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PV2023-0038 - Permits
W ,,r City of Newport Beach iiiiiiiiiiiq���� Solar Permit : PV2023-0038 Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-0151 1 )*e, 's Permit Counter Phone: (949) 644-3288 Work Class : Alteration c,Klror Inspection Requests Phone: (949) 644-3255 Issued Date : 04/10/2023 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 Holidays. Job Address : 518 RIVERSIDE AVE Description : SFR SOLAR PV 16 PANELS 6.4 kw Owner: JOHNKRAUS Address : 518 RIVERSIDE AVE NEWPORT BEACH, CA 92663 Phone : Applicant: KOTA CONSTRUCTION LLC Address : 5205 AVENIDAENCINAS #D CARLSBAD, CA 93012, CA 93012 Phone : (510) 871-00,1 Owner/Builder : Address : y r— A '%^ Phone Legal Desc : ATR FIRST ADD TO NEWPORT HEIGHTS BILK 35 LOT 5 FIRST ADD TO NEWPORT HEIGHTS LOT! BLK 35 Contractor: KOTA CONSTRUCTION LLC Address : 5205 AVENIDAENCINAS #D CARLSBAD, CA 93012, CA 93012 Phone: (510)871-0081 Con State Lic : 1063901 Lic Expire : 03/31/2024 Bus Lic: BT30078169 Bus Lic Expire : 03/31/2024 Workers' Compensation Insurance -Carrier: PRAETORIAN INSURANCE COMPANY Policy No: QWC4002006 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 Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 5 Flood Zone : X Use Zone : R-1 - Single -Unit Residential Processed By: SPECIAL CONDITIONS: Architect Address Phone: _ , State Lic :<,: ;-,U Engineer: F. _ 77 Address Phone: Designer: KOTA CONSTRUCTION LLC Address: 5205 AVENIDAENCINAS #D CARLSBAD, CA 93012, CA 93012 Phone: (510)871-0081 Construction Valuation : $23,360.00 Type of Solar: SFP Kilowatt : 6 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 tD the applicable itemfs) {Section 7031.5, Business and Professions Code: Any citycr 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 sheds licensed pursuant to the provisions of the Contractors' Stato 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 lice asure 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 penally of not more than five hundred dollars ($500). ❑ 1, as owner of the property, or my employees with wages as their solo compensation, will do (, all of or (_) 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 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 it was not built or improved for the purpose of safe). lJ 1, as owner of the property, am exclusively contracting with licensed Contractors to constructthe project (Section 7044, Business and Professions Code: The ContractorsState License Law does not Nply 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 hoensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in which 1 must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot Iegaii) sof a structure that I have built as an owner -builder If it has not been constructod in its entirety by licensed Contractors. I understand that a Copy of the applicable law, Section 7044 of the Business and Professions Code., is avaliable upon request when this application is submitted or at the following Web site:http:/lwww.lsginfo.Ca:gov/calaw,html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provision Of hap to 9 {Cgpp epc in with Section, 0. 0) of i 'sign of the Business and Prof ons C d my license Is In (oil force and effect. License Class License No � i�� !`Y� C �I Occg r I Contractor Signature V I�— WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL; AND SHALL SUaJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100.000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORHEY'S FEES. Ihereby affirm under penalty of perjury one of the following declarations: 0 1 have and Will maintain a certificate of consent to selt•Insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for In performance of the work for which this permit is issued. Policy No. 01`Naee 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' compensatoor Insurance rri6r no pulloy nu bar are: � t vl Z� ,Carrier fFJ ' oh nJ'alincr Policy Number W I Expiration Date "I .rL Name of Agent Phone # ©) 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 0 Califormi and agre, that, if I should become u act to the workers co nsation provisions of coon 3700 of the Labor Code, I shelf forthwhi comply with those provisions. I Signature of Applicant . > _ Date I�DECLARATIGN REGA DING GGNSTRUCTICENDING AGENCIy I hereby 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, Civil Codef, lender's Name Lender's Address By my signature below, I certify to each of the foltowiri 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 count rdinances and all taws relall'ng to building construction. // A q I authorize representatives of this city or county enter the e-identt' mperty for inspection purposes. `� / J/t/j Sinnetura of Pronerty Owner or Authnfx oed Anent /% Print Prooartv Owner's or Authorized Anent'% Name l Y IGlkf ,UQ \ (/t, ACTION DATE BY r I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY Rt@UTATIONS PART 61 OF TITLE 40 AND AQMD RULE 2403 PERMIitXPIRED Sl,6MIT1 cD ASSES'C'S PERMl7'FINAt 11 AgBFStOy 001 WICATION 15 NOT APPLICABLE 10 CENCIFICAT€OF 1 PROPOSED DEMOLITION OCCUPANCY0IED ;Sir-NPidRE;