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Home My WebLink AboutPV2023-0515 - Permits�,ll City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIISoiar Permit : PV2023-0515 o�` 's , Community Development Department - Building Division ,n, 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2360 Permit Counter Phone: (949) 718-1888 Work Class : Counter C4��( , newportbeachca.gov/civic Issued Date : 09/26/2023 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 : 106 CORAL AVE Legal Desc : A TR BALBOA ISLAND SEC 2 BLK 5 LOT 26 i P% I fir— ^— f, M Description: DUPLEX- SOLAR PV SYSTEM 5.6 KW 14 PANELS i 7 W �f Ls 4.4 I i'` Owner: GEORGE & SUZANNE CAMPBELL WOODS Contractor: CALIFORNIA STATE DEVELOPMENT Architect Address : 106 CORAL AVE Address: 9440 SANTA MONICA BLVD, 301 Address : " - NEWPORT BEACH, CA 92662 BEVERLY HILLS, CA 90210 Phone : (949) 293-8699 Phone : (855) 775-8775 Phone Con State Lie : 1049108 State Lie: Lie Expire : 01/31/2025 " Applicant: PAVEL MELNICHAK Bus Lie: BT30082677 Engineer : SHAH NEAL NUTAN Address: 18271 W MCDERMOTT, STE B Address : 4642 ROCKLAND PL IRVINE, CA 92614 Bus Lie Expire : 09/30/2024 LA CANADA FLINTRIDGE, CA 91011 Phone: (855) 775-8775 Workers' Compensation Insurance Phone: Carrier: NATIONAL LIABILITY AND FIRE INS CO Owner/Builder : Policy No : N9WC381364 Designer: Address : W. C. Expire: 9/8/2024 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $10,000.00 Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : U,R-3 No of Units : Type of Solar: Bldg Height: No of Stories : 2 Kilowatt: 5 Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 5 Flood Zone : AO 1; X Use Zone : R-BI - Two -Unit Residential, Balboa Island i=�-,a j Processed By: SPECIAL CONDITIONS: 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 items) (Section 7031.5, Business and Professions Code: Any city or county that requires a per aR io 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 ficensure 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 properly who, through employees' or personal effort, builds or Improves the property, provided that the improvements are not intended or offered for sale, lf, 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 Lroved for the purpose of sale). 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 apply 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 licensure under the Contractors' State License Law for the following reason By my signature below I acknowledge that, except for my personal residence In which I must have rosided for at least one year prior to completion of the improvements covered by this permit, I cannot agall sell a structure that I have built asan 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, Isavailable upon request when this application Is submitted or at the following Web site:http:!lwvvw.leginio.ca.gov/calow.html. Signature of Property Owner or Authorized Ardent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secti l00 o Division 3 of the Business ag(Id Profefssions Code.. and my license is In full force and effect License Class License No Dat 2 �caT Contractor Si tore WORKERS' CCMPEN SATION DECLARATION wt..RNING: FNILURE TO SECURE WORMERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES. UP TO ONE HUNDRED THOUSANO DOLLARS (St04000), IN ADDITION TO THE COS.r J,--GMPENSAT:.T.1, OA'1AGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, ANO ATTORNEY'S FEES. I hereby affirm undJr penalty of perjury one of the following declarations: ' I hi-e and will maintain a certificate of consent to self -insure for workerscompensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th ormpnce of the war!, 'or which this permit Is issued. Policy No. " 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 in;tT nra carder ahi' policy number are: Policy Number Expiration Date Np.ns c' %gent Phone # I certify that, ii r the periormance of the work for which this permit is issued, I shall not employ any person in any manner so as t0 become subject to the workers' compensation laws of California, and agree tha,, if t would become sable to the workers comp nation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 4 Signature of App'i^art ,.� _. _ _ `,`�'�� V `Z 6/2�2 DECLARATION REGARD G N5TRUCTIO LEN ING AGENCY__.,._.,_.... ,___.�__._.__ ✓ �._ I hereby affirm under penalty of perjury, that there L. a construction lending agencyfor the performance of the work for Which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address _ By 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 city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county m enter the ova -identified property for inspection purposes. Si nature ai Pro erty Owner or Authorized Agent Print Property Owner's Or Authorized Agent Name w� In-�' Date 20 ACTION DATE By , ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY _GULATIONS PART 61 OF TITLE 40 AND ADMD RULE 1403 PERMIT EXP➢RED LJ t SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED I EpA PERMIT EXTFNOFD t�tggMp PERMIT FfNAI . .t (T,.t AseeSTO5 NOTIFICATION 15 NOT APPLICABLE TO CERTIFiCATEOF rI&!� ��" PROPOSED DEMOLITION OCCUPANC11,15SUED SIGNATURE: