HomeMy WebLinkAboutPV2023-0133 - PermitsaEWPoRT City of Newport Beach
Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
> S Permit Counter Phone: (949) 644-3288
Cq��F00.N�P Inspection Requests Phone: (949) 644-3255
newportbeachea.gov/inspections
II�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII����� Solar Permit : PV2023-0133
Plan Check No : PC2023-0523
Work Class : Alteration
Issued Date : D4/13/2023
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 : 5 CAPE DANBURY
Description : SFR SOLAR PV 17.88 KW (49 PANELS)
Owner: DAVIS CLIFFORD A TR
Address: 5 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 BLK LOT 92
Contractor :
EFFECT ENERGY INC
Address :
1007 W GROVE AVE STE D
ORANGE, CA 92865
Phone:
(310)972-8277
Con State Lie:
1014270
Lie Expire :
05/31/2024
Bus Lie:
BT30078573
Bus Lie Expire : 04/3012023
Workers' Compensation Insurance
Carrier: STATE COMPENSATION INSURANCE FUND
Policy No : 9278779
W. C. Expire : 6/23/2023
Code Edition :
2022
Fire Sprinklers :
Type of Construction :
V-B
Fire Hazard Zone
Occupancy Groups :
R-3,U
No of Units :
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:�
\e
SPECIAL CONDITIONS:
Architect
Address
Phone:
State Lie
Engineer : MARTIN LOYD
Address : 9924 UNVERSAL BLVD, 224
ORLANDO, FL 32819
Phone : (310) 534-1776
Designer
Address
Phone:
NO Construction Valuation : $49,000.00
NO
1 Type of Solar : SFF
Kilowatt: 17
Lit
r.o r l;(_LOVViED F(Ai
_.)
^.f
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 item(s)
coon 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, pdor to its Issuance, also requires the applicant for
pormit to file a signed statement that he or sho is licensed pursuant to the provisions of tho Contractors' State. License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
fessions 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
more than five hundred dollars ($500).
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,
siness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' cr personal effort, builds or improves the property, provided that the
Movements 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
(roved for the purpose of sale).
I, 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
)ly 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 Lau).
J I am exempt from licensors under the Contractors' Slate License Law for the following reason:
�y 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 in
all a structure that I have built asan owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the appl
'rofessions Code, is availableupon request when this application is submitted or at the following Web site:http:!(www.leginfo.ca.gov/calaw.html,
signature of Property Owner or Authorized Agent
,ICENSEC =NTRACTOR'S DECLARATION
hereby afri-r, eider penalty of perl'ury that I am licensed under provisions of Chapter 9 (commencing with SectiV000 of Division 3 of the Business and
nil effect. License Class License No Be !' b02Z Contractor Signa
ments covered by this permit. I cannot
law, Suction 7044 of the Business and
Date
license is in full force
NORKERS' COMPENSATION DECLARATION I I ✓ \
NA4NING: FAU'RE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND OOLLAR915100,000), IN ADDITION TO THE
-:aST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES.
'toreoy aPi;a. jiZer penalty of perjury one of the following declarations:
,R1.. 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 thi
- d�r�forman,e of Of, work for which this permit is issued. Policy No.
;01 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' compensatoor
nsnrance cprrier and policy number are:
Canter Policy Number Expiration Date
lame of A3ent ""
JI certify ,hat, Id the pad imance 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 agre
iet, if I should becor s ject to the workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
�gnature of Appllcan Dat bi" 13 f 2 o
IECLARATION RE - IN INSTRUCTION LENDING AGENCY
hereby 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, Cl I Code) -
Coders 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 with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or CCU t t e_ e-Idengf�r
nter the a ad property for inspection purposes.
3gnature of Prooerty Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name /k V I mo- i� I+>^ � /pate O�
ACTION GATE I BY j OE ARA710NOF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
i REGULATIONS PART 61 OFTITLE 40 AND AO.MD RULE
PERMITCANCELLED
PFRMITFrNAL 1 U ASHES I US NOT ISNOT APPLICABLE TO
CERTIFICATE Or PROPOSED DEMOLITION
OCCUPANCY ISSUED ; SIGNATURE:
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