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HomeMy WebLinkAboutPV2023-0043 - Permitsrgvaorr City of Newport Beach o ,o Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 crop" �r` Inspection Requests Phone: (949) 644-3255 newportbeachca.govf nspections Illl�ipoiyiiiiiii!i91111 Solar Permit : PV2023-0043 Plan Check No: PC2023-0182 Work Class: Alteration Issued Date : 03/30/2023 Inspection Area : 6 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: 2815 EBBTIDE RD Legal Desc : N TR 3660 BILK LOT 50 Description: SFR SOLAR PV SYSTEM 39 PANELS 15.4 kw Owner: JOHNSON SCOTT A TR Address : 15201 PIPELINE LN STEB HUNTINGTON BEACH, CA 92649 Phone : (714) 397-3100 Applicant: SOLARGEM ELECTRICAL Address : 10808 FOOTHILL BLVD, 160-241 RANCHO CUCAMONGA, CA 9173D Phone : (909) 980-1800 Owner/Builder : Address : Contractor: SOLARGEM ELECTRICAL Address : 10808 FOOTHILL BLVD, 160-241 RANCHO CUCAMONGA, CA 91730 Phone : (909) 980-1800 Con State Lie : 929565 Lie Expire: 03/31/2025 Bus Lie: BT30081134 Bus Lie Expire : 03/31/2024 Workers' Compensation Insurance Carrier: Policy No : EXEMPT W. C. Expire: Architect Address Phone: State Lie Engineer: DASS PRAVEEN Address: 1945 SHERINGTON PL Z 202 NEWPORT BEACH, CA 92663 Phone: (949) 295-7943 Designer: SOLARGEM ELECTRICAL Address: 10808 FOOTHILL BLVD, 160-241 RANCHO CUCAMONGA. CA 91730 Phone : Phone : (909) 980-1800 Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $42,000.00 Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : R-3 No of Units : 1 Type of Solar : SFP Bldg Height: No of Stories : 1 Kilowatt : 15 Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone: X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) EL F-7CTRICAL rvl EFALLIC —1 UBiNG (CMT)IS NOTALLOWEDFCR Processed By:- EXTEPOR APPLICATIONS 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 permit to construct, alter, improve, demolish, or repair any structure, prior t0 its issuance, also requires the applicant for to 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 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 L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Iueiness and Professions Code: The Contractors' State License Law does not 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 n roved for the purpose of sate). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 70,44, 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' Stale 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 legallt ell 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:/Iwww.leginfo.m.gov/calaw.html. Ilgnature 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 of Division 3 of the Business and Professiq ode, and cen in full force nd effect. License Class License No Date 3�3 Contractor Signature VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVILFINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000),I14 ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS 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 th erformance of the work for which this permit is issued. Policy No. JI 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' compensation nsurance carrier and policy number are: armar Policy Number Expiration Date d a of Agent Phone # I ceRffy that, in the pedorman the work toFit this p it is issued, shall not employ any parson in any manner so as id become subject to the workers' compensation laws of Caiifidmia, and agreBat, if I should become suttje t e workers' satio. .visions of Section 3700 of the Labor Code, I shall forthwith comply vd14 those provisions. ^� 3ignalure of Applicant �.,/� Date )ECLARATItlN REGAR. NSfR TION LENGL G AG NCY hereby affirm under penalty of perjury at there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). -enders Name Lender's Address 3y 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 I have provf d ii correct. agree to comply with ail applicable city and county ordi es and slat at s retail D building construction. I authorize mprese.ttatives of this city or county to en r e above -ids Ifie prop r inspectlun purposes. % ,1 iignature of Pro e.P ty Owner or Authonzc A ent Print Property Owner's or Authorized A ent's NaZCN CN(_ Date ACTIONDATE BY eF(!fAItATtb F COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REBULRTIO 5 PART 51 OF TITLE 40 AND AQI RULE FA iT EXTENPEQ UACIMD e FA iT FINAL j ASBESTOS NOTIFICA 15 NOT PTF'CATEOF O'F a. I DX4, PROPOSED DEMOLI ' GLCUhANCY ISSOfD ' i SIGNATURE: A ..