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Home My WebLink AboutPV2021-016 - Permits0y�t,�y; City of Newport Beach - Building Divistion SOLAR Permit: PV2021-016 IIIIIIIIIIIIIIIIIIIIIIIIIII y n PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288 �. � Inspection Requests/Telephone (949)644-3255 r:"r3r yH,a Project No : 0125-2021 Job Address: 1906 LEEWARD LN NB Issued Date : 02I1212021 Description:SFR SOLAR PV SYSTEM. 44 MODULES. 15.8 KW Inspector Area: 3 Legal Desc.: N TR 4463 LOT 32 ' S P ECTO R Owner: GURKA JON W - Contractor: AAA SUN BUILDERS Architect: Address: 1906 LEEWARD LN Address: 18101 VON KARMANN AV 3RD FL Address: NEWPORT BEACH, CA 92660 IRVINE CA 92612 Phone: Phone: (949)242-0090 Phone: State Lie: Applicant: KEMME JENNIFER Con State Lie: 975072 Engineer: KEMME JENNIFER ...... Address: 12273 11TH ST Lie Expire: 07/3112022 Address: 12273 11TH ST .... YUCAIPA CA 92399 Bus Lie: BT30074247 _ YUCAIPA CA 92399 Phone: 909-488-9726 Lie Exp Date: 0212812022 Phone: 909-754-8300 State Lic:C-073054 Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: V-B Carrier: STATE COMP. INS Address: Occupancy Group: R3/U Policy No: 9108804 No of Stories: 1 Expire: 07126/2021 Phone: 00 - - Building Setbacks Rear: Use Zone: Front: (P-MT) IS NOT ALLOWED FG;1,.n. Bldg Height: 0 Left: ° n Right: EXTERIOR APPLI�AIIONS Valutaion : $94,800.00 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�'r45U. 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 TO ISSUE: PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. INSTALL OR VERIFY SMOKE AND CARBON MONOXIDE DETECTORS ARE EXISTING PER CRCR 314.1 6 315.2 rNER-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) ction 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 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 fessions 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 more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, liness 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 rovements 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 roved 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 ply 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 bt 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 7 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 Propslly Jwner or Authorized Agent ate LICENSED COri..tACTOR'S DECLARATION I hxsS; affirm under ps-lalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0) f Division 3 of the Business and Proles s e, and and effect. Licanst Class _ License No Date �z Contractor Signature WORKERS' COMPENSATION DECLARATION the Business and license is in full force WARNINU: FAILURE TO SEUPRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUWECT AN EMPLOY TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNOKED THOUSAND DOLLARS t$100,0001. IN ADDITION TO T C7ST or COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hhr=_h^ affirm under penalty of perjury one of the following declarations: 111 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 PX11-Pk.ance of the work, for which this permit is issued. Policy No. and will maintain workers' compensation insurance, carrier and policy number are: as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' Policy Number Date 15me of Agent I ]I certify that, in the performance o th work 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 subject to th orkers' comp n rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant D IECLARATION REGAR NSTRUCTION LENDING AGENCY hereby affirm under pen It perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 30 ,Civil Code). enders Name Lenders Address ly my signature below, 1 certify to each of the following: I am the property owner or authorized to act on the property ownei0s behalf. I have read this application and the information I have p I s correct. I agree to comply with all applicable city and county i n s and state laws relating to building construction. I authorize representatives of this city or county to t ab identified property for inspection purposes. /� signature of Property Owner or Authorized Age � Print Property Owners or Authorized Agent's Nam r41�� (TC 41e1n D Z- z ACTION DATE </ BY .n-c-�....'.................. ,.. .- FEDERAL REGULATIONSPART 61 OF TITLE40 AND AQMD RULE 1403. ❑ I SUBMITTEDASBESTOS NONFICATIONI TO: ❑ EPA ❑ AQMD ❑ ASBESTOS N071RCA71ON IS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: PERMIT EXPIRED PERMITCANCELLED PERMITEXTENOED PERMIT RNAL 3. CERTIFICATEOF OCCUPANCYISSUEO _