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HomeMy WebLinkAboutPV2023-0312 - Permits�.+EW RT; City of Newport Beach IIIIIIIIIIIIIIIIIIIII����� Solar permit : PV2023-0312 o� Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-12$3 U Permit Counter Phone: (949) 718-1888 Work Class : Online cq<c NF newponbeachca.gov/civic IssuedDate:06/01/2023 `TM�._._:.✓ Inspection Area : 8 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 : 1204 SUSSEX LN Legal Desc : N TR 1896 BLK LOT 29 Description: SFR SOLAR PV SYSTEM 5.53 KW, 14 MODULES, 1 INVERTER Owner: ERIC SUN Address : 1204 SUSSEX LN NEWPORT BEACH, CA 92660 Phone: Applicant: SUNRUN Address : 2500 WHITE RD, A IRVINE, CA 92614 Phone: (714)854-2083 Owner/Builder : Address : Phone Contractor : SUNRUN Address : 2500 WHITE RD, A IRVINE, CA 92614 Phone: (714)854-2083 Con State Lie : 750184 Lie Expire : 06/30/2024 Bus Lie: BT30066837 Bus Lie Expire : 04/30/2024 Workers' Compensation Insurance Carrier: AMERICAN ZURICH INSURANCE CO Policy No: WC614287600 W. C. Expire : 10/1/2023 Code Edition : 2022 Fire Sprinklers : NO Type of Construction : I -A Fire Hazard Zone : NO Occupancy Groups : R-3 No of Units : Bldg Height : No of Stories : 1 Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 10 Flood Zone : X Use Zone : R-1 - Single -Unit Residential Processed By: SPECIAL CONDITIONS: Architect Address Phone: State Lie Engineer: ZACHER PAUL Address : 1478 STONE PT DR, 190 ROSEVILLE, CA 95661 Phone : (916) 961-3965 Designer Address Phone: Construction Valuation : $14,000 Type of Solar: Kilowatt: 5 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicat d below by the checkmark(s) I have placed next to the applicable _ item(s) (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' 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 licensure and the basis for the 31leged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 0 I, as owner of the property, or my employees with wages as their sole compensation, will do all or portions of the work, i ind the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' Stale 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 withir 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). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, 3usiness 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 licen 5ed Contractor pursuant to the Contractors' State License Law). ❑ 1 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 ear 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 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:https:/Ileginfo.legislature.ca.gov. LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class: c-46 License Number: 750184 WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PE 4ALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,D00), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S I EES. I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of I idustrial Relations as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Policy Number: H 1 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' compensation insurance carrier and policy number are: Carrier: american Policy Number: WC614287600 Expiration Date: 10/01/2023 Name of Agent: Phone * H 1 certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any r umner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Laboi Code, I shall forthwith comply with those provisions. CONSTRUCTION LENDING AGENCY DECLARATION I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for whit I this permit is issued (Section 3097, Civil Code). Lender's Name: Lender's Address: By my signature, I certify to each of the following: DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS I am the property owner or authorized to act on the property owner's behalf. - PARI 61 OF TITLE 40 AND AQMD RULE 1403 1 have read all the declarations, checked applicable ones, and the information I have provided are correct. 1 SUE MITTED ASBESTOS NOTIFICATION TO: I have read this application and the information I have provided is Correct. EPA I agree to comply with all applicable city and county ordinances and state laws relating to building construction. 11 AQMD SUNRUN June, 01 M23 Asbestos notification is not applicable to proposed demolition. M