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Home My WebLink AboutPV2020-085 - Permitsa�4Nl= k City of Newport Beach - Building Divistion r PO Box 1768 Newport Beach, California 92658-8915 SOLAR Permit: PV2020-085 Permit Counter Telephone (949)644-3288 Inspection Requests/Telephone (949)644-3255 Project No : 1021-2020 Job Address: 621 ROCKFORD RD NB Description:SFR SOLAR PHTOVOLTAIC 7.38 KW, 18 PANELS Inspector Area: 5 Legal Desc.: N TR 3519 LOT 138 Owner: CHRISTENSEN DANAE Contractor: URBAN ENERGY Address: 621 ROCKFORD RD Address: 10192 CONSTITUTION DR CORONA DEL MAR, CA 92625 HUNTINGTON BEACH, CA 92646 Phone Applicant: ALEXANDER MITCH Address: 10192 CONSTITUTION DR HUNTINGTON BEACH CA 92646 Phone: 530-515-5561 Code Edit : 2019 Type of Construction: V-B-SPR Occupancy Group: R3/U No of Stories: 1 Use Zone: Bldg Height: 0 Valutaion $44,280.00 Building Permit Fee Plan Check Fee TOTALFEE: PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: $240.00 $210.00 Phone: 562-447-4971 Con State Lic: 944115 Lic Expire: 1213112021 Bus Lic: BT30064588 Lic Exp Date: 09/30/2020 Worker's Compensation Insurance Carrier: STATE FUND Policy No: 9021421 Expire: 06/01/2021 Building Setbacks Rear: Front: Left: Right Plan Check Fee : $210.00 Issued Date : Architect: `N S P E Address: Phone: State Lic Engineer: TRUONG PHONG Address: 20754 TIMBERLINE LN WALNUT CA 91789 Phone: 949-254-2751 State Lic:C-070784 Designer: Address: Phone: Record Management (8 1/2 X 11) Record Management (Plans) : Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. INSTALL OR VERIFY SMOKE AND CARBON MONOXIDE DETECTORS ARE EXISTING PER CRCR Ru.Qb, $0.00 $240.Ou W 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 to the applicable item(s) >ection 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 Ie 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 'rofessions Code) or that he or she is exempt from licensure 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 penalty of of more than five hundred dollars ($500). 7 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, 'usiness 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 nprovements 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 n roved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not pply 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 licensure 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 ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. 'signature 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 ection 7000) of Division 3 of the Business and Professions Code, and my license is in full force nd effect. icense Class L: 4(0 License No g7il q l t / Date .> -Lo Contractor Signature /6& {Q(pf%Ly4 I ORKERS' COMPENSATION DECLARATION V 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the romance of tha AoA for which this permit is issued. Policy No. �I has a 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' compensatior sm�a��-1 c��jjrner Bra policy nlmber are: 'd°rfel'7'f4itU i� L7M5dt-I/i�, lyil. (�. Policy Number 00Z14ZI Expiration Date ame of Agent / 1 CA_ 0 S} VAy1.e,z— Phone # ,3, ceriifv that, 1.1 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 of California, and agree at, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of App'i,art`. Date 3 zC7 E,,,ARATION REGARffty CONSTRUCTIO LENDING AGENCY .uj�) affirm under peof perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309TICivil Code). rnder's Name Lender's Address "'ny eit'nature below, I certify to each of the following: 1 Pr 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 county ordinances and state laws relating to building construction. I authorize representatives of this city or county to ant t e above-i identified property for inspection purposes. iature of Property Owner or Authorized Agent N, Print Property Owner's or Authorized Agent's Name R mlld,\C ACDON DATE BY DECLARATION OF COMPLIANCE YMTN CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 01 OF TITLE40AND AQMD RULE 1403. PERMIT EXPIRED ❑ISUBMfTTEDASBFSTOSNOTIFICATIONTO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMIT EXTENDED ❑ ASBESTOS NOTIRCATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED SIGNATURE: