HomeMy WebLinkAboutPV2023-0043 - Permitsrgvaorr
City of Newport Beach
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Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
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Inspection Requests Phone: (949) 644-3255
newportbeachca.govf nspections
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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 ..