HomeMy WebLinkAboutPV2023-0351 - Permits�EWPoRr City of Newport Beach
6 Community Development Department - Building Division
1. �. 100 Civic Center Drive, Newport Beach, CA 92660
u T Permit Counter Phone: (949) 718-1888
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v� FOr+N`P newportbeachca.gov/civic ,
Solar Permit : PV2023-0351
Plan Check No: PC2023-1431
Work Class: New
Issued Date : 06/2712023
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 : 25 HALF MOON BAY DR Legal Desc : N TR 7510 BILK LOT 33
Description : SFR SOLAR PV SYSTEM 17.155 KW (47 MODULES) (X2016-3300)
Owner: RANDALL NGUYEN
Contractor : EVERGREEN SOLAR AND HOME
Architect
BATTERYINC.
Address : 25 HALF MOON BAY DR
Address : 11278 LOS ALAMITOS BLVD, 707
Address
CORONA DEL MAR, CA 92625
LOS ALAMITOS, CA 90720
Phone: (714)875-5186
Phone: (714)722-0468
Phone:
Con State Lic : 1102899
State Lic
Lic Expire: 03/31/2025
Applicant: BRYAN AMBURGEY
Bus Lic: BT30081700
Engineer: MUNYANZIZA, EUGENE
Address : 331 W MALVERN AVE
Address : 250 WILKERSON AVE APT 160
FULLERTON, CA 92832
Bus Lic Expire : 05/31/2024
PERRIS, CA 92570
Phone: (714) 722-0468
Workers' Compensation Insurance
Phone: (951) 355-3348
Carrier: ACCREDITED SURETY AND CASUALTY CO
Owner/Builder :
Policy No : 1AUICA160143417700
Designer:
Address :
W. C. Expire : 3/20/2024
Address
Phone:
Phone:
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation : $40,000.00
Type of Construction : V-B
Fire Hazard Zone : NO
Occupancy Groups : R-3,U
No of Units : 1
Type of Solar: SFP
Bldg Height:
No of Stories : 1
Kilowatt : 17
Building Setbacks : Front: 6, Side: 5, Side: 5, Rear: 89
Flood Zone : X
Use Zone: PC - Harbor View Hills
905
Processed By:
SPECIAL CONDITIONS:
I hereby affirm under penalty of perjury that I am exempt from the ContractorsState License Law for the reasons) indicated below by the checkmark(s) I 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
is permit to file a signed statement that he or sheds 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 Iicensure and the basis far the alleged exemption. Any violation of Section 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of
of 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044,
rosiness 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
yroved 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
only to an 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 exempt from licensure under the Contractors' Slate License Law for the following reason:._
;y my signature below I acknowledge that, exceptfor my personal residence In which I must have resided for at least one year prior to completion of the improvements covered by this permit, 1 cannot legailt
ell 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 applicable law, Section 7044 of the Business and
'rofessions Code, is availableupon request when this application Is submitted or at the following Web site:http:llwww.leginfo.ca.gov/calaw.htmi.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjurythat I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Ofvislon 3 of the Business and Professio ,ode, an my icense full force
nd effect. License Class License No //DZd99 Date 6-Z$-23 Contractor Signature
WORKERS' COMPENSATION DECLARATION
'ARNING: 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
CST 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 ve 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 IN
erf9mance 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 arp: _ _
Policy Number Expiration Date
of Agent
certify that, in the performance of the work for which this permitis issued, I. shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and
, it I should become suAgo to the workers' compensation provisions of Section 3700 of the Labor Code,. I shall forthwith compty with those provisions.
of Applicant
Date 6 - Z"3
hereby affirm under penalty oflrerjury that there Is a 66nsttudtion tending agencyfor the performance of the work for which this permit is issued (Section 3097, Civil Code).
ender's Name Lenders Address
y my signature below, I certify to each of the following:
I am the propertyowner or authorized to act on the property owner's behalf.
I have read this application and the information t have provided is correct..
I agree to comoiy with all applicable city and county ordinances and state laws relating l0 building construction.
I authorize represaulalives of this city or bounty the above-enlifyd pro�ertX,Winspection purposes. -
ACTION
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REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
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LJ I SUBMITTED ASBESTOS NOTIFICATION TO
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L"J ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEIV919ION -4 / _-7
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