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HomeMy WebLinkAboutPV2023-0052 - Permits�aE P a City of Newport Beach iuiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiq��� Solar Permit : PV2023-0052 41,44"Y m Community Development Department- Building Division IF100 Civic Center Drive, Newport Beach, CA 92660 Plan Check NO : PC2023-0236 Permit Counter Phone: (949) 718-1888 Work Class : Alteration (ar,newportbeachca.gov/civic Issued Date : 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, A Legal Desc : A TR FIRST ADD TO NEWPORT HEIGHTS BILK 38 LOT 24 Description : SFR SOLAR PV SYSTEM - 6 MODULES, 2.7 KW Owner: DOJA PROPERTIES LLC Address : 5050 W MISSION RD ONTARIO, CA 91762 Phone: (626)340-5461 Applicant : Ara Petrosyan Address : 520 LIBRARY ST SAN FERNANDO, CA 91340 Phone: (818)483-8026 Owner/Builder : Address : Contractor: A P ELECTRICAL Address : 16238 RAYMER ST UNIT B VAN NUYS, CA 91406 Phone: (818)483-8026 Con State Lic : 974115 Lic Expire : 06/30/2024 Bus Lic: BT30061309 Bus Lic Expire : 11/30/2023 Workers' Compensation Insurance Carrier: STATE COMP Policy No : 9221712 W. C. Expire: 10/19/2023 Architect Address Phone: State Lic Engineer: MARTIN LOYD Address : 9924 UNVERSAL BLVD, 224 ORLANDO, FL 32819 Phone: (310)534-1776 Designer Address Phone: Phone Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $4,050.00 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 : 2 Kilowatt: 2 Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 5 Flood Zone : X s"� Use Zone : R-1 - Single -Unit Residential i Processed By SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION l hereby affirm under penalty of penury 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 Coda: Any city or county that requires a permit to construct, 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 of the Business and Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora 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 U all of or (_) portions of the work, and the structure is not intended or affered 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 effort, builds or improves the property, 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-Builderwill have the burden of proving that it was not built or ffim roved for the purpose of Sala). I, as owner of the property, am exclusivaly contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not app€y 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). I am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below l 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 legail sell a structure that. I have built asan owner -builder if it has not been constructed In itsentirety 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:r/www.leginfo.ca.gov/calaw.html.. Signature of Property Owner or Authorized Agent _ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9.(commendng with Seclio 60) of Division 3 of the Business and Pro sibns Cod a y license is In full force and effect License Class License No Date contractor Signature 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 THOUSAND DOLLARS 1$100.000), IN ADDITION TO THE COST OF COMPENSATION', DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 10 1 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 e ormance of the work for which this permit is issued. Policy No. ve 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' compensetio insurance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone N 0I certify that; inthe pTfty ce of the work for which his permit is issued. I shall not employ any person in any manner so as to become subject to the worke ' compensation laws of California, and agre that, if I should becomto iti ation provisions of Section 3700 of the Labor Code, I shalt forthwith comply with those provisions. Signature of Applicant Date I/J - DECLARATION REGAONSTFtUC O ENDING AGENCY I hereby affirm under pperjury that there is a construction lending agency for the performance of the work for which this pennit is issued (Section 3097, ill Code). Lender's Name Lender's Address By my signature below, I certify to each of the following: I air the property owner or authorized to act on the property owner's behalf. ski I have read this app€ication and the information t have provided is correct I agree to comply with all appfcable city and coon rdinances and state laws relating to building construction. � I authorize representatives of this city or county to nter the roperty for inspection purposes. V -�/ 23 Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized A eri Nam ate l/ ACTION DATE BY I occOrRATiol OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE. 40 AND AOMD RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED +25A _ PERMIT EXTENDED QliUt D _ _ _ PERMIT F/NAL � � /j'3 SBFS t01 , IEICAT ON IS NO PPLR.gBLE TO CERTIFfCATEOF PR OSED OLED OCCUPANCY ISSUED sIENATURE'