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PV2021-090 - Permits
t City of Newport Beach - Building Divistion SOLAR Permit: PV2021-090 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIII y P V 2 0 2 1 0 9 0 .,^ ;?', PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288 6p Inspection RequestsITelephone (949)644-3255 �,, �,a � ` Project No : 1213-2021 Job Address: 8 SUNSET COVE NB Issued Date : 07/13/2021 Description:SFR SOLAR PHOTOVOLTAIC SYSTEM 53 PANELS 17.49 kw Inspector Area: 6 Legal Desc.: N TR 14859 LOT 4 Owner: TIAN EDWARDS Contractor: COMPLETE SOLAR INC Architect: 0 Address: 8 SUNSET COVE Address: 3000 EXECUTIVE PKWY 3504 Address: NEWPORT BEACH, CA 92657 SAN RAMON CA 94583 Phone: Phone: 650-263-8984 Phone: State Lie: Applicant: PRADO SARAH Con State Lie: 961988 Engineer: WYSSLING SCOTT 1 Address: 3000 EXECUTIVE PKWY STE 504 Lie Expire: 10131/2021 Address: 76 N MEADOWBROOK DR �s SAN RAMON, CA 94583 Bus Lie: BT30074446 ALPINE UT 84004 LU Phone: 714-3486345 Lie Exp Date: 03/31/2022 Phone: State Lic:C-083664 F z) Code Edit : 2019 Worker's Compensation Insurance Designer: WISE AARON Type of Construction: V-B Carrier: INS CO. OF THE WEST Address: 3000 EXECUTIVE PKWY #504 Occupancy Group: R3/U Policy No: WTX 505889400 SAN RAMON CA 94583 No of Stories: 2 Expire: 01/01/2022 Phone: 650-263-8984 Building Setbacks Rear: Use Zone: Front: Bldg Height: 0 Left: Right: Valutaion : $104,940.00 Building Permit Fee $270.00 Record Management (8 112 X 11) $0.00 Plan Check Fee : $236.25 Record Management (Plans) $0.00 TOTAL FEE : $506.25 Plan Check Fee: $236.25 Fee Due at Permit Issuance : $270.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: PUBLIC WORKS APPROVAL: PLAN CHECK BY: e e • e • • APPR0YAL TO ISSUE: e , a i $ • p 9 • • •a O a n e • • u o0 e Ve •• , • PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. INSTALL OR VERIFY SMOKE AND CARBON MONOXIDE DEJ'ECTQRS,gRE,9Z.OSTING PER CRCR 314.1 & 315.2 � 4 • tl a o� o a• • o eee as ©•a a • •o• ••® 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 tfie applicant for ie permit to rile 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 'rofessions 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). 7 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, 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, 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). I am exempt from licensure under the Contractors' State License Law for the following reason: Iy 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 legal]) 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 .leginfolca.gov/calaw.html. ',ignature 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 77000) of Division 3 of the Business. and Professions Code, and 'rmy license is in full force not effect.icense Class License No Date 7/ d ✓�ZJ 2 ) Contractor SignafaLl� cJui/�.. . ''rVlalJ t- 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 370G OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: J 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 erfgrmance of the work for which this permit is issued. Policy No. I have and will man aI workers' cor rance carrier and licy mber are: ie of Agent certify that, in the pi , if I should become Iature of Applicant _ insurance, as by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' Expiration Date ice of the work forwhich 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 to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 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) 2oZI- enders Name Lender's Address ly my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners 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 to enter the above- �pri�ant 'fie property for inspection purposes. tignature of Property Owner or Authorized Agent uhi'� ' Print Property Owners or Authorized Agent's Name7� ACTION DATE BY DECLARATION OFCOMPLIANCE IMTHCOOEOF FOR OFFICE USE ONLY �FEj1F,�AL REC3UWJONS PART 61,OF TITLE40ANO AQMD-RULE 1403. PERMIT EXPIRED P • ❑ • ISURMINTED'A pESTt0S NOIIFICATIDN TO: :• •n EtA• .• .•• •+• ❑ AQMD ❑ ASBESTOS NOTIRCATIONIS NOT APPLICABLE TO PBOQQ$EGLOEMOLIT=. +•• • • • • • i • i 1I( lAT3, t0 m0 •0 PERMITCANCELLEO PERMITEXTENDED PERMIT FINAL �'tj-2 Zj CERTIFICATEOF OCCUPANCYISSUED 0 e