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HomeMy WebLinkAboutPV2023-0237 - Permits�E*P R Solar Permit: PV2U23-U237 City of Newport Beach III������������������u������������V������������������lll Community Development Department- Building Division P V 2 e 2 3 e 2 3 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0910 /e t Permit Counter Phone: (949) 644-3288 Work Class : Alteration Inspection Requests Phone: (949) 644-3255 Issued Date: 04/20/2023 00. newportbeachca.gov/inspections Inspection Area : 1 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 : 127 G ST Legal Base: N TR 518 BILK A LOT 2 Description: SFR INSTALL 5.92 KW ROOF MOUNTED SOLAR PV SYSTEM WITH 16 MODULES AND MICROINVERTERS Owner: DANA MCCUNE Address : 4277 OAKWOOD AVE LA CANADA FLINTRIDGE, CA 91011 Phone: Applicant: BRIGHT LIFE SOLAR Address: 933 NEWHALL ST COSTA MESA, CA 92627 Phone: (908)489-3933 Owner/Builder: Address : Contractor : BRIGHT LIFE REMODELING Address : 933 NEWHALL ST COSTA MESA, CA 92627 Phone: (908)489-3911 Con State Lie : 1029267 Lie Expire : 07/31/2023 Bus Lie : BT30079739 Bus Lie Expire : 09/30/2023 Workers' Compensation Insurance Carrier: STATE COMPENSATION INSURANCE FUND Policy No : 9053332 W. C. Expire: 4/19/2024 Architect Address Phone: ... - State Lie : ... . Engineer : MORALES DOUGLAS _ Address : 20751 KELVIN LN " ALSO VIEJO, CA 92656 Phone: (949)285-5104 Designer: BRIGHT LIFE REMODELING Address: 933 NEWHALL ST COSTA MESA, CA 92627- Phone: Phone: (908)489-3911 Code Edition: 2022 Fire Sprinklers : NO Construction Valuation : $12,000.00 Type of Construction : Fire Hazard Zone : NO Occupancy Groups : No of Units : 1 Type of Solar :=SF!' Bldg Height : No of Stories : 3 Kilowatt: 5 Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 10 Flood Zone: X �< I ` :.''.".. ; ." - .... .. Use Zone : R-1 - Single -Unit Residential NO CONSTRUCTION NOISE Processed By: unf SPECIAL CONDITIONS: HIGH DENSITY ZONE NSFR PERMIT X2021-1645 ON THE WEEKENL OWNER -BUILDER DECLARATION 1 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) 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 3o permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stato 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 licensors 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 of more than 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044, ustness and Professions Code: The Contractors' State License Law does not apply to an owner of property Who, through employeas' 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, 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 ply 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. ^ _ ,y my signature below I acknowledge that, except for my personal msidenca in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally 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 request when this application Is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. ignature of Property Owner or Authorized Agent Date ,ICENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (Commencing with Section 70 ) f DI 1sion 3 of the Business and Professjpn�.Code, and my license is in full force nd effect. License Class License No Date LO Contractor Signature ��,� ilORKERS' CJ111;F ENSATION DECLARATION ARNING: FAILURE rJ J�CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS IS100,000), IN ADDITION TO THE CST Ot COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, Me ATTORNEY'$ FEES. hereby affirm under Density of perjury one of the following declarations: I II-Ne 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 Re !Dike of the work for which this permit is issued. Policy No. he -a 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' compensatior ❑ranee carrier and policy number ara�- Tier _ _ _ �j%yfC t��dl Policy Number ` 6S3 3 3 Expiration Date I f y 2z{ me of Agent _ Phone H certify that, ti the Farformance 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 agrol L if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Dide—�-_ CLARATION AETARDIN DNS' UCTION LENDING AGENCY lreby affirm under penalty of perjury that there is a construction lending agency forthe performance of the work for which this permit is issued (Section 3097, Civil Coda). lders 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 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 to enter the 7above-identdled property for inspection purposes. I �J /q nature of Pr000nv Owner or Authonzed Anent // em/ — Print Prooertv Owner's or Authorized AaenCs Name V / . 174 Date 14I -k ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 63 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED Ul SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANC IIEPA_ PERMIT EXTENDED�lAQMD � PERMITFINAL CERTIFICATE OF f!/L I J�3J R gSBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEM�LITI�IN OCCUPANCYISSUBD SIGNATURE: �EWP°RT CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT i BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 cq<�FonN•P www.newportbeachca.gov 1 (949) 644-3200 SOLAR CONTRACTOR DECLARATION Keep with Inspection card. This form is for the Inspector to take at time of final inspection PART 1: To be completed BEFORE PERMIT ISSUANCE JOBSITE ADDRESS: 1-2--7 CONTRACTOR AME: CONTRACTOR STATE LICENSE #: l3IZl "T L l r-e 50U+i.- %U 2-C1 Z 6;J PANEL MAKE #: PANEL MODEL #: PAJA 56!V l C EyPV�3-7C> PART 2: To be completed PRIOR TO INSPECTION REQUEST and placed with jobsite inspection card DECLARATION: I, ➢/>t/f'��� 4-il � 2 declare that the PV module make and model (PRINT NAME�� number, quantity, and location are installed as per the approved plans. Module manufacturer, make, model and number, fire classifications of modules, and brackets match the approved plans for the project located at the above referenced address within the City of Newport Beach. (SIGNATURE) (DATe) Forms\SolarC00tractorDeclarallon 3-7-16