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Home My WebLink AboutPV2023-0391 - PermitsCity of Newport Beach �kwnr,�y. Community Development Department- Building Division m 100 Civic Center Drive, Newport Beach, CA 92860 n- Permit Counter Phone: (949) 716-1888 eqr., newportbeachca.gov/civic IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�� Solar Permit : PV2023-0391 Plan Check No: PC2023-1713 Work Class : Counter Issued Date: 07/18/2023 Final Date: Permit Status: Issued 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. f � Job Address : 3 SUNDANCE DR Legal Desc : N TR 7989 BLK LOT 1 UN 1 TR 7989 LOT 1 UNIT 1, P-1 `«S3 ? In- CTOi L tl� Description : MFR SOLAR PV SYSTEM 3.45 KW (9) MODULES Owner: BANSE DOMINIQUE A TR Address : 3 SUNDANCE DR NEWPORT BEACH, CA 92663 Phone : (949) 903-5577 Applicant : SADLER SOLAR Address : 801 GLENNEYRE ST #A LAGUNA BEACH, CA 92651 Phone: (949)584-4800 Owner/Builder : Address : Phone Code Edition : Type of Construction Occupancy Groups: Bldg Height : Building Setbacks Flood Zone Use Zone : 2022 V-B R-2 X PC - Newport Terrace - UP 1621 Processed By: 4� SPECIAL CONDITIONS: Contractor: SADLER SOLAR Architect Address : 801 GLENNEYRE ST #A Address : - • - LAGUNA BEACH, CA 92651 ' Phone: (949)584-4800 Phone: Con State Lie: 982533 State Lie: Lie Expire : 04/30/2025 Bus Lie : BT30073175 Engineer : MUNYANZIZA, EUGENE ' Address : 250 WILKERSON AVE AF T 100 Bus Lie Expire : 10/31/2023 PERRIS, CA 92570 • "' Workers' Compensation Insurance Phone: (951) 355-3348 Carrier: STATE COMPENSATION INSURANCE FUND , Policy No : 9311933 Designer W. C. Expire : 1/26/2024 Address Phone: Fire Sprinklers : NO Construction Valuation : $22,000.00 Fire Hazard Zone : NO No of Units : Type of Solar No of Stories : 2 Kilowatt : 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicate Section '7031.5, Business and Professions Code' Any city or county that requires a permit to construct„ alter, improve, demofi: to permit to file a signed statement that he or sheds licensed pursuant to the provisions of the Contractors' State License Law 'rofessions Code) or that he or she is exempt from ficensure and the basis for the alleged exemption. Any violation of Section of more then five hundred dollars ($500). 1 1, as owner of the property, or my employees with wages as their sole compensation, will do I_) all of or (_) portions of the lusiriess and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through eml oprovements are not Intended or offered for Sale. It, however, the building or improvement is sold within one year of complotl nproved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to Construct the project (Section 7044, Bu ply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pu I am exempt from ficensure under the Contractors' State License Law for the following reason Y my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one yeai oil a structure that I have built as an owner-bulldor if it has not boon constructed in its entirety by licensed contractors-. I under 'rdfess ans Code, is available upon request when this application is submitted or at the following Web site:hap:llwwwtegmto.e .tgnature of Property Owner or Authorized Agent ACENSED CONTRACTOR'S DECLARATION horoby affirm under €,enalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 Qpp f Di ad effect. Licea�e Jfass _ License No "ORKERS' COMPENSATION DECLARATION rARNING: FAILURG to SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIEt SST or COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37" OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES. her..by affirm under prnatty of perjury one of the following dec€a rations: I ho e, and will ma,ntain a certificate of consent to self -insure for workerscompensation, Issued by the Director of ;or mane of it a vrrk for which this permit Is issued. Policy No. ;jynuc and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the pe irance carrier ar;d policy number are: arTer _ are of Agent Policy Number below by the checkmark(s) I have placed next to the applicable items) , or repair any stricture, prior to its Issuance, also requires the applicant for Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 131.5 by any applicant for a permit subjects the applicant to a civil penalty of k, and the structure is not intended or offered for sale (Section 7044, eD5 or personal effort, builds or improves the properly, provided that the the Owner -Builder will have the burden of proving that It was not built or and Professions Code: The Contractors' State License Low does not to the Contractors' State License Law). to completion of the improvements covered by this permit, I Cannot that a copy of the applicable law, Section 7044 of the Business and Date. 3 of the Business pd Prate � yyoons��Coda,�y license is in full force Contractarature HMV) CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS tS100,0001, IN ADDITION TO THE Relations as provided for by Section 3700 of the Labor Code, for of the work for which this permit is issued. Illy workers' Date I certify that, it IT) pe formance of the work for which this permitis issued, I shall not employ any person in any manner so I s to become subject to the workers' compensation laws of California, and ogre rat, it I should baCOtnt subject to the workers' Compensation provisions of Section 3700 of the Labor Code,. I shall forthwith Do rely *In those provisions. ignature of App ll Dide 7l I Sil lz-02.3 I:ECLARAVON IT GARDING CONSTRUCTION LENSING AGENCY hereby affirm under penalty of perjury that there is a construction tending agency for the performance of the work for which tat permit is issued (Section 097, Civil Coda), ender's Name _ Lender`s Address ly my signature below, I certify tit Hach of the following: Yi I am the property Owner at authorized to aCt on the properly 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 slate laws relating to building construction. I authorize representatives of this city or c�ounty to enter the abcvu�-identifiecjpropony for inspection purposes. V Iionature of Prooerry Owner or Aulhodzial A159nt AZIQ;F: �Print Prouerty Owner's or Autho zed Anent's Nola /(Q V f of LEA fiyt7 `5 In 71 19/,ftv ACTION OATF By DECLARATION OF COMPLIANCE WITH CODE OF FFCDERAI. FOR OFFICE US ONLY RFGULA11ONS PART 61 OF TITLE AO AND ACkMD RULE PERMIT EXP0?FD i tJ�fS{V�BMITTF,DASBFSTCStIOTIFICATIONTO PERMIT CAACECtf€3 L.IEYA PFRMITFXTFNOEO / i f�ll_yAQNtp P€RA41 FINAL��-- r (1 .L � 1 L,f ASBESTOS NOTIFICATION IS NOT APPLICABLE tO -__-_- C€RTiPtCA7£OE PROPOSED DEMOLITION OCCUPANCYISSUED I SICNATURFI