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HomeMy WebLinkAboutPV2023-0422 - Permits�Wvo City of Newport Beach iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiq��� RT P V 2 0 2 3 0 4 2 2 sour Permit : PV2023-0422 p� Community Development Department -Building Division 1 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1892 U ) z Permit Counter Phone: (949) 718-1888 Work Class : Counter newportbeachca.gov/civic Issued Date : 08/15/2023 .mW Final Date: Permit Status: Issued 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 : 429 RIVERSIDE AVE Legal Desc : A TR FIRST ADD TO NEWPORT HEIGHTS BILK 24 LOT 16 Description: SFR SOLAR PV SYSTEM. 4.05 KW. 10 MODULES Owner: CHRISTOPHERFLETCHER Address : 500 31ST ST NEWPORT BEACH, CA 92663 Phone: (949)278-4585 Applicant: XAVIER CONTRERAS Address : 801 GLENNEYRE ST, A LAGUNA BEACH, CA 92651 Phone: (562)639-9757 Owner/Builder: Address Phone: Code Edition : Type of Construction Occupancy Groups Bldg Height: Building Setbacks Flood Zone Use Zone: 2022 V-B U,R-3 Front: 10, Side: 4, Siore: 4, Rear: 5 X R-1 - Single-Uni} Residential,. Processed By: SPECIAL CONDITIONS: Contractor: SADLER SOLAR Address : 861 GLENNEYRE ST #A LAGUNA BEACH, CA 92651 Phone: (949)584-4800 Con State Lic : 982533 Lic Expire : 04/30/2025 Bus Lic : BT30073175 Bus Lic Expire : 10/31/2023 Workers' Compensation Insurance Carrier: STATE COMPENSATION INSURANCE FUND Policy No : 9311933 W. C. Expire : 1/26/2024 Architect Address Phone: State Lic Engineer: MUNYANZIZA,EUGENE Address: 250 WILKERSON AVE APT 160 PERRIS, CA 92570 Phone : (951) 355-3348 Designer Address Phone: Fire Sprinklers : NO Construction Valuation Fire Hazard Zone : NO No of Units : Type of Solar No of 3w.ories : 2 Kilowatt: 4 $15,000.00 OWNER -BUILDER 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 items) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, peon to its issuance, also requires the applicant for the permit to file a signed statemont that he or sheds licensed pursuant to the provisions of the Contractors' State License Law (Chapter 0 (commencing with Section 7000) of Division 3 of the Business and Professions Coda) 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 penaRy of not more than five hundred dollars (S500). ❑ 1, 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, Business and Professions Codes 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 improvements 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 rm roved for the purpose of sale). LI 1, as owner of the property, am exctusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate License Law does not apply 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). ❑ 1 MITI exempt from licensure under the Contractors' State License Law for the fallowing reason. By my signature below I. acknowledge that, except for my personal residanco in which I must have resided for at least one year prior to completion of the Improvements covered by this permit, I cannot legafl sot: a structure that I have built as an owner -builder If It has not been constructed In itsortnoty by licensed contractors. I understand that a copy cf the applicable law, Section 7044 of tho Business and Professions Code., is available upon request whan this application fs submitted or at the following Web site:htip.//www.Iegmfo.ca.gov/calaw,html. Signature of Property Owner or Authorized Agent, w _ Date LICENSED CONTRACTOR'S DECLARATION m I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter g (commencing wilh Section 30p0) of Dkvision 3 of the Business and P ofo§8ions Code, and my license Is In full force and effect. License Class L€cense No Dat T/1 i/ 3 Contractor Slgnat� WORKERS' GOMPENSATION DECLARATION WARNING: 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 1706 OF THE LABOR CODE. INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the fallowing declarations: © 1 have and will niordaln 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 Ih in ormance of the work for which this permit is lasued_ Policy Na. I Ave 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' Compensat o i 9 an CB Carter and policy number are ter Policy Number Expiration Date No a of Agent Phone it DI certify that, in the performance of the work for which this permit is issued, t shall not employ any person in any manner so as to become subject to the workers` compensation laws of Califomla, and agar that. if I should become subject to the workers compensation provisions of Section 3700 of the Labor Cade, I shall forthwith comply with those provisions. Signature of Appiiaan _ _ _ _ -�— - .._--. —__ _. a oT,I 1 S 12 023 DECLARATION RE A ON LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Seaton 3007, Civil Code), Lender's Name. _ _ Lender's Address By my signature below, I certify to each of the following: I am the property owner or aOlhori2ed to act on the property owner's 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 ar comity to en er the above -identified Fogerty for inspection purposes. Si :nature of Propart Owner or Authorized Ac efri Pent Property Owner's or Authorzed A v ent t Nam e' K V I Is ♦ f/ if 4 SDate 8/[fho73 ACTION DATE BY ; DECLA4L1 COMPLIANCE WITH CODE OF FEDUIAT FOR OFFICE USE ONLY I REGULATIONS PART 61 OF TITLE 40 ANG AQMD RULE 1403 PERMIT LXPIRED t - I SURMITTED ASRFSTOS NOTIFICATION TO PERMIT CANCELLED ( r��'EPA PERMITCXIENOED f�/'y/' _ .......-❑AQMp __ _- ...... PER Il FINAL OF PROPOSED i ASBEStOS NOTIFICATION 1} Nut APPLICABLE 10 PROPOSED DEMOLITION OCCUPANCY ISSOEED SIGNATURE: