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Home My WebLink AboutPV2022-081 - Permits�aWtfyf City of Newport Beach - Building Divistion SOLAR Permit : PV2022-081 G PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288 4 Inspection Requests/Telephone (949)644-3255 r'�VYaiti�� r Job Address: 504 E BALBOA BLVD NB Description: MIXED USE SOLAR PHOTOVOLTAIC 2.72kw, (8) ROOF MOUNTED PANELS Inspector Area: 7 Legal Desc.: Owner: CLARIZIO ORLANDO Contractor: CA SOLAR INSTALLERS Architect: Address: 500 E BALBOA BLVD Address: 3424 VIA OPORTO UNIT G204 Address: NEWPORT BEACH CA 92661 NEWPORT BEACH CA 92663 Phone: 9491413-3807 Phone: 855-346-3888 Phone: Applicant: MURPHY MICHAEL Con State Lic: 1038437 Engineer: Address: 3424 VIA OPORTO STE G204 Lic Expire: 1213112023 Address: NEWPORT BEACH CA 92663 Bus Lic: BT30069480 Phone: 8551346-3888 Lic Exp Date: 10/3112022 Phone: Cade Edit : 2019 Worker's Compensation Insurance Designer: Type of Construction: VB Carrier: ROCKINGHAM INS CO Address: Occupancy Group: R3/8/U Policy No: RCAA30094504 No of Stories: 2 Expire: 03/12/2023 Phone: Building Setbacks Rear: Use Zone: Front: Bldg Height: 0 Left: Right: Valutaion : $16,320.00 Building Permit Fee $580.00 Plan Check Fee : $420.00 TOTAL FEE : $1,000.00 Plan Check Fee : $420.00 Project No : 0816-2022 Issued Date : 0610812022 State Lic MCPHERSON RYAN JAMES 6169 SUNNY CIR MIRA LOMA CA 91752 909-569-2244 State Lic:C-082088 MURPHY MICAHEL 3424 VIA OPORTO #G-204 NEWPORT BEACH CA 92663 855-346-3888 Record Management (8 1/2 X 11) Record Management (Plans) : Fee Due at Permit Issuance PROCESSED BY: PUBLIC WORKS APPROVAL: /B� L-'r � PLAN CHECK BY: ZONING APPROVAL: GRADING APPROVAL: APPROVAL TO ISSUE: PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. F 5 CV 5y- *PV2022-081* $0.00 $0.00 $580.00 z lug O r I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason (a) indicated below by the checkmark(s) I have placed next to the applicable item (a) (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 the 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 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 not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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 -Builder will have the burden of proving that it was not built or improved 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 apply to an owner or plooerty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). n I am.exempt from licensure under the Contractors' State License Law for the following reason: Bv—My sidnature, be -ow 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 legal) sell a structure ti at I ;rave 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 P.of�ssic ns Code, la available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca. gov/calaw.html. Signature of PropPNy owner or Authorized Agent Date L.ICF-NS ED CONTRACTOR'S DECLARATION I ,lereoy affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force a.ld-a'f-ct. Uc�--o Class License No Date X Contractor Signature 7� V'Oi2'F.ERS' COMPENSATION DECLARATION WARNING: -AILURE TO S CURE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS l$100,0001, IN ADDITION TO THE COST OF COMPENSA, ION, DAMAGES As PROVIDED FOR IN SECTION 3T06 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. IInI riprehv affirm under Pe, laity of perjury one of the following declarations: l ] I have and willmaintaina 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 performance of the work for which this permit is issued. Policy No. - have 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' rance carrier and policy number are: IS of Agent certify that, in the performance if I should become subject Le' of Policy Number Expiration Date Phone # 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 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / p // Datex O /ol t� �- CLARATION REGARDING -CONSTRUCTION LENDING AGENCY :reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Cade). Ider's Name Lender's Address 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. I agree to comply with all applicable city and county ordinanc nd state laws relating to building construction. I authorize representatives of this city or county to ent e- ntified pro nr spection purposes. J��J�,' //_+8- nature of Property Owner or Authorized Agent )( Print Property Owner's or Authorized Agent's Name ie "�%�" (7"�+✓'v I,-, Date ACTION DATE BY DECLARATION OFCOMPLIANCE LMTN CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE40 AND AQMD RULE 1403. PERMIT EXPIRED ❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA PERMITCANCELLED ❑ AQMD PERMfTEXTENDED , ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERA41TFINAL - CE,R rT(F! C.4 TE OF SIGNATURE: OCCUPANCY,15SUED