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HomeMy WebLinkAboutPV2023-0462 - Permits�E�waoRT City of Newport Beach pgiiliiiiiiq���� Solar Permit : PV2O23'0462 O� Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2064 y&ib T Permit Counter Phone: (949) 718-1888 Work Class : Counter cq�"oa��r newportbeachca.gov/civic Issued Date : 10/03/2023 Final Date: Permit Status: Issued 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 : 205 TOPAZ AVE Legal Desc: A TR BALBOA ISLAND RESUB SEC 1 BLK 12 LOT 10 Description: SFR SOLAR PV SYSTEM 5.72 KW (13 MODULES) Owner: 205 TOPAZ AVE IDS INC Address : 923 EVERGREEN PL COSTA MESA, CA 92627 Phone Applicant: NATIONAL ENERGY INSTALLERS LLC Address: 2801 COAST HWY W NEWPORT BEACH, CA 92663 Phone: (949)386-4428 Owner/Builder : Address : Contractor: NATIONAL ENERGY INSTALLERS LLC Architect Address : 2801 COAST HWY W Address NEWPORT BEACH, CA 92663 Phone : (949) 386-4428 Phone Con State Lic : 1038437 State Lic: Lic Expire: 12/31/2023 Bus Lic : BT30069480 Engineer : RYAN MCPHERSON Address : 9240 LIMONITE AV Bus Lic Expire : 10/31/2023 JURUPA VALLEY, CA 92509 Workers' Compensation Insurance Phone: (909) 569-2244 Carrier; SIRIUSPOINT AMERICA INS CO Policy No: WC10670400 Designer : W. C. Expire: 10/9/2023 Address Phone: Code Edition : 2022 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : U,R-3 No of Units : Bldg Height : No of Stories : 2 Building Setbacks : Front: 8, Side: 3, Side: 3, Rear: 5 Flood Zone : X; AO 1 Use Zone: R-BI - Two -Unit Residential, Balboa Island dw s Processed By: SPECIAL CONDITIONS: 9 �? 3 Phone : Construction Valuation : $34,320.00 Type of Solar Kilowatt: 5 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury 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 item(s) 3ectior, 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 is 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 Idensure and the basis for the alleged exemption. Any violation of Section 7031.5 by anyapplicant for a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 3 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 ContractorsState License Law does nor 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 nproved for the purpose of sale). 1 I, as owner of the properly, 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 pursuantto the Contractors' State License Lave), I am exempt from licensure under the Contractors' Slate License Law for the following reason .y my signature below i acknowledge that, except for my personal residence in which I must have resided forat least one year prior to completion of the Improvements covered by this permit, I cannot legally oil a structure that I have built as an owner-bulidor if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessfons Code, is available upon request when this application Is submitted or at the following Web site:tittp:flwww.leginfo.ca.govlcalaw.html,. 'signature of Property Owner or Authorized Agent Date .10ENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) f DD,fwision 3 of the Business and ProfesK5i!1^r1s-C. and my license Is in full farce nd effect. License Class License No Date %tl Z Contractor Signature 1 VORKERS' COMPENSATION DECLARATION 'ARNING: FAfLU RE TO SECURE WORRIERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 11000.000), IN AODMON TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ PEES. I hereby affirm under penalty of perjury one of the icllowing declarations: U 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 37DO of the Labor Code, for In, 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' compensatio insurance carrier and policy number are: Carrier u A_WV 1 Policy Number tNC1.O(C%0`i00 Expiration Date 10/%/25 Name of Agent drzpt.ol It-R Phone N (p I9 • 27c/• f3 /Sec ❑I certify that, in the performance of the work for which thispermitis issued'., I shall not employ any person inany manner so as to become subject to the workers' compensation laws of California, and agra that, if I should become sub' Ct to th rkers compensation provisions of Section 3700 of the Labor Code. I shall forthwith comply with those provisions. Signature of Applicant ./L�_ Date �dt36-2 DECLARATION REGAROI G CIDINSTRUCTION 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. (Section 3097. Civil Code). Lender's Name __ __ Lender's Address By my signature bafow. certify to each of t}Ie 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 ordinances and state laws relating to building construction. l authorirepresentatives of this city or county to eater the ve-identified property for inspection purposes. Signature of Pze roper1Owner or Authorized A enl Print Pro ert Owner's or Authorized A ent's Name K'�l5 Req$''e2 Date L� z ACTION DATE BY - DECLARATI N OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 1403 PERMIT'EXPIREE I <uRU TTm acar<Tnc NnTiwrennN To .._.... PERMIT EXTENOuJ .........._ I � OMD IIA. ...... _ .. ON IS NOf APPLICABLE t0 ' �( D � CERTIFICATE OF I PROPOSED DEMOLITION PROP05S(OSNOTITION OCCUPANCY ISSUED SIGNATURE: