HomeMy WebLinkAboutPV2023-0575 - Permits`�oRr City of Newport Beach �111III1I1111111111111111111111111111111111iI 11IIII1111 Solar Permit : PV2023-0575
Or` Community Development Department - Building Division
r 100 Civic Center Drive, Newport Beach, CA 9266D Plan Check No: PC2023-1270
S Permit Counter Phone: (949) 718-1888 Work Class : Counter
Cq�/F00.N�P newportbeachca.gov/civic _ Issued Date : 01/23/2024
Final Date:
-•---_�1. Permit Status: Issued
Inspection Area: 5
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 : 2328 PACIFIC DR Legal Desc : A TR CORONA DEL MAR BLK 329 LOT 1 CORONA DEL MAR L
Description: SFR ADD ENERGY STORAGE SYSTEM W/ 2 BATTERIES AT SIDE YARD. (PV2023-0314 / REV2023-2226)
Owner: RICARDO BANOS/RESURRECTION FLORMINE Contractor:
Address :
2328 PACIFIC DR
CORONA DEL MAR, CA 92625
Phone:
(562)572-9931
Applicant:
BRYAN AMBURGEY
Address :
331 W MALVERN AVE
FULLERTON, CA 92832
Phone:
(714)722-0468
Owner/Builder :
Address
Phone
Code Edition :
Type of Construction
Occupancy Groups
Bldg Height:
Building Setbacks:
Flood Zone
Use Zone :
Processed By:
SPECIAL CONDITIONS:
Address
Phone:
Con State Lic
Lic Expire
Bus Lic:
EVERGREEN SOLAR AND
BATTERY INC.
11278 LOS ALAMITOS BLVD, 707
LOS ALAMITOS, CA 90720
(714)722-0468
1102899
03/31/2026
BT30081700
HOME Architect:
Bus Lic Expire : 05/31/2024
Workers' Compensation Insurance
Carrier: ACCREDITED SURETY AND CASUALTY CO
Policy No; IAUICA160143417700
W. C. Expire : 3/20/2024
2022 Fire Sprinklers :
V-B Fire Hazard Zone
U,R-3 No of Units :
No of Stories
Front: 20, Side: 3, Side: 3, Rear: 10
X
R-1 - Single -Unit Residential
K3
Address
Phone:
State Lic
Engineer
Address
Phone:
Designer: EVERGREEN SOLAR AND HOME
INC.
Address : 11278 LOS ALAMITOS BLVD, 707
LOS ALAMITOS, CA 90720
Phone : (714) 722-0468
NO Construction Valuation :
NO Energy Storage Valuation : $ 16,000
Type of Solar
2 Kilowatt: 0
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury 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 Code: Any city or county (hat requires a permit to 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 tho Business and
Professions Code) Or that he or she is exempt from llcensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).
I, asowner 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 property, 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-Suflder will have the burden of proving that it was not built or
El
for the purpose of sale).
u I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate 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).
El I am exempt from licensers 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 its entirety 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:/Mwu v.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent _ _-, _ _ Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions oi! haLlte� mmancing with Section 7000) of Division 3 of the Business aand Professio - Codo, an y F onse, is in fu f foroe
N% and effect. License Class r License No / 1)7S Date /- 2-t- Z� Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
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
e 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'
ranee carrier and policy number e�p/lbD are: .ram
ier AC6rSLIARV_Policy Number t A V/C A1Ga4�ti /77L Expiration Date
of Agent
certify that, in the performance of the work for which this permit is issued, I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California,. and
if I should become subject to the workers' compensation provls}ons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
of
Date_— r%✓ Z, -���
treby 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).
Ider's 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 owner's 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 abilveydentihed property for inspection purposes.
l-
4CTION j DATE
j BY WLARATION OF COMPLITNCE WITH CODE OF FEDERAL
fOR OFFICE USE ONLY
3 REGULATIONS PART 61 OF TITLE 4D AND AQMD RULE
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