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PV2023-0132 - Permits
wP City of Newport Beach III��������������II Solar Permit : PV2023-0132 p dcn Community Development Department- Building Division n 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0522 C r Permit Counter Phone: (949) 644-3288 Work Class : Alteration cy� FoflH�P Inspection Requests Phone: (949) 644-3255 Issued Date : 04/13/2023 newportbeachca.gov/inspections Inspection Area : 8 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 : 14 CAPE DANBURY Description : SFR SOLAR PV 15.33 KW (42 PANELS) Owner: GALLAGHER RYAN TR Address : 14 CAPE DANBURY NEWPORT BEACH, CA 92660 Phone Applicant: NIKOKRISTOV Address: 1007 W GROVE AVE, D ORANGE, CA 92865 Phone : (714) 202-5422 Owner/Builder : Address : Phone Legal Desc : N TR 15012 ELK LOT 82 Contractor: EFFECT ENERGY INC Address : 1007 W GROVE AVE STE D ORANGE, CA 92865 Phone: (310)972-8277 Con State Lic : 1014270 Lic Expire : 05131/2024 Bus Lic: BT30078573 Bus Lic Expire : 04/30/2023 Workers' Compensation Insurance Carrier: STATE COMPENSATION INSURANCE FUND Policy No: 9278779 W. C. Expire : 6/23/2023 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 Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone: PC - Upper Castaways Processed By: SPECIAL CONDITIONS: Architect Address Phone State Lic Engineer : MARTIN LOYD Address : 9924 UNIVERSAL BLVD, 224 „ ORLANDO, FL 32819- Phone: (310)534-1776 c W Designer Address `S Phone Construction Valuation : $42,000.00 ,--� 1- Type of Solar: SFP Kilowatt : 15 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) 1 have placed next to the applicable item(s) 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 to Its Issuance, also requires the applicant for 7e permit to file a signed statement that he or she is licensed pursuant to the provisions of thu 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 for a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 1 I, 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 notintended or offered for sale (Section 7044, lusiness 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-Builderwill have the burden of proving that it was not built or unproved for the purpose of sale). 11, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not pply 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). 3 [am exempt from licensure 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 legall elf a structure that I have built as an owner -builder if it has not boon constructed in its entiroty 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:tiw w.leginfo.oe.govlcalaw,htrnl, signature of Property Owner or Authorized Agent � _ Date .ICENSED CCNTRAOTOR'S DECLARATION tiereby oftirrn under penally of perjury that I am licensed under previsions of Chapter 9 (commencing with Section 11 of Division 3 of the Business and Pr f signs Code, and my license is In full force no ehec,. License r;lass License No Dete 0 ( LOZ Contractor Signatur VORKERS' COMPENSATION DECLARATION '%RNIPC FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS 16100,000), IN ADDITION TO THE DST OF COMPENSAI.ON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR LODE, INTEREST, AND ATTORNEY'S FEES. LerLby 4ffirm under per,alty of perjury one of the following declarations: I I here and will malr'ain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided far by Section 3700 of the Labor Code, for tht prformauce of the wurK for which this permit is issued. Policy No. . II tR ri 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' compensatior Igurance.carrlar and hol-Cy number are: Cr,mrt r Policy Number Expiration Date Nam- 34Agent Phone If ©I certify that, in the performance of the work for which this permit is issued., I shall not employ any person in any manner so as to became subject t0 the workers' compensation laws of California, and agre, that, if 1 should becom blest to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply Will those provisions. Signature of AppBcanI V / - Da 0 4 �13 zz-a; DECLARATION =A DINTt�CDNSTRUCTION LENDING AGENCY I hereby affirm under pe alty of perjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 309 , Ci fi Code), Lender`s Name Lender's Address By 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 titer a ve-idenlified property for inspection purposes. kA Signature of Pros Owner or Authorized A ent Print Property Owner's or Authorized A ent's NamIV = 011-1 �1�R-U ate0 I3 1D2f ACTION DATE BY ' DE RATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 ANO AQMD RULE 1403 PERMIYEXPIR£D IL1 isUBMITTEO ASBESTOS NOTIFICATION TO PERMIT£XTENDED PERMIT FINAL Z6'$j l U ASBESTOS NOTIFICATION 15 NO1'APPLICABLE TO CERTINCA7E OP PROPOSED DEMOLITION OCCUPANCY f55U£D SIGNATURE: L F a0 3 x W Ln N X ° ¢ U Z O 0 W o U M O 0) m 4 Z Z Apav to �On Gz � WRz7 CD a VV �, " O iy > Z O x LU W j A m(D W V z Wr�00 o,L A V W o O a) LU(A =) z W o C"� i m W croi U o Y O o U 0 C� J N m hoc 00 2'n2 go CD E Co a) CL N 7 O O O N O y y° U L L N C.� L 0 Q) �Y� C W �w O ._ O U >, E O N ?� � ( a`nia c 3 U) o m w 0)a N = -Oo cu 0 O L 0 CL 0-0 c 4 c 0 o O `n E O L E a3 -O L C >> N C N ca (0 •n. a) -0 a) U co O H j t O O O N L O L X O E C .�., m CO M O c 0 _ 3 C C. 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