HomeMy WebLinkAboutPV2023-0100 - Permits�gWPO,QT City of Newport Beach ������������II Solar Permit : PV2023-0100
Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023.0365
u s Permit Counter Phone: (949) 644-3288 Work Class : Alteration
cy� co QN�P Inspection Requests Phone: (949) 644-3255 Issued Date : 04/06/2023
newportbeachca.gov/inspections 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: 500 FULLERTON AVE Legal Desc : A TR FIRST ADD TO NEWPORT HEIGHTS BLK 38 LOT 24
Description: DUPLEX SOLAR PV 12.15 KW (27 PANELS)
Owner: GEORGE JABER
Contractor: A P ELECTRICAL
Architect
Address : 500 FULLERTON AVE
Address : 16238 RAYMER ST UNIT B
Address
NEWPORT BEACH, CA
VAN NUYS, CA 91406
Phone: (626)926-0993
Phone: (818)483-8026
Phone:
Con State Lic : 974115
State Lic
Lic Expire : 06/30/2024
Applicant: Ara Petrosyan
Bus Lic : BT30061309
Engineer :
MARTIN LOYD
Address : 520 LIBRARY ST
Address :
9924 UNIVERSAL BLVD, 224
SAN FERNANDO, CA 91340
Bus Lic Expire : 11/30/2023
ORLANDO, FL 32819
Phone: (818) 483-8026
Workers' Compensation Insurance
Phone:
(310) 534-1776
Carrier: STATE COMP
Owner/Builder :
Policy No: 9221712
Designer :
A P ELECTRICAL
Address :
W. C. Expire : 10/1912023
Address :
16238 RAYMER ST UNIT B
VAN NUYS, CA 91406
Phone:
Phone:
(818)483-8026
Code Edition : 2022
Fire Sprinklers : NO
Construction
Valuation : $18,225.00
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 :
Kilowatt: 0
Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 5
Flood Zone : X
Use Zone : R-1 - Single -Unit Residential
Processed By: L�
SPECIAL CONDITIONS:
I hereby affirm under penalty of perjury that I am exempt from the Contractors` State License Law for the reasoti(s) indicated below by the checkmark(s) I have placed next to the applicable items)
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 requlres the applicant for
to permit to file a signed statement that tin 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
Tofessions Code) or that he or she is exempt from Iicensure 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
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 (_) portions of the work, and the structure is not intended cr offered for sale (Section 7044,
uslness 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 said within one year of completion, the Owner -Builder will have the burden of proving that It was not built or
nTproved for the purpose of sale).
J 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
poly 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).
*1 1 am exempt from ticensure 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 prior to completion of the Improvements covered by this permit, I cannot Iegall3
CHI 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 tho applicable law, Section 7044 of the Business and
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:ttw .leginfo.ca.gov/calaw.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 9 (commencing with Secto, 7 00) of Division 3 of the Business and Pro sions m "cense is in full force
nd effect. License Class C—f 0 • Cq(o License No 9 ��///S Date 6 - 2-3 Contractor Signature
VORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND QYIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100,0001, IN ADDITION TO THE
DST Of COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 070E OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to selbinsure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for Ih
prformance of the work forwhich this permit is issued. Policy No.
I 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' compensatior
is nce carer numbBE are: / o�/q /2 0 23
;artier S 1(',o P Policy Number q 2 2 1 (2 Expiration Date
dame of Agent rnone it L
-I certify that, in the peIfor rated 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 workerO co/nDensation laws of California, and agre
hat, if I should becnme s act to iho workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
3gnature of Applicant,__„ Date
1ECLARATION RI NG ONSTRUCTION LENDING AGENCY
hereby affirm under pe Ity of perjury that there Is a construction lending agency for the performance of the work for which this. permit Is issued. (Section 30g7, vil t;odej.
.ender's Name Lender's Address
3y my signature below, I certify to each of the following:�� r
I am the property owner or authorized to act on the property owner's behalf. f/@vY0
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and c u y ordinances and state laws relating to building construction.
I authorize representatives of this city or county enter the abov, -: eniifi d roperty for inspection purposes.
3i nature of Property Owner or Authorized A enI Print Property Owner's or Authorized Agent's Name Date I
ACTION DATE BY V D CLARATION OF COMPLIANCE WITH CODE OFFEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE, 40 AND AOMD RULE
1403
PERMIT EXPIRED U I SuaMiTTED ASBESTOS NOTI FICATION TO
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FFNAL Zg fil/U,S CRO
ESTOSPI 11FICAMN IS NOT APPLICABLE TO
CERTIFICATE DF Y T SEDDOUTION
OCCUPANCYISSUEO Ink V � ± SIGNATURE: vv(( _