HomeMy WebLinkAboutPV2023-0200 - Permits.E oq City of Newport Beach
O� Community Development Department - Building Division
F, 3 100 Civic Center Drive, Newport Beach, CA 92660
a Permit Counter Phone: (949) 718-1888
�q<ic aN r newportbeachca.gov/civic
P V 2 0 2 3 0 2 0 0Solar Permit : PV2023-0200
Plan Check No : PC2023-0789
Work Class : Alteration
Issued Date : 06/28/2023
Inspection Area : -L'-
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 : 1200 DOLPHIN TER
Description: SFR SOLAR PV 10.8 KW (51 MODULES)
Owner: SCHWARTZ FLOYD TR F & D
Address : 1200 DOLPHIN TER
CORONA DEL MAR, CA 92625
Phone
Applicant: BRIGHT PLANET SOLAR
Address : 1941 S VINEYARD AVE.
ONTARIO, CA 91761
Phone : (559) 712-9035
Owner/Builder:
Address :
Phone
Legal Desc : N TR 1700 BILK LOT 90
Contractor:
BRIGHT PLANET SOLAR
Address :
1451 GRAFTON ST
WORCESTER, MA 01604
Phone:
(888)997-4469
Con State Lic
: 1020761
Lic Expire :
11/3012024
Bus Lic:
BT30059956
Bus Lic Expire : 07/31/2023
Workers' Compensation Insurance
Carrier: CONTINENTAL INDEMNITY CO
Policy No: 828058290101
W. C. Expire : 3/15/2024
Code Edition : 2022
Fire Sprinklers :
NO
Type of Construction : V-B
Fire Hazard Zone :
NO
Occupancy Groups : R-3,U
No of Units :
1
Bldg Height :
No of Stories :
1
Building Setbacks : Front: 10, Side: 4, Side: 4, Rear: 10
Flood Zone : X
Use Zone: R-1 - Single -Unit Residential
Processed By:
SPECIAL CONDITIONS:
Architect
Address
Phone:
State Lic
Engineer:
HOLMES WELLS
Address :
651 W GALENA PARK BLVD#101
IRVINE, CA 92614
Phone :
(801) 990-1775
Designer :
BRIGHT PLANET SOLAR
Address :
1451 GRAFTON ST
WORCESTER, MA 01604
Phone: (888)997-4469
Construction Valuation : $21,600.00
Type of Solar: SFP
Kilowatt : 0
E.Luc-rp,C
RL p,"El �LLIC i (j
iCrv17� !SBlr,ra
n»`RLLGtnf,:,d ...
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 item(s)
Section 7031.5, Business and Professions Code: Arty city or county that requires a permit to construct, alter, improve, demo)bh, or repair any structure, priorto its Issuance, also requires the applicant for
is permit (o No a signed statement that he or she is licensed pursuant to the provisions of Via 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 licensure3 and the basis for the alleged exemption. Any viclatlon of Section 7031:5 by any applicant for a permit subjects the applicant to a Civil penalty, of
at more than five hundred dollars ($500).
I I, as owner of the propan y, or my employees with "gas as their sole compensation, Will do (_) all of or t_) portions of the work; and the structure Is not intended or offend for sale (Section 7044,
lushness and Professions Code: The Contractors' State License Lew does not apply to an owner of property who, through employees' or personal effort, builds or Improves theproperty, provided that the
nproveinents are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Bufidar will have the burden of proving that it was not built or
n roved 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
Ipply 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 Law)_
I am exempt from (censure under the Contractors` State License Law for the following reason
Iy 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 Isgailt
.all a structure that. I have built as an owner -builder if it has not boon constructed in its entirety by licensed contractors. I understand that a Copy of the applicable Law, Section 7044 of the Businossand
'reifessior s Code, is available upon request when this application is submitted or at the following Web site:http:/hNww.leginfo.co.gov/calaw-html.
irgnatun of Property Owner or Authorized Agent Date.
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Gttap'ar 9 (_Cop�tim acing with Section OD) jai iDn.3 of the Business and P sto dal '8 doot l ^^' t 'rill force
Ind effect. L€cense Class '—/l� License No / b7 b to Date tL %`6 Z 5 Contractor Signature
NORNERS' COMPENSATION DECLARATION
rARNING: FAILURE TO SECURE WORkERB^ COMPENSATION COVERAGE IS UNLAWFUL; AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S400,000), IN ADDITION TO THE
:DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3105 OF THE LABOR CODE, INTERRST, AND ATTORNEY'S FEES,
hereby affirm under penalty of perjury one of the following declarations:
J 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
,aormatme 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 Coda, for the performance of the work for which this permit is tssued. My workers' compensab l
rance oerder and Rallcy numbef re:
tar�,Dbt .uu ��ZJ adKh�N� Policy Number FZ80 i Z`rCIID 1 Expiration Data 311S l Z LI
to of Agent r� Phone If - Y 7
certify that, in the ed rmanea of the 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
t, it I should becor bjacf d'f a ar s' •ar pans• Ion provisions 1LSaction 370110 Ina Lobar Code. I shall forthwith comply With those provisions. /, (,r7 c'
nature of Applicant _ �® Date z 3
CLAHATION RE Di G CNS UCTtON LENDING AGENCY
ireby affirm under penalty of perjury that there is a eonetruction lend ng agency for the performance of the Work for which this permit is issued. (Section 3097, Civil Code).
ides 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 t h a provided is correct. �
I agree to comply with all applicable city and c n Drdinanc a slate laws relating to building construction.
I authorize representatives of this city or county enteho en property for inspection purposes.
ACTION DATE BY DECLARATION OF COMPLIANCE WITH. CODE OF FEDERAL FOR OFFICE USE ONLY I
REGULATIONS PART tit. OF TITLE 40 AND At1MD RULF
1403 _
PfRM/TEXP)RED _ LIIrSU�Q�',AITTEOAZRESTOS NOTIFICATION TO
PERJvnTGRNCELLED �L�:{E-PA
PERMIT EXTENDED 11/10rv'D
PERMIT FINAL j SRI!STOS TWICA 0 15 APPLICABLE TO
C€RTIFICArf OF �(� I7j PROP SED OL
OCCUPANCY ISSUED I EIGf:ATU1E