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HomeMy WebLinkAboutPV2022-0409 - Permits�EWPO City of Newport Beach �Tp Community Development Department- Building Division P V 2 0 2 2 0 4 0 9 Solar Permit : PV2022-0409 r 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-2960 6 x Permit Counter Phone: (949) 644-3288 Work Class : Alteration Cq[.icOR��P Inspection Requests Phone: (949) 644-3255 Issued Date : 11/28/2022 newportbeachca.gov/inspections Inspection Area : 3 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 Job Address: 1700 GALAXY DR Legal Desc : N TR 4224 BLK LOT 42j Desert tion : SFR INSTALL ROOF MOUNTED SOLAR 23 MODULES 9 2 kW Owner: ARNE ARENS Address : 29 S ONEIDA ST DENVER, CO 80230 Phone Applicant: EZ SOLAR ELECTRIC INC Address : 642 PALOMAR ST, STE 406-158 CHULA VISTA, CA 91911 Phone: (619) 888-0878 Contractor: EZ SOLAR ELECTRIC INC Address : 642 PALOMAR ST, STE 406-158 CHULA VISTA, CA 91911 Phone : (619) 888-0878 Con State Lie: 953038 Lie Expire: 01/31/2023 Bus Lie: BT30080114 Bus Lie Expire : 11/30/2023 Workers' Compensation Insurance Carrier : Policy No: 9306269 W. C. Expire: 9/30/2023 Code Edition : Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : R-3 No of Units: 1 Bldg Height: No of Stories : 1 Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone : R-1-6000 - Single -Unit Resides I (6000 indicates minimum lot area) Processed By: SPECIAL CONDITIONS Architect Address Phone: State Lie Engineer: HAJIHASHEMIALI , Address : 111 RODEO IRVINE, CA 92602 Phone: Designer: EZ SOLAR ELECTRIC INC • Address: 642 PALOMAR ST, STE 406-158 CHULA VISTA, CA 91911 Phone : (619) 888-0878 Construction Valuation : $26,680.00 Type of Solar: SFP Kilowatt: 9 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 iterate) (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' Stara License Law (Chapter 9 (commencing with Section 7000) of Division of the Business and Professions Code) or that he or she is exempt tram licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora. permit subjects the applicant to a ofYf 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 (J portions of the work, and the structure is not intended or offerers for sale (Section 7044, Business and Professions Cade: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the properly, 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 -Builder will have the burden of proving that R was not built or improved for the purpose of sale). 111. 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 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 ficensure 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 feast one year prior to completion of the Improvements covered by this permit, I cannot legall) sell a structure that I have built as an owner -builder if it has not boon constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http:l/www.leginfo.Ga.gov/colaw,html, Signature of Property Owner or Authorized Agent ____ —. Date — LICENSED COlel RAC i OR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (Commencing with Section 7000) t�slgn 3gf the Business and Professions de, an Icense is In full force anu el,eL,. LicensL Clasr License No Date �`+C/ZL Contractor Signature _ WORKERS' COMPENCATION DECLARATION WARNING-: FwILURE TO a -CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1E100,000), IN ADDITION TO THE COST OF COMPENSATIN, DAMAGES AS PROVIDED FOR iN SECTION 0700 OF THE USDA CODE, INTEREST, AND ATTORNEY'S FEES. I hcro7y aelrm unuPr oandlty of perjury one of the following declarations: ❑ I have and will To, stain 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 A f0fr-o maof the wo•k for which this permit is issued. Policy No.. Fa',P 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' compensetio mace carrier a d pcIP,y number are: Policy Number Date 1A of agent _ _ � - Phone N 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 to the workers' compensation laws of California, and ogre . if I should become subject to the, voSkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 11�2812 2 of Neby affirm under penalty of perjury that there is a construction lending agencyfor the performance of the Work for which this permit Is issued (Section 3097, Civil Code), Iders Name Lender's Address my signature below, I certify to each of the fallowing: I are 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 ordinan es and state laws relating to building construction. I authorize representatives of this city or county tq.eFIET I a ve-identified property for inspection purposes. nature of Prooertv Owner or Authorized Aaenl l" Print Property Owner's or Authorized Age Name ACTION =E I BY— DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL j FOR OFFICE USE ONLY REGULATIONS PART 61 OFTITLE 40 AND AOMD RULE 1403 ljj PERMITEXPIRED LJ ISUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED _ LEAQM:D __ ______ FLRMITFINALJ __._ ❑ASBESTOS NOTIFICATIONISNOTAPPLICARL£ TO CERTIFICATE OFZ •,iI.{, / [[ PROPOSED DEMOLITION OCCUPANCY I55UEL11 SIGNATURE;