HomeMy WebLinkAboutPV2019-189 - PermitsCity of Newport Beach - Building Divistion
PO Box 1768 Newport Beach, California 92658-8915
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Job Address: 1821 LEEWARD LN NB
Description:SFR SOLAR PHOTOVOLTAIC 10.24kw (32) ROOF MOUNTED PANELS
Inspector Area: 3
Owner: PUNCEL LUIS
Address: 1821 LEEWARD LN
NEWPORT BEACH, CA 92660
Phone
Applicant: FORD COURTNEY
Address: 1572 N BATAVIA ST
ORANGE CA 92867
Phone: 949-735-9313
Code Edit : 2016
Type of Construction: VB
Occupancy Group: R3
No of Stories: 1
Use Zone:
Bldg Height:
Legal Desc.: N TR 4463 LOT 16
SOLAR Permit: PV2019-189
Permit Counter Telephone (949)644-3288
Inspection Requestsrrelephone (949)644-3255
Contractor:
SOLAR 360 BUILDING SERVICES
Address:
1912 N BATAVIA AV, UNIT G
ORANGE CA 92865
Phone:
888-688-4946
Con State Lie:
985010
Lie Expire:
07/31/2021
Bus Lic:
BT30045622
Lie Exp Date:
01/31/2020
Worker's Compensation Insurance
Carrier:
NATIONWIDE INS CO
Policy No:
WCC332562A
Expire:
07/04/2020
Building Setbacks
Rear:
1572 N BATAVIA ST #2
Front:
Left:
Right:
Project No : 2716-2019
Issued Date : 12/1
Architect:
Address:
A.� J
Phone:
State Lie:
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Engineer:
MORALES DOUGLAS
Address:
20751 KELVIN LN
HUNTINGTON BEACH CA 92656
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Phone:
949-285-5104 State Lic:C-069163
Designer:
MORALES DOUG
Address:
1572 N BATAVIA ST #2
ORANGE CA 92867
Phone:
888-688-4946
Valutaion: $61,440.00 -
Building Permit Fee $240.00 Record Management (8 1/2X 11) $0.00
Plan Check Fee : $210.00 Record Management (Plans) $0.00
TOTAL FEE: $450.00 Plan Check Fee: $210.00 Fee Due at Permit Issuance: $240.00
PROCESSED BY: PUBLIC WORKS APPROVAL:
ZONING APPROVAL: PLAN CHECK BY:
GRADING APPROVAL: moo ... 4PeRP.VkL TO L$,Std.E�,
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PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
INSTALL OR VERIFY SMOKE AND CARBON MONOXIDE QEjECTORS„ ARE EXI XNG,PER CRCR 314.1 & 315.2
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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, 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 licensure 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).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U 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 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 -Builder will have the burden of proving that it was not built or
improved for the purpose of sale).
11 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
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).
❑ 1 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 resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall,
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://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 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
and effect.
License Class License No Date Z ' 2- I Contractor Signature
NORKERS' COMPENSATION DECLARATION
IARNING: 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 ($700,000), IN ADDITION TO'
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
] 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
erfprmance of the work for which this permit is issued. Policy No.
have and w alntain 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'
rance camenAA1 policy num er re:\
ier �n•e� j umber LA)CG3323624 Expiration Date 07-oti'
of Agent
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 agre
t, if I should become subject to the workers' on provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant Dat 12 .Q / -,7
CLARATION REGARDI G CO TWCTION LENDING AGENCY
areby 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).
lder's 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 with all applicable city and county ordi antes and state laws relating to building construction.
I authorize representatives of this city or couN toeirrer the above -identified property for inspection purposes.
nature of Property Owner or Authorized Agent X _462--_ Print Property Owner's or Authorized Agent's Nam>�I Dyr gel n1- I& vz
AC77ON
DATE BY
DECLARATION OF COMPLIANCE IMTH CODEOF
FOR OFFICE USE ONLY
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