HomeMy WebLinkAboutPV2020-047 - PermitsCity of Newport Beach - Building Divistion SOLAR Permit: PV2020-047 IIIII�IIIIIIIIIIIIIIIIIIIIIIIII�IIIIII
V
a vn PO Box 1768 M Newport Beach, California 92658-8915 ? Permit Counter Telephone(949)644-3288
u..y at Inspection Requests/Telephone (949)644-3255
r� kw Project No :0598-2020
Job Address: 1903 YACHT PURITAN NB
Issued Date
: 04124/2020
Description:SFR SOLAR PV SYSTEM 14 MODULES 5.18 KW
Inspector Area: 4 Legal Desc.: N TR 9260 LOT 55
I P EC O
Owner: NEIFERT KEVIN
Contractor:
N R G CLEAN POWER INC
Architect:
V
1
Address: 1903 YACHT PURITAN
Address:
7012 OWENSMOUTH AVENUE
Address:
NEWPORT BEACH, CA 92660
CANOGA PARK,. CA 91303
Phone:
Phone:
818-633-3383
Phone:
State Lie:.
Applicant: WHITING ALEX
Con State Lie:
1026168
Engineer:
•++s
° °
Address: 12273 11TH ST
Lie Expire:.
04/30/2021
Address:
•, m •
a a
YUCAIPA CA 92399
Bus Lie:
BT30057663
s` • ° •
o o a o a °
Phone: 909-488-9726
Lie Exp Date:
01/31/2021
Phone:
State Lic:
°
Code Edit: 2019
Worker's Compensation Insurance
Designer:
TAMIRYOSSI
•
n oac
Type of Construction: VB
Carrier:
CHUBB
Address:
7012 OWENSMOUTH AV
Occupancy Group: R31U
Policy No:
2071779243
CANOGA PARK CA 91303
No of Stories: 1
Expire:
06/01/2020
Phone:
800-698-6627
0000
0
Building Setbacks
Rear.
ommoa
Use Zone:
Front:
Bldg Height: 0
Left:
Right:
000•
�oamon
0
0 0
Doom
Immo
Valutaion: $31,080.00
-
Building Permit Fee $240.00
Record Management (8 1/2 X 11)
$0.00
Plan Check Fee : $210.00
Record Management (Plans)
$0.00
TOTAL FE $$450.00
Plan
Check Fee : $210.00
Fee Due at Permit Issuance :
$240.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:y
PUBLIC WORKS
PLAN CHECK BY
APPROVAL TO IS
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID /A
INSTALL OR VERIFY SMOKE AND CARBON MONOXIDE DETECTORS ARE EXISTING PER CRCR 314.1 & 315.2
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) Ihave placednext to the applicable.item(s)
(Section 7031.5, Business and Professions Code: Any city or county 'that requires -a permit toconstruct,: alter, improve,: demolish,. or repair any structure, prior to its issuance,. also requires the applicant for
the permit to file signed statement that. .heor she is licensed: pursuant to the provisions of: the; Contractors' State License Law (Chapter 9:(commencing withSection7000):: of Division 3 o the Business: and
Professions Code) or that he or she: is exempt from licensure and the basisfor the alleged exemption. Any violation of Section 7031.5 by any applicant: for a permit subjects: the applicant to a -:civil penaltyof
not more than five hundred dollars ($500).
111. 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' toan owner of property who, through employees` or personal effort, builds or improves the property;.: providedthat the
Improvements are not intended or offered: for sale. 1f, however, thebuilding or improvement 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).
❑ I, as owner of the property,: amexclusively 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:tothe Contractors' State License'Law).
❑ J am exempt from [!censure under the Contractors'' State License Law for the: following: reason:
By my: signature below 1 acknowledge that, except formy personal residence in: which I must have resided for at least: one year prior to completion of they improvements covered bythis. permit; I cannot legally
sell a structure that I have. built as an owner -builder if it notbeen 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 "Issubmitted !or: at the following Web:site:http:/ANWW.leginfo.ca.gov/calaw.html.
SignatureofPrgp4Ry bmerorAuthorized Agent. Date,
LICEN, ED'CONTkACTOR'S DECLARATION
I I reby affirm Lmd@r:penalty of perjury that I am licensed under provisions of. Chapter 9.(commencing with action 7000) of Division 3 of the Business and, Professi�Code,my license is in full force
at effe&.
Licensd'C�lass C1D License No' 1026168 Date4/24/2020 Contractor Signature
,.:.,e..r. ,....,...,�.,�...r,.,.,...�.., ..I A—' .., �.
IARNjNG4 gAILURE IN RECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES' UP' TO ONE. HUNDRED' THOUSAND DOLLARS t610D,000), IN. ADDITION TO THE
,yS 1 OFCOMPENS ATION&DAMAGES AS PROVIDED FOR IN SECTION 9706 OF THE LABOR CODE{ INTEREST, AND. ATrORNErS FEES.
helgby efrirn under;%rtaltyof perjury one of the: following declarations:
�1+is?e 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 the
caance of theworll; for which this: permit is issued.: Policy No:
•ve *and wilrraaintarn 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
I me tamer ar4lagllcy number are:.
rrier•••CHUBSPolicy Number 2071778243 Expiration Date. 6/1/2020
lame of Agent Phone #
71 certifysthat, in the performance of the workfor wnich'this permit is issued, I -shall not employ any person in any :manner soas to become subject to the workers' compensation laws of California„ and agree
iat, if [should becomes Iect to th w rke pensation provisions of Section 3700 of the Labor Code, I'shall forthwith complywith those provisions..
signature ofAppiicant //� {{ss .Date 4/24/2020
IECLARATION� REG RDING CONssTTRlICT10N LENDING -AGENCY
hereby affirm under perjury :that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097,': Civil Code).
tinder's Name Lender's Address
;y my signature below, I. certify to each of the following:
I am the property owner or authorized to act on: the property owners behalf.
I have read this application: and the information have provided is correct.
I agree to complywith allapplicable city and county ordinances and state la relating to building construction.
I authorize: representatives of this cityor county to enter the ab de property for lnspection purposes.
signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name, ALEX WHITING Dat 4/24/2021
ACTION DATE BY
DECLARATION OFCOMPiJANCEINITHCODEOF
FEDERAL REGULATIONSPART61':OFT17LE40'AND
AQMD RULE 1403•:
❑ /'SUBMITTED ASBESTOSM077FICATIONTO:
❑ EPA
❑ .AQMD
E3ASBESTOS NOTIRC47IONIS NOTAPPLICABLETQ
PROPOSEDDEMOUTION.
SIGNATURE:.
FOR OFFICE USE ONLY
PERMIT EXPIRED
PERM, ITCANCELLED
PERMITEXTENDED
PERMIT FINAL %n7 ZO
CERTIRCATEOF
OCCUPANCYISSUED:
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