HomeMy WebLinkAboutPV2023-0220 - PermitsQ ��WPOar City of Newport Beach
p .. 1c1 Community Development Department- Building Division
r _ 100 Civic Center Drive, Newport Beach, CA 92660
u x Permit Counter Phone: (949) 644-3288
c"<rcoaN�P Inspection Requests Phone: (949) 644-3255
n ewportbeachca.gov/inspections
P V 2 0 2 3 0 2 2 9Solar Permit : PV2023-0220
Plan Check No : PC2023-0872
Work Class : Alteration
Issued Date : 05/01/2023
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 : 6 OVERLOOK DR Legal Desc : N TR 15401 BLK LOT 3 TR NO 15401 LOT 3 & FOR OF LOT F
Description: SFR SOLAR PV SYSTEM 22 PANELS 8.8 kw
Owner: GLUCKMAN PHILIP TR THE P & G GLUCKMAN Contractor
LIVING TR
Address : 6 OVERLOOK DR Address
NEWPORT COAST, CA 92657
Phone
Applicant:
SOLAR 360 BUILDING SERVICES
Address :
1586 N BATAVIA ST
ORANGE, CA 92867
Phone :
(888) 688-4946
Owner/Builder :
Address :
Phone
Phone:
Con State Lie
Lie Expire
Bus Lie :
SOLAR 360 BUILDING SERVICES
1586 N BATAVIA ST
ORANGE, CA 92867
(888)688-4946
9B5010
07/31/2023
BT30078191
Bus Lie Expire : 03/31/2024
Workers' Compensation Insurance
Carrier: NATIONAL CASUALTY COMPANY
Policy No: WCC332562A
W. C. Expire : 7/4/2023
Code Edition : 2022
Fire Sprinklers :
NO
Type of Construction : V-B
Fire Hazard Zone :
YES
Occupancy Groups : R-3
No of Units :
1
Bldg Height:
No of Stories :
2
Building Setbacks :
Flood Zone : X
Use Zone: PC -Newport Coast
Processed By:
SPECIAL CONDITIONS:
Architect
Address
Phone:
State Lie
Engineer:
SCOTT WYSSLING
Address:
76 N MEADOWBROOK DR
ALPINE, UT 84004
Phone:
Designer : SOLAR 360 BUILDING SERVICES
Address : 1586 N BATAVIA ST
ORANGE, CA 92867
Phone: (888)688-4946
Construction Valuation : $33,840.00
Type of Solar: SFP
Kilowatt: 8
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) 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 perrnil to construct, alter, improve, demolish, or repair any structure, poor to its Issuance, also requires the applicant for
the permit to rile 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 licensure 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).
1:11, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) 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 property who, through employees' or personal effort, builds or improves the properly, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Buflder will have the burden of proving that it was not built or
improved for the purpose of sale).
W I, as owner of the property, am exclusively contracting with licensed Contractors to constructthe 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).
1 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 resided for at least one year prior to Completion of the Improvements covered by this permit I cannot legally
sell a structure that I have built as an owner -builder if it has not been constructed In itsentirety by licensed contractors.. I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:http:/Ax .leginfo.ca.gov/calaw,ntml.
Signature of Property Owner or Authorized Agent _ Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of erjury that I am licensed under provisiori,q after g (com� r�encing with Section 7 of Division 3 of the Business and Pr siop m license is in felt force
and effect. License Class NU License No `7 7 U / (/ Date S - I — 2 3 contractor Signaler
J
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORMERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUN Ell DOLLARS ($100P00), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 5706 OF THE LABOR CODE, INTEREST, Me ATTORNFV'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
❑ 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 IN
p1 ormanoe 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' compensation
nsuranca�merr and policy nuttlber are:
Carrier i r-t..r7 Un." (/1 e Policy Number W G [� 1?3 ZS6e JL Expiration Date %% Yi
lame of Agent Pnone it
-1I certify that, in the partorma71ce 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 egret
mat, if I should become subje it to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. NN
Iignature of Applicantii _ De'S
LECLARATION REGAR G 5 RlJ _'__ LENDING AGENCY
hereby affirm under penalty of perjury thet there is a construction lending agency for the performance of the work for which this permit Is issued (Section 309' lull Code),
enders Name Lender's Address
ly 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 provided Is correct.
I agree to comply Willi all applicable city and cou y ordinances and state laws relating to building construction.
I authorize representatives of this city or cc IT enter the hove-identlfied property for inspection purposes. /
li nature of PropertyOwner or Authorized AgeimI t Print Property Owner's or Authorized Agent's Name
1CTICN DATE By V. - RATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
! REGULATIONS PART 51 OF TITLE. 40 AND AOMD RULE
PERMITEXPIRED i L I SUBMITTED ASBESTOS NOTIFICATION TO
P__---CANCELLED L`QEPA
PERMITEXrENDED W14MD
PERMITFINAL❑ASBESTOSNOTIFICA'rIONISNOTAPPLICABLE TO
CERTIFICATEOF -Z-23 P PROPOSED DEMOLITION
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