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Home My WebLink AboutPV2022-0263 - Permits (2)City of Newport Beach IIIIIInIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIN�� Solar Permit : PV2022-0263 .tiwaoRr Plan Check NO: PC2022-2129 e� Community Development Department - CA 92660ivision Work Class : Alteration 100 Civic Center Drive, Newport Beach, Issued Date : 09/12/2022 D W„ s Permit Counter Phone: (949) 644-3268 Inspection Area : 3 Cgi�rj 0.N�P Inspection Requests Phone: (949) 644-3255 newportb eachca.gov/inspections NCE OR LAST PERMITS idEXPIR�EE 1a8r0 D0 6:30 p.M. and Saturday day 8:00 a.m. to 6 0VALID Holidays. 0 P.m. No work on Sundays or Construction Hours: Monday - Y Job Address: 2401 WINDWARD LN Description: SFR SOLAR PHOTOVOLTAIC SYSTEM 11 owner: VISTA PARK PROPERTIES LLC Address : 1007 NEWPORTIBEACH, CA 92660 Phone: Applicant : JOJO COLLINS Address CERR TOS, CA 90703 Phone : (310) 795-6453 Legal Desc : N TR 5178 BAGYT PANELS 3.85 KW ENLAR INC. Contractor: URBAN 10192 NSTITUTION DR Address : HUNTINGGTON BEACH. CA 92646 Phone : (310) 795-6453 Con State Lie : 944115 Lie Expire : 12/31/2023 Bus Lie : BT30064588 Bus Lie Expire : 09130/2023 Workers' Compensation Insurance Carrier: STATE FUND Policy No : 9021421 W. C. Expire: 6/1/2023 Fire Sprinklers : NO Code Edition : 2019 Fire Hazard Zone : NO Type of Construction : V-B No of Units : 1 Occupancy Groups : R-3,U No of Stories Bldg Height: Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 10 Flood Zone : X Use Zone : R-1-10000 -Single-Unit Residential (10000 indicates minimum lot area Processed By: ------ Architect Address Phone: State Lie Engineer: QUALLS BRIAN #203 Address : ENCINITAS, CA 92024VE Phone: (760) 652-9257 Designer: Address : Phone: Construction Valuation : $22,920.00 Type of Solar : SFP Kilowatt: 3 SPECIAL CONDITIONS: �..I-- K utt;LARATION 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 ! (Section 703'I 5, Business and Professions Cade: Any city or county that requires a permit 10 construct, alter, improve, demolish, nr repair any structure, prior to it 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 o the applicable. item(s) Professions Code) u that he ll she is exempt from lioensura and the basis for the alleged exemption.. Any violation of spier 7031.5 er any applicant for it permit subjects the Division 3 to a not more than flue hundred dollars ($500), s issuance, also requires the applicant for 9 on 7000} o£ Division 3 of the Business and. 111, as owner ro the property, or my employees with wages as their sale compensation, will do Civil penalty of Busioess and Professions Cade' The Contractors' State License La does (_) elf afar L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Improvements are not intended or offered for sale. If, however, the building Or i pPovement is sold within one year of completion, the Owner -Builder will have s o burden of proving W o S not apply o an owner of property who, through employees' or personal effort, builds or Improves the property, provided that the rrmyproved for the purpose of sale). as owner of the property, am exclusively contraciing with licensed p ving that I( was not built th .apply to an owner of property who builds or improves thereon, and who contracts for the projects write a licensed Contractor pursuant to the Contractors' cat Contractors to construct the project (section 704q, Business and Professions Code: The Contractors' State License Law does not f 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 im rovicense Law). sell a structure that 1 have built as an owner -builder If it has not been constructed in its entirety by licensed contractors. I understand t a copy of the applicable taw S- ' Pro#essions Code Is avallabla upon request when this application is submitted prat the following Web site:hd / p aments covered b p Signature of Property Owner or Authorized Agent +y this Bruit, I cannot legally LICENSED CONTRACTOR'S DEC — --- g p' /'^'W'w.lagfnfo.ca,gov/calaw.htmL octwn 704A of the Business and hereby affirm under penaltyof e 'u RATION _Date and effect. License Gassp ry that I am licensed under provisions of Chapter g (Commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force VORKERS' COMPENSATION DECLARATION License No Date Contractor Signature rDST OF OMPENS TI SECURE WORKERS' PROVIDED FOR IN S COVERAGE IS THE LABOR AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVfL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 151013.000, IN ADDITION TO THE .DST OF COMPENSATION, N, DAMAGES ASrjury One FOR IN SECTION g de OF THE LABOR CODE, INTEREST, AND ATTORNers PEES. hereby affirm under penalty of Perjury one of the following declarations: 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 in arformance of the work for which this permit is issued. Policy No. sI have 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' compensatio surance carrier and policy number are: smier tine of Agent Policy Number _. txpiration Date certify that, in the performance of the work for Which this permit is issued, !shalt not employ an Phone # if I should become subject to the workers' compensation provisions of Section l not of the Labor Code, I shall forthwith corn P Y y person iI any manner so as to become subject to the workers' compensation laws of California, and afore of Applicant comply wgth those revisions. LARATLON Rkr_nnr.L,.. ......._______ —. P NU ENCY Selby affirm under penalty of penury that there is att otnstruccttiiiion lending agency for the performance of the work for which this permit is issued (Section 3097�t 1defS Name Civil Cade). My signature below, I certify ip each of the f0-110—ing: Lender's Address 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 10 building construction. 1 authortze representatives of this city or county to enter the above -identified property for inspection purposes, lalure of Property Owner or Authorized Agent DATE UtLLARATION OF COMPLIANCE WITH CODE OF FEOE REGULATIONS PART ba OF TITLE 40 AND AOMO RULE tuna CEATfFVCATE OF // L,1AS[iEST05 NOTIFICATION IS NOT APPLICABLE TO OCCUPANCYfssuEO (((/ PROPOSED DEMOLITION SIGNATURE: r vner s or Authorized Ag FF---OR OFFICE Y