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PV2024-0042 - Permits
aEWPoRr City of Newport Beach 04 ec'+ Community Development Department- Building Division i 100 Civic Center Drive, Newport Beach, CA 92660 G > 2 Permit Counter Phone: (949) 718-1888 C,� iO RN`P newportbeachca.gov/civic IIRIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII����� Solar Permit : PV2024-0042 Plan Check No : PC2024-0282 Work Class : Counter Issued Date : 02/2012024 Final Date: Permit Status: Issued Inspection Area : 4 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 : 19 COLONIAL DR Legal Desc : N TR 15389 BLK LOT 49 Description: SFR (N) ROOF MOUNTED SOLAR PV SYSTEM 9.125 KW WITH (25) MODULES. (N) 13 KWH ENERGY STORAGE SYSTEM Owner: KEN BASSMAN Address : 19 COLONIAL DR NEWPORT BEACH, CA 92660 Phone: (714)315-5220 Applicant : MASON FISHER Address : 4805 E LA PALMA AVE, B ANAHEIM, CA 92807 Phone: (951)315-5909 Owner/Builder : Address : Phone Contractor: SUN ENERGY BUILDERS Address : 4085 E LA PAMA AVE ANAHEIM, CA 92807 Phone : (951) 285-9828 Con State Lic : 1033340 Lic Expire : 11/30/2025 Bus Lic : BT30080230 Bus Lic Expire : 12/31/2024 Workers' Compensation Insurance Carrier: CAROLINA CASUALTY INSURANCE COMPANY Policy No : BNUWC0152753 W. C. Expire : 11/20/2024 Code Edition : 2022 Fire Sprinklers : Type of Construction : V-B Fire Hazard Zone Occupancy Groups : U.R-3 No of Units : Bldg Height: No of Stories Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone : PC - Aeronutronic Ford Processed By: 1==-- NO NO 2 Architect Address Phone: State Lic Engineer: HAKHAMA'bIESIAl MANOUCHEHR Address : 317 N SAN FERNANDO ALVD BURBANK,, CA C,1504, ' • ; Phone: (747)333-5991 Designer: SUN ENERGY BUILDERS- , Address: 4085 E LA PAMA AVE snee• ANAHEIM C; 92807"" Phone: (951)285-9828 Construction Valuation : $41,000.00 Energy Storage Valuation : $ 10.000 Type of Solar Kilowatt: 9 �_ECTF CAL PACEIALLIC . ,_1:v IS SPECIAL CONDITIONS: '=a,; 4 OWNER -BUILDER DECLARATION I hereby affirm under penalty of parrury that I am exempt from the Contractors' Slate 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, prior to its Issuance, also requires the applicant for ;he 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 llcensure 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 not more than five hundred dollars ($500). ❑ 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, Business 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 improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Bu ilder will have the burden of proving that it was not built or improved for the purpose of sale). [11, 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 apply to anowner 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 licensors under the Contractors' State License Law for the following reasont. By 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 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 ava!Wble uponrequest when this application is submitted or at the following Web site:http:ilw".leginfo.ca.govlcalaw.html. Signature of Property Owner or Authorized AgentT Date 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 6kvfision 3 of the Business and rof s' gs C nd my license Is In full force and effect License Class License No Date - d�Z�2 Confracior Signafur WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKFRS' COMPENSATION COVERAGE IS UNLAWFUL, AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND OOLIARS ISIOOAOOI, IN AODmi TO THE COST OF COMPENSATION, DAMAGES Ap. PR9'11`EO FOR IN SECTION 37H OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury One of the following declarations: 111 have and wall In:r'rttain a Cliff -at-- Of consent to self -insure far workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th performance of the wore for which this'permlt is issued. Policy No. have and will maintain works<s'.,orhpensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. My workers' ranee carrier and Hvlicy number are: Policy Number Date am...a of Agent ^ kW1e " ]I certify that, in the �erfcr'nance of, Vie 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 agre tat, if I should becoln suoset to the we kers compensation provisions of Section 3700 of the Labor Code,: I shall forthwith comply wi'.th those provisions. Ignalure of Applicenk ,,�, _ �--- _._._._ ............._._.._�_......_______ _.,...__.__T .�.,_........ �.._._._d_ ....—__ Oat ECLARATFON REGAL UTf CON:r7RUCTION LENDING AGENCY hereby affirm under penalty of perjury Ilia( there Is a construction lending agencyfor the performance of the work for which this permit is issued'. (Section 3097, Civil Cade). ender's Name _,_, Lender's Address y my signature below, I certify to each of the following: I am 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 c€ty and county ordinances and state laws relating to building construction. I authorize representatives of this city or county I nSlir the attIave,denified property for inspection purposes. / licnature of Prooed�yrl+l's�i�� v Owner or Authorized Rgent �_ Print Property Owner's or Authorized Agent's NamAga Sd✓I I�DatQ- PERMIT EXPIRED PERMIT EXTENDED PERMIT FINAL �--- CERTIFICATEOF OCCUPANCYISSUEO DATE BY ' i DECLARATION OF COMPLIANCE WITH CODE Or FEDERAL I REGULATIONS PART 51 OF TITLE 40 AND AOMD RULE NOTIFICATION TO ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO FOR OFFICE USE ONLY ¥ $ U\ 0, § \_ m * t) ) `4 H °§0m /7[f O �yz« �732% � o=a: ) § W co { � \ _ 2 e U o 7 Q { c K § « U) z w q z w w � q U) 0 0z �(L� w a. LU LU zPJN o O Q m « 2 w E ° k 0 § w # q z w 2 �� ■ � f 0 �§ Q � p / z �z � �R � � s 2 \ Qj 0 � \ % q / / / ` L [ ® 0 _0z� e o % / L ° \ 0-F / z § E E ( 5 2 / � u k E m _ o / 0-\ j LA / \ \ / \ 0 o « { \ a)CL S = - _ 2 $ LLI c ƒ » ©= G \ g E§ \ 3 2 G / S � - 22 E E 0 \ ) 7 _ / 2 / ) C*4 \ �\ \ a } E J 2