HomeMy WebLinkAboutPV2023-0108 - PermitsCity of Newport Beach
o - Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
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cFr a��r newportbeachca.gov/civic
puV 2023010iSolar Permit : PV2023-0108
Plan Check No : PC2023-0402
Work Class : Alteration
Issued Date : 08/28/2023
Final Date:
r Permit Status: Issued
Inspection Area : 2 „e1 T-t' y
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.'''` i
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 : 2 ARIES CT Legal Desc : N TR 7817 BILK LOT 1 UN 66 TR 7817 LOT 1 UNIT 66 OF PROJECT L OCATED ON AP
Description: MFR - SOLAR PV SYSTEM 7.6 KW, 19 MODULES
Owner: THE BRIAN KEITH GISH LIVING TR
Address: 2 ARIES CT
NEWPORT BEACH, CA 92663
Phone:
(949)246-0515
Applicant:
SIMON FERMANIAN
Address :
9102 FIRESTONE BLVD, G
DOWNEY, CA 90241
Phone:
(562)923-0110
Owner/Builder:
Address :
Phone
Code Edition : 2022
Type of Construction : V-B
Occupancy Groups : R-2
Bldg Height :
Building Setbacks
Flood Zone
Use Zone :
Processed By:
SPECIAL CONDITIONS:
X
PC - Newport Crest - UPI 585
Contractor:
EVOLUTION ENERGY
Address :
9102 FIRESTONE BLVD SUITE G
DOWNEY, CA 90241
Phone:
(562)923-0110
Con State Lie
: 944493
Lie Expire :
08/31/2024
Bus Lie :
BT30078264
Bus Lie Expire : 03/31/2024
Workers' Compensation Insurance
Carrier: STATE FUND
Policy No: 9146301
W. C. Expire : 10/27/2023
Architect
Address
Phone :
State Lie
Engineer:
RYAN MCPHERSON
Address :
9240 LIMONITE AV
JURUPA VALLEY, CA 92509
Phone:
(909)569-2244
Designer
Address
Phone:
Fire Sprinklers : NO Construction Valuation : $11,000.00
Fire Hazard Zone: NO
No of Units : 7 Type of Solar: MFP
No of S`.ories : 3 Kilowatt: 7
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I SIR exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable 0BET100
Section 7031 5, Business and Professions Code: Any city or county that requires a peritill to construct, oiler, improve, demolish, or repair any structure, prior to its Issuance, also requires fire applicant for
he 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
>rofssaons Code) or that he of 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
lot 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 (_) portions of the Work, and the structure is not intended or offered for sale (Section 7044,
3useess and Professions Code. The Contractors' State License Law does not apply to in owner of property who, through employees' or personal effort, builds or improves the property, provided that the
inprovements are not Intended or offered for sate. If, however, the building of 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 sae).
1, as owner of the property, am exclusively Contracting with licensed Contractors to carigirroel the project (Section 7044, Business and Professjmrsi Code: The Contractors' State License Law does not
ly to an owner of property who builds at improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the ContractorsState License Law)
I am exempt from liconsure 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 [east one year prior to completion of the improvements covered by this permit, I Cannot legally
sell a structure that I hoic built as an orwrmr-hulldor if it has not boon constructod in its enlimly by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
proi Code, is available upon request when this application is Submitted or at the following iAlete site:hllp:tlwvrvr.leginfo-co.gov/calayi Intel.
Signature of Property Owner or AutImirized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty 0gedury that I am licensed under provisions of apter 9 (corrr d P f� C 11 force
,,!�!nclmg with Section 7000l Of fiws�n 3 of the Business so to e �sios J� and my license Is in to
License NaDate .1w7A121. contractol e ir—�
and effect License Class
NORKERS'COMPENSATI N DECLARATION
MARNIN(r: FAILURE TO SECURE WORi COMPENSATION COVERAGE IS UNLAWFUL, AND SRALLSUBJECT AN MPLOYERTOCRININAl P 1A FTICS aNUCEEL FINEII UPTOONE HUNOREDTHOUSAND DOLLARS ($100,000). IN ADOI-DON70 THE
COST Of COMPENSATION DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, ANDA11MANEys FEES
hereby affirm under penalty of perjury one of the following declarations:
0 1 have and will maintain a canticle of consent to relf-intatre for workers' compensation, Issued by the Director of industrial Relations as provided for by Section 3700ofthe Labor Code, for In
6aiKori of the work for which this permit is issued Policy No, _
41m
-,4ve 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 is ed. Ailyworkers' compensation
9 tisura ce carrier and poll number are'
Policy Number Expiration Date
r qTjtj�- �_10 ;7 7
Name alAgent Phone 'it I
Eli certify that, in the performance of the war or which this perms[ is issued, I Strait not employ any person in any manner so as to become subject to the workers' compensation laws of California, and ages
it 'a IT
that, if I should become s I t to the work compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Cy
compensation
Sit alit Signature of Applicant,
DO
DECLARATION RE IN66CONSTRU ION ir ,
I hereby affirm under malty of perjury that there is a Construction lending agencyfor the performance of the work for which this permit is issued (Section 3097, Civil Cade).
Lender's Name Lender's Address
By my signature beicay, I certify to each of the followqg:
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 ordinanifles and state laws relating to building construction.
I 01,1010riZe representatives of this City or county t mer th#bove-idenuffed property for inspection purposes.
M-1h
D—, n'., — A'.1i ... I Anent t _fI Print ProopftvOwri ol-AuthorErm Aneri Nan,e SJ11OA-11 Date g Jevz
DATE try IT or rLARAT[OM OF COMPIJANCe WHCODF OF FEDERAL FOR OFFICE USE ONLY
I RF11MATIONS PARI 61 OF TITLE 40 AND AQMO RULE
Fri f)(mRED I I E LJ I sURNIMEE)MBESTOS NOTIFICATION TO
PCRM17 FINAL (-I-,+—) ; LJASBES'IDSNDTI"CAI]ONISNOtAPPLICABfF TO
COMFICArE Or > d � PROPOSED DEMOLITION
OCCURANCYiSSUED SIGNATUFM