HomeMy WebLinkAboutPV2023-0276 - Permits(0,4,
oTCity of Newport Beach
'� Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
�'Permit Counter Phone: (949) 718-1888
vORN�P newportbeachca.gov/civic
P V 2 2 2 3 0 2 7 6Solar Permit : PV2023-0276
Plan Check No : PC2023-1072
Work Class : Alteration
Issued Date : 05/24/2023
Inspection Area : 4
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 : 1827 PORT BARMOUTH PL Legal Desc : N TR 6622 BLK LOT 94
Description: SFR INSTALL 8.40 KW ROOF MOUNTED SOLAR PV SYSTEM WITH 21 MODULES AND MICROINVERTERS
Owner:
DAVID GLUCKMAN
Contractor: SOLAR 360 BUILDING SERVICES
Address :
1827 PORT BARMOUTH PL
Address : 1586 N BATAVIA ST
NEWPORT BEACH, CA 92660
ORANGE, CA 92867
Phone:
(408)348-5288
Phone: (888)688-4946
Con State Lic : 985010
Lic Expire : 07/31/2023
Applicant :
SOLAR 360 BUILDING SERVICES
Bus Lic : BT30078191
Address :
1586 N BATAVIA ST
ORANGE, CA 92867
Bus Lic Expire : 03/31/2024
Phone:
(888) 688-4946
Workers' Compensation Insurance
Carrier: NATIONAL CASUALTY COMPANY
Owner/Builder :
Policy No: WCC332562A
Address :
W. C. Expire; 7/4/2023
Phone
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 :
2
Building Setbacks : Front: 25, Side: 5, Side: 5, Rear: 10
Flood Zone : X
Use Zone : PC - Harbor View Hills
Processed By: `
SPECIAL CONDITIONS:
Architect
Address
Phone:
State Lic
Engineer
Address
Phone
SCOTT WYSSLING
76 N MEADOWBROOK DR
ALPINE, UT 84004
Designer: SOLAR 360 BUILDING SERVICES
Address : 1586 N BATAVIA ST
ORANGE, CA 92867
Phone (888)688-4946
Construction Valuation : $74,740.00
Type of Solar: SFP
Kilowatt : 8
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of parj'••..ury 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 items)
Section 7031.5, Business and Professions Cade: Any city or county that requires a permit to construct, alter, Improve, demolish, or repair any structure, prior to Is Issuance, also requires the applicant for
he 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 licensure and the basis for the alleged exemption.. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant 10 a civil penalty of
ict more than five hundred dollars ($500).
1 1, 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,
er
property who, through employees'or ersonal
he
muprovemen s arof not linte intended or offered for sale if, howlever, the building or impriovement snsold iw€thnone year of completion, the Owner BuilderfW I have the burden of proving that itort, builds or improves the property, was rovided that f was not built or
tnproved for the purpose of sale).
1, as owner of the prcperly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
sfply to a7 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 _xempt rel Bcrnsure under the Contractors' State License Law for the following reason:,_T,_ _ --- --
By my s'gnaWra below 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 constructod in its entirety by licensed contractors. I understand that a copy of tho applicable law. Section 7044 of the Business and
Professions Code., is av a3able upon request When this application Is submitted or at the following Web site:http!lwWw.loginfo.ce.govtcelaw.htmi. Date
Si.3n-UJrP of Proe-ty Owner or Authorized --
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under uenalty of rjury that I am licensed under provision of Chapter 9 (commencing with Section 70D0)of Divisi 3 of The Business and Professions Code, and my license is in fun farce
aI.G �Cect. License Class License No �650 to Date - O -Z Contractor Signature
AORA2RS' COMPENSATION DECLARATION
W:.RNING: , AIW RE .O SLCU. E WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000), IN ADDmON TO THE
COST OF CRMPENSATtON, DAMAGES AS PROVIDED FOR IN SECTION 37H OF THE LABOR CODE, INTEREST, AND ATTORNEPS FEES.
I herohy affirm under penalty of perjury one of the following declarations:
ElI 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 n,
performance of the work for which this permit Is issued. Policy No..
u
vd 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 iss
e anad. My workers' compensatior
rice carrier ad pellcy number are.,: / C 3 3 z 5 /k
Carrier lac, f Jo nr.0 1 LET Policy Number �„ C- G _Expiration Date
oa
me of Agent Phone #
Icertify that, in the performance of the work fat which t It is issued', I shall not empoy any person in any manner so as to become subject to the workers' compensation laws of California. and agre
t, if I should become subject to tars compensation provisions of Section 3700 of the Labor Code. I shall forthwith comply with those provisions.
Date„) 2 7
io A AIIVN mc�4v1YJ IrvVYf
ereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
tder's Name _ Lender's Address
my signature below, certify to each of Iha 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 withall applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county to enter the above-' inspection purposes.
matureof Prooertv Owner or Authorized Print Property Owner's or Authorized Agent 5 Name
ACTION
DATE
BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OFTITLF. 40 AND AQMD RULE
1403
PERMIr EXPIRED
i-I SUBMITTEO ASBESTOS NOTIFICATION TO
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