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HomeMy WebLinkAboutPV2022-0320 - Permits (3)o��EwvoRr City of Newport Beach igiiiiigiiiq���� Solar Permit : PV2022-0320 e Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-2442 U }e> z Permit Counter Phone: (949) 644-3288 Work Class : Alteration Cq��oaH,P Inspection Requests Phone: (949) 644-3255 Issued Date : 01/19/2023 newportbeachca.gov/inspections Inspection Area : 5 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: 242 HAZEL DR Legal Desc : N TR 673 BLK A LOT 42 TRACT NO 673 BLK A LOT 42 AND POR ABAN D STR (GLEN Description: SFR - SOLAR PV SYSTEM 9.60 KW DC (24) MODULES Owner: BARKER SCOTT J TR Contractor: SEMPER SOLARIS CONSTRUCTION Architect Address : 242 HAZEL DR Address : 10713 NORWALK BLVD Address : °r f s CORONA DEL MAR, CA 92625 SANTA FE SPRINGS, CA 90670 Phone: (714) 745-6984 Phone : (619) 715-4054 Phone Con State Lie : 978152 State Lie Lie Expire : 10/31/2024� Applicant: Vyankatesh Bards, Bus Lie: BT30075814 Engineer: Address : 10713 NORWALK BLVD Address SANTE FE SPRINGS, CA 90670 Bus Lie Expire : 07/31/2023 Phone: (619) 728-6511 Workers' Compensation Insurance Phone: Carrier: MIDWEST EMPLOYERS CASUALTY CO Policy No : BNUWC0155108 Designer : Vyankatesh Barde W. C. Expire : 10/10/2023 Address : 10713 NORWALK BLVD SANTE FE SPRINGS, CA 90670 Phone: (619) 728-6511 Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $58,940.00 Type of Construction : V-B Fire Hazard Zone : YES Occupancy Groups : R-3,U No of Units: 0 Type of Solar : SFP a _. Bldg Height : No of Stories : 2 Kilowatt: 9 u e o u Building Setbacks : Front: 1, Side: 4, Side: 4, Rear: 10 Flood Zone : X Use Zone : R-1 - Single -Unit Residential i; -- p Processed By: V I;-iV,-�i�5 �i\14.11C SPECIAL CONDITIONS: 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 keensure 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 (_) patens 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-Builderwill have the burden of proving that It was not built or Ilm roved for the purpose Or Sate), I, as owner of the properly, am exclusively contracting with licensed Contractors to construct Ole 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). © I 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 legal sell a structure that I have built as an owner -builder if it has not been constructed in itsentirety by licensed contractors. I understand that a copy of tho applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the fallowing Web site:http://www.leginfo.0g.gov/calaw,httnl. 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 0 io 3 of the Business antl Prof Code, d my license is to full force and effect. License Class License No Date Contractor SignaWrq NORKERS' COMPENSATION DECLARATION IPARNING: 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 (SID0,000), IN ADDITION TO TH COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, ANDATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: -11 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 11 u ormance. of the work for which this permit Is issued. Policy No. Elpi-ave 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' compensalk Policy Number of Agent Dale 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 10 the workers' compensation laws of California., and agre 1, if I should becorne u act to workers co pensation provisions of Section 3700 of the Labor Code, I shalt forthwith comply with those provisions. . /� rrnn,, // / nature of Applicant Date O L 2 'f 2 CLARATION REGAIN NO STRUCTION LEING AGENCY baby 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, Civi Cade), Ider s Name Lender's Address my signature below, I certify to each of the following: I am the property owner oraumorired to act on the property owner's behalf. I have read this application af.d the i, formation 1 have provided is correct. I agree to comply with 9,1 applicable .ity and county ord"Rances and state laws relating to building construction. n I authorize representatives of rhis city or county to party for inspection purposes. ­ h ". „r o..,, ,,, Y r tt eve-Identiff pro 4" n-,. m L,nr,-.os Arvonl o.;„i ACTION DATE BY ' "bFCLAR-ATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY 1 RErULATIONS PART 6t OF TITLE 40 AND AQMD RULE PERMITEXPIREO 1 `" PERMIT EXTENDED v� I - QNO u _ PERMITFINAL I BEST.' OTIPCAftON15 NO APPUCABLE TO CERPRCATE OF OCCUPANCY ISSUED i 15'S-Z31 // .4 PROPOSF.DD -IGNATI1R DLT N