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P V 2 0 2 2 0 4 0 2 Solar Permit : PV2U22-0402
p , A Community Development Department - Building Division
H 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-2926
D Nr T Permit Counter Phone: (949) 644-3288 Work Class : Alteration
Cq� p0.N\P Inspection Requests Phone: (949) 644-3255 Issued Date : 01/19/2023
newportbeachca.gov/inspections 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:OD a.m. to 6:00 p.m. No work on Sundays or Holidays.
Job Address
: 950 SANDCASTLE DR
Legal Desc : N TR 6228 BLK LOT 67
Description:
SFR ADD SOLAR (18) MODULES 7.2kW
Owner:
GEORGE WESLEY
Contractor: D L C BUILDERS INC
Architect
Address :
243 HELIOTROPE AVE
Address : 11278 LOS ALAMITOS BLVD #707
Address
CORONA DEL MAR, CA 92625
LOS ALAMITOS, CA 90720
Phone :
Phone : (562) 666-7174
Phone
Con State Lic : 985517
State Lic:
Lic Expire : 04/30/2023
Applicant:
BRYAN AMBURGEY
Bus Lic: BT30080494
Engineer: " '
Address:
331 W MALVERN AVE
Address : ...>
FULLERTON, CA 92832
Bus Lic Expire : 01/31/2024
Phone:
(714) 722-0468
Workers' Compensation Insurance
Phone,
Carrier: STATE+COMPENSATION+INSURANCE+FUN
D
;
Policy No : 9246308
Designer
W. C. Expire: 2/26/2023
Address
Phone:
Code Edition :
Fire Sprinklers : NO
Type of Construction :
V-B
Fire Hazard Zone : NO
Occupancy Groups :
R-3
No of Units : 1
Bldg Height:
No of Stories
Building Setbacks :
Front: 10, Side: 6, Side: 6, Rear: 6
Flood Zone :
X
Use Zone :
R-1-1-60(/� Single -Unit Residential (6000 indicates minimum lot area)
Processed By:
SPECIAL CONDITIONS:
Construction Valuation : $19,500.00
Type of Solar: SFP
Kilowatt: 7
ELECTRICAL METALLIC I UBiN'G
(EMT) IS NOT ALLOWED FO(
EXTERIOR APPLICATIONS
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)
Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, after, improve, demolish, or repair anystructure,prior to its issuance, also requires file applicant for
he pomait to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stato License Law (Chapter 9 (commencing with Section 7000) of Division of the Business and
)rofessions 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
iot more than five hundred dollars ($500)..
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,
3usiness 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 theproperty, provided that the
mprovements 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
Inproved 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 Gode:. The Contractors' State License Law does not
I-p'tpiy 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).
J I am exempt from licensore under the Contractors' Slate License Lew for the fallowing reason:
3y 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,
loll 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 available upon request when this application is submitted or at the fallowing Web site:blip:llwww.leginfo.ca.govlcalaw.html,
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury ihr*t I am licensed under provisions of Chapter 9 {commencing with Section 7000) of Chvision 3 of the Business and Pro ss' s C and my license is In_ full forte
Ind effect. License Class �' � /S License No rC $,S'/ Date Contractor Signature � &:1 A=W!;? ✓D(
VORKERS' COMPENSATION DECLARATION 1 a— �—
rARNING: FAILURE TO SECURE wOPYS9C' JOMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS J$100,000), IN ADDITION TO THE
:OST OF COMPENSATION, DAMAGED AS PRGVIDED FORM SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES,
hereby affirm under penalty of per}ur, one of the following declaratlons:
,._ have and will maintain a :erlifCate 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
erfo lanceof the work for which this permit Is issued. Policy No..
Veve and will r 7u;n.bi,.+ 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' compensatiol
surance carrier and pellcv numb=r a,r�: a r
zanier SrY/Yr� - _ _ N_D _ Policy Number { Z t1f b 30'6 Expiration Date 2— ?11�,— 23
lame of Agent _ _ _ _ Phone if
certify that., in the pettormanee 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
, if I should become subtect to the workers compensation previsions aYection 3700 of the Labor Code, I shall forthwith comply with those provisions.
of Applicant
preby 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 Code).
iders Name Lender's Address
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 withall applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or count to above enf 'ed props for inspection purposes.
nature of Property Owner or Authorized Agent i� C Print Property owner's or Authorized Aaent's Name
ACTION
DATE
BY 1 DECLAttION OF COMPUAPTd OTH CODE OF FEDERAL
FOR OFFICE USE ONLY
l REG.ULATIONS PART eI OF TITLE 40 AN AQMDRUL€
1403
PERMT-EXPIRED
0I SUBMITTED ASBESTOS NOT]FICATION TO
PERMITCANCELLED
j{ EPA
PERMIT EXTENDED
i u QMD
PERMl7 FINAL
I'�'�'
'' � � 5BESTOS NO'ri PICATION 15 NOT APPLICABLE TO
CERTIFICATE OF
OCCUPALVCYISSUED
y�.� PROPOSED ITIq�j�
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