HomeMy WebLinkAboutPV2023-0342 - Permits��EWPOR, City of Newport Beach 111III II IIIIII IIIII IIIIIIIIII IIII IIIIII IIIII IIIII IIIIIIII11111 Solar Permit : PV2023-0342
O Community Development Department - Building Division
r 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1378
Permit Counter Phone: (949) 718-1888 Work Class : Alteration
cy� FuartP newportbeachca.gov/civic Issued Date : 01/22/2024
Final Date:
Permit Status: Issued
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 : 1942 GALAXY DR Legal Desc : N TR 4224 BLK LOT 18
Description: SFR SOLAR PV SYSTEM 8.00 KW WITH 20 MODULES AND MICROINVERTERS. (X2022-0095)
Owner: MANOUCH MOSHAYEDI
Address : 255 W COAST HWY
NEWPORT BEACH, CA 92663
Phone: (949)723-6449
Applicant: DENALI DEVELOPMENT GROUP INC
Address: 6233 CHERRY AVENUE
LONG BEACH, CA 90805
Phone: (562)244-5230
Owner/Builder:
Address :
Phone
Code Edition : 2022
Type of Construction : V-B
Occupancy Groups: R-3,U
Bldg Height:
Contractor:
DENALI DEVELOPMENT GROUP INC
Address :
6233 CHERRY AVENUE
LONG BEACH, CA 90805
Phone:
(562)244-5230
Con State Lic
: 806493
Lic Expire :
04/30/2024
Bus Lic :
BT30069454
Bus Lic Expire : 10/31/2024
Workers' Compensation Insurance
Carrier: STATE COMPENSATION INSURANCE FUND
Policy No: 9049949
W. C. Expire : 4/1/2024
Fire Sprinklers :
Fire Hazard Zone
No of Units :
No of Stories
Architect
Address
Phone :
State Lic
Engineer
Address
Phone
Designer: DENALI DEVELOPMENT GROUP INC
Address: 6233 CHERRY AVENUE
LONG BEACH, CA 90805
Phone: (562)244-5230
NO Construction Valuation : $20,000.00
NO Energy Storage Valuation
Type of Solar : SFP
Kilowatt: 8
Building Setbacks : Front: 10, Side: 6, Side: 6, Rear: 6
Flood Zone : X
Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
Processed By: _.
SPECIAL CONDITIONS: LANDSLIDE
OWNER -BUILDER DECLARATION
I hereby affirm under penally 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 items)
(Seotlon 7031.5, BUSlnees and Professions Code: Any city or county that requires a permit to construe'!', alter, Improve, demolish, or repair any structure, priarto Its Issuance, also requires the applicant for
the permit to file a signed statement that he or she is licensed pursuant to the provisionsof 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 llcensure 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).
77 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 Lahr 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 R was not built or
improved for the purpose of sale).
0 L as owner of the property., am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The ContractorsState License Law does not
apply 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).
El I am exempt from licensure under the Contractors' State License Law for the following reason By my signature below I acknowledge that, except for my personal residence in which I must have hesldod for at least one year prior to completion of the Improvements covered by this permit, I cannot legally
sell 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
Professions Code., is available upon request when this application Is submitted or at the following Web site:http:h'wmw.leuinfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent _.n..R_._._.�.___..�.�._._-_�_�__�� Date �-
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of oerjurl that I am licensed under provisions of Chapter 9 (commencing with Section 70Q0 of DN''ion.3 of the Business and Profess a tense is In full force
and effect. License Class License Na. Dry i:..2 Contractor Signature
WORKERS` COMPENSATION DECLARATION L.
LA
WARNING: FAILURE TO SECURE WORHERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUUJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100.000), IN ADDITION TO THE
,COST OF COMPENSATION, DAMAGES AS PROVIDED FORIN SECTION e706 OF THE "OOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
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 at the Labor Code, for
rmance of the work for which this permit Is issued. Policy No.
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'
carrier and: policy number are:
is of Agent
certify that, in the p
, If I should become
Iature of ADolicant
Policy Number
Date
for Which this permit is Issued, I shall not employ any person inany manner so as to become Subject to the workers' compensation laws of California, and agre
sate In provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Date J22 Z .L. W
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 Code).
ender's Name Lenders Address
ly 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 haveprovided is correct.. 0 /'-
I aurae to comply with. all applicable city and county r 'na- ands ea tyf to budding.. construction.
I authorize representatives of this city or County e,, // I tified petty far inspection purposes.
V,
9icnature of Prooerty Owner or Authorized Atlen / G Print Property or Authorized Agent's Nam
ACTION I DATE I By t3�`ELARATION OF COMPLIANCE W1111 CODE OF FEDERAL FOR OFFICE USE ONLY
(�F.0 UFATIONS PART 51 OF TITLF. h0 AND AOMp RULE
PERMIT EXPIRED
PERMIT CANCELEFD
PEAMIT FXTFNDED
P£RM17 FIDIAI.
CERTIFICATE OF
OCCUPANCY ISSUED
1403
U ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
PROPOSED DEMOLITION
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