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Home My WebLink AboutPV2022-0225 - Permits��WPORTt City of Newport Beach �11pill 11111111111111111111111IIIIIIIIIIIIIIII11111III11111 Sour Permit : PV2022-0225 p4 Am Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-1878 u > w S Permit Counter Phone: (949) 644-3288 ! 1 I s-f. Work Class: New Inspection Requests Phone: (949) 644-3255 e - _ Issued Date: 12107/2022 <IF00. 16 W M'o.e' a <,�J ii�..< newportbeachca.gov/inspections '° � � Inspection Area : 2 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 : 1900 SEADRIFT DR Legal Desc : N TR 2813 BLK LOT 8 Description: SFR SOLAR PV SYSTEM 5.060 KW DC (11) MODULES Owner: TNG SZ LLC Address : 11720 EL CAMINO REAL STE250 SAN DIEGO, CA 92130 Phone Applicant : Savanna M Ray Address: 1447 N El Camino Real San Clemente, CA 92672 Phone: (949)412-0505 Contractor: GROUNDED ELECTRIC Address : P.O. BOX 73548 SAN CLEMENTE, CA 92673 Phone: (949)498-9988 Con State Lie : 782387 Lie Expire : 10/31/2023 Bus Lie: BT30079041 Bus Lie Expire : 06/30/2023 Workers' Compensation Insurance Carrier : Policy No: EXEMPT W. C. Expire: Architect Address: Phone: State Lie Engineer: TRUONG PHONG Address : 3000 E BIRCH ST BREA, CA 92821 Phone: (949)254-2751 Designer: GROUNDED ELECTRIC Address: P.O. BOX 73548 SAN CLEMENTE, CA 92673 Phone: (949)498-9988 Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $12,000.00 Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : R-3,U No of Units : 1 Type of Solar: SFP Bldg Height: No of Stories : 1 Kilowatt: 5 Building Setbacks : Front: 10, Side: 4, Side: 4, Rear: 10 Flood Zone: X u Use Zone : R-1 - Single -Unit Residential --" Processed By: SPECIAL CONDITIONS: DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the ContractorsState License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable item(s) 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 io 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. Anyviolation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of of more then five hundred dollars ($500). 11, as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through amployaos' or personal effort, builds or improves the property, provided that the nprovemenls 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 nproved for the purpose or sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Cade: The Contractors' Slate License Law does not �pty 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 licensors 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 legalil all 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 requestwhen this application is submitted or at the following Web site:hltp://www.leginfe.ca.gov/calaw.html. Ignalure 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 Section 70p0 of Division 3 of the Business and Pr tans Cod , a my li rise i I force nd effect. License Class License No Data L Contractor Signature VORKERS' COMPENSATION DECLARATION !ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDREDTH SAND DOLLARS 0110,11i ION 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 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 ih erformance of the work for which this permit is issued. Policy No. 11 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' compereatiot nsurance carrier and policy number are: Carder Policy Number Expiration Date V-aym'e1 of Agent Phone ii g.J` LCArtify that, in the performance of the rk for wit h this permit is issued, shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and ogre hot, if I should becomanufledury el o thew rkers' corn nsation provisions of Section 3700 of the Labor Coda, I shall forthwith comply with those provisions. Signature of) Data DECLARATION REGACONSTR CTt N LENDING ENOY hereby affirm under pthat sere N a constmc ion lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). -enders Name Lenders Address Sy my signature below, I codify 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 city and county ordinances an to am relating to building construction. I authorize represAntatives of this city or countykr-eTftr the aboy identifie property for inspection purposes. G. Fivin *ure of Prn ert" Owner or Authorized Agent rint PropertyOwner's or Authorized Agents Name f Date) �i% I Z2 ACTION DATE BY ATION F MPUANCE WI EODE OF fEDERAL FOR OFFICE USE ONLY REGULATIONS P 61. OF TITLE 4 I D AOMD RULE 1403 Pfamlr EXPIRCp El I SUBMITTED ASBESTOS NOTIFICATION TO PEd,A1TCAA'CELLEO EPA I-LAMITFINAL Ed �C-1IAOMD _ YERIAIT FIPJAL _ �J BESTOS NOTIFICATI IS NOT PPLICABLE TO CET I,ICATE OF '�"�'� p P OPOSED gEF1OLITION OCCU"ANCY 1f50EC SIDNATUR� ..