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Home My WebLink AboutPV2022-0264 - Permits (2)d QaPORT City of Newport Beach II II I II I II I II I II II I III II II O d Permlt : PV2U22-U264 Community Development Department - Building Division SO � F y 100 Civic Center Drive, Newport Beach, CA 926BO i'' Plan C ck No: 2864-2021 Permit Counter Phone: (949) 644-3288Work CI ss;.: Other x Inspection Requests Phone: (949) 644-3255 Issued : /25/2022 Cq(rF00.N`P newportbeachca.gov/Inspections Ins�,Aect??on Areati _ PERMITS EXPIRE 180 DAYS AFTE SUANC ' R I VALID IN CTION. Construction Hours: Monday -Friday 7:00 a.m. to77" �ry 8: 04+a.r�. to 6:00 . No work on � Job Address : 20182 KLINE DR Legal CCc Description : UPDATE PV MODULE MODEL # (PV2021-251) ; �� -, Owner: ROBERT TELLER Contra or: Sunrun Installations Address : 20182 KLINE DR NEWPORT BEACH, CAZ Add as : 2500 WHITE RD UNIT A IRVINE, CA Phone Applicant: MORRIS SUMMER Address: 2500 WHITE AV, A IRVIN A 92f Phone : (951) 425-8684 �! 92614 honk: 'i. (949)', 343,�3 Con State Lia: 75018,4� Lic Expire . 06/30/ 2.4j" ` Bus Lic Bus Lic Expire : Y `' a�,Aciclress ;v r0 Workers'.:<;olr,Ctpeu a4ibn Insuranc ``,�� Pho Carrier:.AMWRIC ZURICH INS CO&ANY q9 V66 DR 1`9i),R�jSEVI; ' -3965 Policy No : WC614287600 Des! C. Expire: 10/112022 A re,. `iM,�`► In ,. Code Edition : 2019 - ?;Pre Sprinklers ->, - Construction Valuation Type of Construction : V-B 'S `w Fire Hazardneis�' ly No of Un' Sc� Type of Solar: SFP Occupancy Groups : R-3,U �y ,!t tt��11 Bldg Height: No of rSt${Ir LLIC TUI�U�tt : 16 Building Setbacks: "^- �y,-, n OTALLOWED FOR IN Use Flood Zone : > �7 Use Zone : _. /��;?QR APPLICATIONS Processed By: _/Xr %4-07— 441n " Public Works Approval: Zoning Approval: Plan Check By: Grading Approval: Approval To Issue: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the ContractorsSlate License Law for the reasons) iipWated be by the checkmark(s) I have placed next to the applicable items) Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve,r^demohsh, or re it any structure, prior to Its Issuance, also requires the applicant for in permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Slat Lrconsa Law (Chapter (commencing with Section 7000) Of Division 3 of the Business and 'rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any vlgj#ff& of Section 7033.5;ky applicant for a permit' subjects the applicant to a civil penalty of of more than five hundred dollars ($500). I as owner of the property or my employees with wages as their sole compensation, will do (_) or ( ) portions of t ecui37k, and the s cture Is not intended proffered for sale (Section 7044, Iusiness and Professions Code: The Contractors' State License Law does not apply to an owner propenyvy D,. throuu p`loyees' or p so effort-, builds or improves the property: provided that the nprovements are not intended or offered for sale. If, however. the building or Improvement i Id within,-vt,•year o[ 6 etion, the O er•Buil will -have the burden of proving that it was not 6ulii or nlproved for the purpose of sale). '•G'f / '\ J I as owner of the property, am exclusively' contracting with licensed Contractors ' onstruct*4rr'oject (�$,c7044. Su ' ass and. Professions ode: The Contractors' State License Law does not pply to an owner of property who builds or Improves thereon, and who contractaftwthe oral Wish a IlContractor rsuant to the Contractors Late License Law), J 1 am exempt from licensureunder the Contractors' State License Law to e following reason: fy my signature below I acknowledge that, except for my personal resid.,. a in which I must nav r Ided fora �`t one year prior to completion of the im vemenis covered b his permit I canna[ legali ^,ci ell a structure that I have built as 8n owner-buildprif it has not been "stmtire cted In i enty by hcpnsadctors. I understand that a copy of the applic a law. Section 7 4 of the Business and 'rofessions Code, is available upon request when this applicatio submitted a the to wing Web sll 1pa/www.leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent tk Date .ICENSED CONTRACTOR'S DECLARATION yr herebyaffirm under penalty of a 'v that I am lice ur p ty p ry ry p I ns of Cho �om trig with Section 7�00Q�( s' rid Prof REID er and m cense Is in fu orce no effect. License Class Ll No _ �?, ,. Date it 71 ,C uanatur ,. NORKERS' COMPENSATION DEC LA. ION ya9 NARNING: FAILURE TO SECURE wORKEA3' CO. SATION COPE E i5 U A A)j�t., H SUBJECT A PT RIMINAL PENALTIES AND ES FO ONE NUND D T BAN LEAIt- 09,0001, 1N ADDITION TO THE ..OST OF COMPENSATION, OAMAOES AS PRO D FOR IN SE 13701 OF b c. EFES7 A hereby affirm under penalty of P. ry one of th Itowin ciar %*.. I have and will maiutai certificate onsenf to s I workers' oFer)tloaf, - led by the D'Ireci4st�ations as pr I r on 3700 of the Labor Code, for th rtormsnce of the war which (lids mlt Is i -' Pa U.Val,*�.;•ar '66 LJI�Y ac e and Will trtAintain compensat ' u as requsr a In 00 of the Labor e, e peFQifiance of the .ark fsstch permit is issued. My workers' compensatiol nsurar ce carrier and policy bee are'F, v, f_.„�� •�a,• amler olicy N e xpir 111)" Da vame r,f Agent °+ v ,+ pPPgme 0 r - d certify that, h t e performance f j,tlT. rdf or which 7.it i$ sued, I shall not errtplgy any perso ' s. to be m jact to the workers' comp reation Is s of California, and agre net, It 1 <houid hecom=subject to th6 .:'-ers Cg+ensa Ef or he of Section �7Q."dcohl or Code, I shall fort Ith comp ose provisions. 3innature Of AGpllt,dnl ._ Da r, :ECLARATION KEG_.. LNG N RUGTtf LEN G AGENCY hereby affirm uMnr penalty per' 7 that 7h, ds a cons riding agenc' r theme erformance of work fo r's Atldres 1cMff9is permit is issued (Section 3097, Civil Code). ender s Name Land -' _ ...._ _ 3y ory signature below, Tilly each or the following:. / -' I am the property ow at o authorized to act on the property owner's, 3alf. I have read this appl a n and the information I have provided is rOct,. - I agree to comply with all applicable city and county ordinances d slate laws resting to building construction. I authorize representatives of this city or county to nter the a e-identified property for.lnspection purposes ii nature of Property Owner or Authorized Agent I Pro wner's or Authorized A ent's Nam, ate L ACTION DATE BY DEC TION OFC PLIAN ,TI CODE OFFEDERAL FOR OFFICE USE ONLY R ATIOts)5 PART B - ,TITLEAGAND 40 RULE P€RNfI F Expipho PERMIT CANCELLED PERMIT FINAL SBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF (_2Jp_Z PROPpSED DEMOLITION OCCUPANCYISSUED SIGNATURE: All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall be In place prior to approval to fill pool/spa & shall remain in place & be maintained for the life of the pool.