HomeMy WebLinkAboutPV2020-091 - PermitsCity of Newport Beach - Building Divistion
PO Box 1768 Newport Beach, California 92658-8915
SOLAR Permit: PV2020-091
Permit Counter Telephone (949)644-3288
Inspection Requestslrelephone (949)644-3255
Project No : 1112-2020
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Job Address: 1948 PORT NELSON PL NB
Issued Date
: 06/2312020
Description:SFR - SOLAR PHOTOVOLTAIC 2.8 kW 7 PANELS
Inspector Area: 4 Legal
Desc.: N TR 7028 LOT 29
' SP ECD;TU
Owner: RAKUNAS RON & MONICA
Contractor:
URBAN ENERGY
Architect:
Address: 1961 PORT RAMSGATE PL
Address:
10192 CONSTITUTION DR
Address:
NEWPORT BEACH, CA 92660
HUNTINGTON BEACH, CA 92646
Phone: 949-274-0044
Phone:
562-447-4971
Phone:
State Lic:
Applicant: ALEXANDER MITCH
Con State Lic:
944115
Engineer:
TRUONG PHONG
Address: 10192 CONSTITUTION DR
Lic Expire:
12/31/2021
Address:
20754 TIMBERLINE LN
HUNTINGTON BEACH CA 92646
Bus Lic:
BT30064588
WALNUT CA 91789
Phone: 530.515-5561
Lic Exp Date:
09130/2020
Phone:
m m m m
949-254-2751 State Lic:C-070784`mm�.
Code Edit: 2019
Worker's Compensation Insurance
Designer:
• °;
Type of Construction: VB
Carrier:
STATE FUND
Address:
,
• ° °
Occupancy Group: R21U
Policy No:
9021421
No of Stories: 1
Expire:
06/0112021
Phone:
° o m
Building Setbacks
Rear:
Use Zone:
Front:�-
Bldg Height: 0
Left:
Right:
C
Valutaion: $16,800.00
Building Permit Permit Fee $240.00
Record Management (8 112 X 11)
°.$0.40
Plan Check Fee : $210.00
Record Management (Plans)
TOTAL F : $450.0
Plan Check Fee : $0.00
Fee Due at Permit Issuance :
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$456.UU'
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PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
PUBLIC WORKS
PLAN CHECK BY
APPROVAL TO I:
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
INSTALL OR VERIFY SMOKE AND CARBON MONOXIDE DETECTORS ARE EXISTING PER CRCR 314.1 B 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) 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
he permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Slate License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Drofessions 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
iot more than five hundred dollars ($500).
❑ I, 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,
3usiness 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
mprovements 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
'mproved for the purpose of sale)..
❑ I, asowner 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, 1 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://Ww .leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under.Wwalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professsionnss Code,
oaa-nd my license is in full force
and effect. 0.. 0 ` 11M i l5 Date rte'"
License Ofass Fs to License No �� Contractor Signature
WORKERS' CQMPk7PSATION DECLARATION
N 14WG?F�1(LURE TO ECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001, IN ADDITION TO THE
CQETby- MPENSATlO3 DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm NI4Y p4*lty of perjury one of the following declarations:
• • f th
al • haVe and WiIT'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
�ance of ltp t l( for which this permit is issued. Policy No.
'End
• i•••
�I'hI$4 and •will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatlol
Policy Number qbZ l' 11 Expiration Date (o/ (,a (
dl.ceHify that, %r6t$rVperfomlance of the work for which this permit is issued, I shall not employ any person in any manner sbecome subject to the workers' compensation laws of California, and ogre
I§t• VItheuld become subject to t e orkers' compensation provicsions of Section 3700 of the Labor Code, I shall forthwith comm pll y with those provisions.
igrrattfr§ of Applicant Date
IVCLARALTIONIA DING CON T [ICTIONILENDING AGENCY
b9re6y affirm unrjefl)e ally of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, C'11 Code).
Ergel'y Name • Lender's Address
Iv 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 ordinances and state laws relating to building construction.
I authorize representatives of this city or county to ant r h� nye-i nlified property for inspection purposes. ^•' tU)Q�
ature of Property Owner or Authorized Agents -! - -,L Print Property Owner's or Authorized Agent's Name
ACTION DATE
\ BY
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FEDERAL REGULATIONS PART 61 OFTITLE40AND
ADMD RULE 1403.
❑ 1 SUBMITTEDASBESTOS NO77FICATION TO:
❑ EPA
AOMD
[3ASBESTOS NOITHCA170MIS NOTAPPLICABLE TO
PROPOSED DEMOLITION.
SIGNATURE:
PERMlTEXFiREO
PERMfTCANCELL€D
PERMITEXTENDED❑
PERMITFINAL
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