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Home My WebLink AboutPV2023-0059 - Permitsw Rr City of Newport Beach Community Development Department - Building Division ,i5 ► 100 Civic Center Drive, Newport Beach, CA 92660 U'� > S Permit Counter Phone: (949) 718-1888 eqt FeµHNr- newportbeachca.gov/civic r— ATE ��; rn a Solar Permit : PV2023-0059 Plan Check No : PC2023-0253 Work Class : Alteration Issued Date : 06/22/2023 Inspection Area: 3 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 : 422 ALISO AVE Legal Desc : A TR FIRST ADD TO NEWPORT HEIGHTS BLK 28 LOT 6 Description: SFR SOLAR PV SYSTEM. 14 MODULES. 5.32 KW. Owner: CHARLES DUNCAN Address : 422 ALISO AVE NEWPORT BEACH, CA 92663 Phone Applicant: MIRANDA GIBBONS Address : 128 NORTHPARK BLVD COVINGTON, LA 70433 Phone: (442)291-8922 Owner/Builder : Address : Phone Contractor: ADT SOLAR LLC Architect Address : 2270 COSMOS CT Address CARLSBAD, CA 91910 Phone: (442)291-8922 Phone: Con State Lic : 1080382 State Lic Lic Expire : 08/31/2023 Bus Lic : BT30077245 Engineer : SCOTT WYSSLING Address : 76 N MEADOWBROOK DR Bus Lic Expire : 11/30/2023 ALPINE, UT 84004 Workers' Compensation Insurance Phone: Carrier: OLD REPUBLIC INSURANCE COMPANY Policy No : MWC31431721 Designer : ADT SOLAR LLC W. C. Expire : 10/1/2023 Address : 2270 COSMOS CT 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 : 2 Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 5 Flood Zone : X Use Zone: R-1 - Single -Unit Residential Processed By: 19 SPECIAL CONDITIONS: CARLSBAD, CA 91910 Phone: (442)291-8922 Construction Valuation : $15,000.00 Type of Solar: SFP Kilowatt : 4 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) 3ecltan 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, after, improve, demolish, or repair arty structure, prior to its issuance, also requires the applicant Tor ne 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 Ncensure 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 penally of at more than five hundred dollars ($500). 7 I, as owner of the property, or my employees with wages as their sole compensation, will do (_1 all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, usiness 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 improvemant Is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built of n roved for the purpose of sale). 1, 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). ] t am exempt. from Iicensure under the Contractors' State 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 pdor to completion of the improvements covered by this permit, I cannot Iegaili 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. Cade, is available upon request when this application is submitted or at the following Web sita:http:f/w .leginto.ca.gavtcalow.html. 'signature of Property Owner or Authorized Agent ,_,r,_,_.- Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter g (commencing with Section 7000)nf Division 3 of the Business and Professi Code, annse-f n full face nd effect. License Class License No Date Contractor Signature PORKERS' 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 DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEE& hereby affirm under penatty of perjury one of the following declarations: ] 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, have and will maintain workers' compensationinsurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permitis issued. My workers' hence c rrie d icy num6ej� y��p ter '�"LF�/ Folic Number � , Expiration Date of Agent JI certify that, In the performance of the workfor 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 agra� tat, if I should become sub"ect to the workers' compensati I f Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant Date/�� IECLARATION R STRUCTION LE 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, Civil Cade). ender's Name Lander's Address ...,.._ y my signature below I certify to each of the following: I am the propery owner or authorized to act on the property owner's behalf. I hPv4 read this aonhcation and the information I have provided is correct. I agree to con -ply with all applicable city and county ordinances and state laws relating to building Construction. , authorize representatives of this city or county to r the abova-fde ified property for inspection purposes. ',innatu,r of Pronartv Owner or Authorized Anent Pint Prooertv Owner's or Authorized Auent's Name �✓!d/ ��G�rDIte /6�% DATE j BY — DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY E REGULATIONS PART 61 OF TITLE 40AND AQMD RULE PEA,ml; LXPIRED I I I UI SUBMITTED ASBESTOS NOTIFICATION TO PERMfIr Eh FENDED AOMD PfRMiTERIAL '� 58E.STOS NOTIFICATION IS NOT APPLICABLE TO C€RrIFICATE OF PROPOSED DEMOLiT10. OCCUPANCY ISSUED I I SIGNATURE: