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Home My WebLink AboutPV2022-0433 - PermitsCity of Newport Beach ��I��I��Soiar Permit : PV2022-0433 o,' \ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-3096 u > r I Permit Counter Phone: (949) 644-3288 Work Class : Alteration Cq� F�PN\P Inspection Requests Phone: (949) 644-3255 Issued Date : 0111112023 newportbeachca.gov/inspections Inspection Area : 2 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 : 1315 SANTANELLA TER Legal Desc : N TR 1700 BLK LOT 42 Description: SFR - SOLAR PV SYSTEM 18.8 KW 47 MODULES Owner: TRACY PULLIAM Contractor: AMPS ELECTRIC AC/DC INC Address : 1315 SANTANELLA TER Address : 3141 BRAY LN NEWPORT BEACH, CA — COSTA MES, CA 92626 Phone : (714) 745-4797 Phone : (949) 573-4133 Can State Lic : 1060783 Lic Expire : 11/3012023 Applicant: AMPS ELECTRIC AC/DC INC Bus Lic: BT30080265 Address : 3141 BRAY LN COSTA MES, CA 92626 Bus Lic Expire : 12/31/2023 Phone: (949) 573-4133 Workers' Compensation Insurance Carrier: STATE COMPENSATION INSURANCE FUND Policy No: 9309303 W. C. Expire : 11/30/2023 Code Edition : 2019 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups: R-3,U No of Units : 1 Bldg Height : No of Stories : 1 Building Setbacks : Front: 26, Side: 4, Side: 4, Rear: 10 Flood Zone : X Use Zone : R-1 - Single -Unit Residential Processed By: -- SPECIAL CONDITIONS: Architect Address Phone : State Lic Engineer: Address Phone 6 a� pr�"' `� LIJ [L mum Designer: AMPS ELECTRIC AC/DC INC Address : 3141 BRAY LN COSTA MES, CA 92626 Phone: (949)573-4133 Construction Valuation : $50,000.00 Type of Solar: SFP Kilowatt: 18 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the resson(s) indicated below by the checkmadc(s) i have placed next to the applicable items) (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 parent to file a signed statement that he or sheds 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 licensors and the basis for the alleged exemption, Any violation of Section 7031.5 by any applicant for a penult subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (J all of or U portions 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 [ha 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 It was not built or improved for the purpose of sale). 0 I, as owner of the properly, 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 licensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, exceptfor 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 legally sell a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of theapplicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:htip://www.leginfo.ca.gov/calaw,htmi. 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 of Division 3 of the Business and Prof ions Cc 'cerise Is in full force and effect. License Class License No Date If- Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS t$100.000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR. IN SECTION 3798 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby 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 the performance of the work for which this permit is Issued. Policy No. _ 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' carrier and policy number are: Policy Number Expiration Date of Agent _h certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any menner so as to become subject to the workers' compensation laws of Califomia, and agree tat, if I should becorne s bled to the workers compensation provisions of Section 3700 of the Labor Code. I shall forthwith comply with those provisions. ry/ 1gnatureofApplicant '�� Da ,g IECLARATIpN RBG RDINGCONSTFiHeii(TENDINti AGENCY !!!T hereby affrm 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). tinder's Name Lender's Address y my signature below, I certify to each of the following: 1 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 county. tc)enter 1��operty for inspection purposes. of BY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED L I SUBM T"D AFBESTOS NOTIFICATION TO PERMITCANCELLED �EpA PERMIT EXTENDED - PERMIT FINAL !j ASBkS fOS NOTIFICATION 15 NOTAPPLICASLE TO CERTiFICATEOF j PROPOSED DEMOLITION OCCUPANCY ISSUED 4 SIGAATUCE: or Authorized Aaent's Name FOR OFFICE USE ONLY %t/P✓F'1.Pi naiavo/-