 Left: Right: Valutaion : $39,900.00 Building Pemlit 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: ZONING APPROVAL: GRADING APPROVAL: PUBLIC WORKS APPROVAL: PLAN CHECK BY: ..• ... APPROVAL TOJISSUE� • . PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. INSTALL OR VERIFY SMOKE AND CARBON MON0X1DaAET5CTQRS A.RE E-VST(NG PER CRCR 314.1 & 315.2 e o 0 0 . e o• . 0 0 0 ® a . • oo • • o•. ono o . .c •.o •a• DWNER-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, priorto 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 7j100) 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 :lot more than five hundred dollars ($500). J I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions o lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, througl nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of con nproved for the purpose of sale). 1 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 704, pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contract I am exempt from licensure under the Contractors' State License Law for the following reason: ly my signature below 1 acknowledge that, except for my personal residence in which I must have resided for at least one ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I I 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leg signature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) nd effect. / f f f icense Class License No Date ][... VORKERS' COMPENSATION DECLARATION ' , ` l IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEN DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 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 eerformance of the work for which this permit is issued. Policy No. ]Ihave and will mai tain�workers' compensation insurance, as required by Section 3700 of the Labor Code, for the Isurance carrier and p�Anumber are: �'�,. :arrier _�I 1 i Pons�No(nb r) lame of Agent U t 11 certify that, in the performance of the work for which this permits issued, I shall not employ any person in any mann tat, if I should become ' ct to th� work ' compensation provisions of Section 3700 of the Labor Code, I shall forthv su ianature of Aoolicant /^ hereby affirm under penalty of perjury th k'there is�dconstruction lending agency for the performance of the work for w 1� ender's Name Lender's Address Iy 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 co o enter the V¢ove-i atified790 pro erty for inspection purposes. signature of Property Owner or Authorized Agent /Z ) Print Property Owner's or the work, and the structure is not intended or offered for sale (Section 7044, employees' or personal effort, builds or improves the property, provided that the pletion, the Owner -Builder will have the burden of proving that it was not built or Business and Professions Code: The Contractors' State License Law does not pursuant to the Contractors' State License Law). year that a copy of the applicable law, Section 7044 of the Business and Date Division 3 of the Business and P ofessions Code, and my license is in full force Contractor Signatv, IES AND CIVIL FINES UP TO ONE HUNDRED T/USAND DOLLARS ($100,000), IN ADDITION TO THE Industrial Relations as provided for by Section 3700 of the Labor Code, for th of the work for which this permit is issued. My workers' Date so as to become subject to the workers' compensation laws of California, and agre i comply with those provisions. AZ 2� this permit is issued (Section 3097, Civil Code). / Z12, e Agent's Na)(I� ! M ( / Date ACTION DATE / DECLARATION OF COMPLIANCE VRTH CODE OF FOR OFFICE USE ONLY FF#RAI.REOUbAFION6PART 61 QF TITLE 40AND ' AQIgID RUL€44Q3., PERMIT EXPIRED , , •❑ -1SU61107-fED,A§B"TOS NOTIFICATION TO: PERMIT CA.NC€LLED ❑ AQMD PERA41TEXTENDED ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO .PROPOSE&DEf49fJT4@N. - i - e - PERNRTFINAL + .. CERTIFICATEOF , OCCUPANCYISSUED i �aS461VA3URE:. � s• s s