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Home My WebLink AboutPV2023-0192 - PermitsF��WPoRT City of Newport Beach O e Community Development Department- Building Division �. 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 c °q<rcoa"�P Inspection Requests Phone(949) 644-3255 n ewportbeachca.g ov/inspection s ig�iiiiiiiiiSolar Permit : PV2023-0192 Plan Check No: PC2023-0755 Work Class : Alteration Issued Date : 04/03/2023 Inspection Area : 6 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 : 15 CAMBRIA DR Legal Desc : N TR 7844 BLK LOT 98 Description : SFR SOLAR PV SYSTEM 18 PANELS 7.65 kw Owner: SALINGER THOMAS S TR Address : 15 CAMBRIA DR CORONA DEL MAR, CA 92625 Phone: (714)609-2327 Applicant: URBAN ENERGY SOLAR INC. Address : 10192 CONSTITUTION DR HUNTINGTON BEACH, CA 92646 Phone : (310) 795-6453 Owner/Builder: Address : Phone: Contractor: URBAN ENERGY SOLAR INC. Address : 10192 CONSTITUTION DR HUNTINGTON BEACH, CA 92646 Phone: (310)795-6453 Con State Lie : 944115 Lie Expire : 12/31/2023 Bus Lie: BT30064588 Bus Lie Expire : 09/30/2023 Workers' Compensation Insurance Carrier: STATE COMPENSATION INSURANCE FUND Policy No: 9021421 W. C. Expire: 6/1/2023 Code Edition : 2022 Fire Sprinklers : Type of Construction : V-B Fire Hazard Zone.: Occupancy Groups : R-3 No of Units : Bldg Height : No of Stories Building Setbacks : Front: 6, Side: 5, Side: 5, Rear: 45 Flood Zone : X Use Zone: PC - Harbor View Hills Processed By: i Z� SPECIAL CONDITIONS: Architect Address Phone: State Lie Engineer: TRUONG PHONG Address : 3000 E BIRCH ST BREA, CA 92821 Phone : (949) 254-2751 m .�1 e Designer: URBAN ENERGY SOLAR INC. Address: 10192 CONSTITUTION DR HUNTINGTON BEACH, CA 92646 Phone: (310)795-6453 NO Construction Valuation : $34,000.00 NO 1 Type of Solar : SFP Kilowatt: 7 OWNER -BUILDER DECLARATION I hereby affirm under panalty 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 to the applicable ttem(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 foe To 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 Businessland 'rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.E by any applicant for a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 1 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portionsof the work, and the structure is not intended or offered for sale (Section 7044, tusiness and Professions Code: The Contractors' State License Law does not apply to an owner ofproperty who, through employees:' or personal effort, builds or improves the property, provided that the nprovements are not intended Of 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 Tt roved for tile purpose of Sala). 1, as owner of the property, am exclusively contracting with licensed Contractors to Constuctthe 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 far the projects with alicensed Contractor pursuantto the Contractors' State License Law). 1 am exempt from licensum under the Contractors' State License Law for the following reason: Ly 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 improvements covered by this permit, I cannot legally oil a structure that I have built as an owner -builder if it has not boon constructed in its entirety by licensed contractors. I understand that a copy of theapplicable taw, Section 7044 of the Business and 'iofessrans Cade, is available upon request when this application is submitted or at the following "A'eb site:tglp:llwww.leginfo.ca.gov/calaw,htmi, 3lgreture of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 D' isi 3 of the Business and Profs i' na (' de, d my license is in full force [lid effect License Class License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION IV U IARNING: FAILURE TO SECURE WORMERS' COMPENSATION COVERAGE la UNLAWFUL; AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100,000), IN ADDITION TO THE '.OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 1705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following dactarafloas: 1 have and will maintain a cenffucate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Cade, for he Xormance of the work for which this permit is issued Policy No, 91 hha�tnd will maintain workers' compensation insurance. as required by Section 3700 of the Labor Code, for the performance of the wornk for which this permit is issued. My workers' compensatior nsurance carrier and policy number ara: / 3amer �+A�e L,� .1_v , Policy Number `.7 c? 1( r(d...� Expiration Date �a/ 311 11 Vane. of Agent Phone at -1I certify that, in the performance of the work for which this permitis issued, i shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and egret hat, if I should become pu46ct to the workers'� compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /QI/ iignatureofApplicant LLwYY.YYAA'Ir!17T DateJ�. 3ECLARATION REGA ING CONSTRU ON LENDING AGENCY // I hereby affirm under penalty of perjury that there is a construction tending agency for the performance of the work for which this permit is issued (Section 3097, ivi Code), _Under's Name Lender's. Address 3y my signature below, I certify to each of the following. I 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 JVo I �5 I agree to comply with all applicable city and c my Ordinances and state laws rotating to building construction. I authorize representatives of this Dltq nr caun t ntar the aka ve-i reified property for inspection purposes. i log Signature of Pro art Orovnar or Authorized A ent � Pont PropertyOwner's or Authorized A 2ent's Name o ACTION S DATE BY DICIARATIO OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY i REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE PERMITCANCEEEEP PERMIT EXTENf%ED � ..II..._MO Y ._.._..._. _..._�._. FFRMITFINAL _.__......... J,U'r G-�5 9 ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOl' 7 7 / (pROPQ5EQ DEMOLITCON