HomeMy WebLinkAboutPV2023-0503 - Permitsr6WPORT City of Newport Beach II��PV2023 0503�4ll Solar Permit : PV2023-0503
D� b Community Development Department- Building Division
1 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0235
ii yet s Permit Counter Phone: (949) 718-1888 Work Class : Counter
cq�"�aN�r newportbeachca.gov/civic Issued Date : 0911412023
°w,.. Final Date:
Permit Status: Issued
Inspection Area : 4
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: 2652 BASSWOOD ST Legal Desc : NYR 4892 BILK LOT 3
Description: SFR SOLAR PV SYSTEM 10 PANELS 3.95 kw *REPLACES PV2023-0051*
Owner:
GRANT DAVID E TR
Address :
2652 BASSWOOD ST
NEWPORT BEACH, CA 92660
Phone:
Applicant :
FREEDOM FOREVER LLC
Address :
7200 FENWICK LN
WESTMINSTER, CA 92680
Phone:
(888)557-6431
Owner/Builder:
Address :
Phone:
Contractor :
FREEDOM FOREVER LLC
Address :
7200 FENWICK LN
WESTMINSTER, CA 92680
Phone:
(888)557-6431
Con State Lic
: 1029644
Lic Expire :
08/31/2025
Bus Lic:
BT30064271
Bus Lic Expire : 08/31/2024
Workers' Compensation Insurance
Carrier: NATIONAL CASUALTY CO
Policy No : WCC334024A
W. C. Expire : 6/1/2024
Code Edition : 2022 Fire Sprinklers : NO
Type of Construction : V-B Fire Hazard Zone : NO
Occupancy Groups : R-3 No of Units :
Bldg Height: No of Stories : 2
Building Setbacks : Front: 6, Side: 6, Side: 6, Rear: 6
Flood Zone: X
Use Zone : R-1-6600000 - Single -Unit Residential (6000 indicates minimum lot area)
Processed By:
SPECIAL CONDITIONS:
Architect
Address
Phone:
State Lic
Engineer: ROBERT A LADE
Address : 13350 OLD MORRO RD
SAN LUIS OBISPO, CA 93422
Phone:
Designer:
Address
Phone:
Construction Valuation : $10,000.00
Type of Solar
Kilowatt: 3
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the ContractorsStale License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable itemts)
(Section 7031.5. Business and Professions Code: Any city or county that requires a perrnii to construcl, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
the 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
Professions Code) or that he or she is exempt from Ilcensure 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
not 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,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal aflort, builds or improves the properly, provided that the
improvements 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
improved for the purpose of sale).
1111 as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an owner of property who police or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
❑ I am exempt from Ilcensure under the Contractors' State License Law for the following reasore
By 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 permitI cannot legally
sell a structure that I have built as an owner -builder if it has not been constructed in its or irety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:http://wvvWleginfo.ca.gov/calaw.htmi,
Signature of Property Owner or Authorized Agent _ _.� Date _
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of D vajon 3 of the Business and. Profess! o an y I Dense is in full force
and effect. License Class License No Date Contractor Signatu
WORKERS" COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TNMJAKD DOL RS (S100,000), IN ADDITION TG THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ PEE$.
hereby affirm under penalty of perjury one of the following declarations:
-11 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 On
Te ormancs of the work for which this permit is issued. Policy No.
art Rive 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' compensatior
net once carrier and policy numUer are:
iaF Policy Number Expiration Date
lama of Agent Phone #
-1I certify that, in the performance 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 agree
hat, if I should become subject worker mpensatlon provisions of Section 3700 of the Labor Coda I shall forthwith comply with those provisions. ' 7
signature of Applicant . ...__ __ ._.___ ._'__--_, ..., n........... .. ....__. _.._ ___...,__ „ __.._.... L.? __........_..._.__
)ECLARAT(ON RE G NST 71ON LENDING AGENCY
hereby affirm under penalty o perju it at there Is a construction lending agency for the performance of lie work for which this permit is Issued (Section 3097, Civil Code),
.ender's Name ___ __ _ _ _ Lenders Address
3y my signature below, k certify to each of the following: u
I am the property owner or authorized to act on the properly owner's behalf.
I have read this application and the information I have provided is correct.
I agree to comply withall applieablc city and county ordinances and state laws relating to building construction,
I authorize representatives of this city or county to enl th abo -ide tified property for inspection purposes. 'l
signature of PropertyOwner or Authorized A e„ t Print Property Owner's or Authorized Agent's Name .uC_. Yf 80 Z Date
ACTION GATE BY Aft N OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
f1iAAT11,NS PART 63. OF TITLE 40 ANT) ACMD RULE.
ra0a
PERMIT EXPIRED LJ I SUBMITTED ASBFST05 NOTIFICATION TO
PERMIT CAACR i ED, _..._..
CPA
PERANT EXTENDED QAOMD
PERMIT FINAL ❑ASBLSIOS NOTIFICATION IS NOI APPLICABLE TO
CERTIFICATE OF i �/ � PROPOSID OOWIOIITION
OCCUPANCY ISSUED SIGNATURE: ,