HomeMy WebLinkAboutPV2021-041 - Permitsw rr y,City of Newport Beach - Building Divistion
PO Box 1768 Newport Beach, California 92658-8915
SOLAR Permit: PV2021-041
Permit Counter Telephone (949)644-3288
Inspection Requests/Telephone (949)644-3255
Job Address: 205 CANAL ST NB
Description:SFR SOLAR PHOTOVOLTAIC SYSTEM. 8.32 kw, (26) ROOF MOUNTED PANELS
Inspector Area: 1 1 Legal Desc
Owner: MOELLENHOFF LIVI DAVID
Address: 309-32 HUNT CLUB DR
SAN JUAN CAPISTRANO CA 92675
Phone:
Applicant: MILLER TIM
Address: 801 GLENNEYRE ST STE A
LAGUNA BEACH CA 92651
Phone: 714.906-1549
Code Edit: 2019
Type of Construction: V -B -SPR
Occupancy Group: R3/U
No of Stories: 2
Use Zone:
Bldg Height:
N TR 772 ELK 11 LOT 3
Contractor:
SADLER SOLAR
Address:
30502 S COAST HWY #B4
Bus Lic:
LAGUNA BEACH CA 92651
Phone:
949.584.4800
Con State Lic:
982533
Lic Expire:
04/30/2021
Bus Lic:
BT30073175
Lic Exp Date:
10/31/2023
Worker's Compensation Insurance
Carrier: EXEMPT NO EMPLOYEES
Policy No:
Expire:
Building Setbacks Rear:
Front:
Left:
Right:
IIIII��P0II0 4I�III
Project No : 0610-2021
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Architect: Cf)
Address:
Phone: State Lic: r'1i
Engineer:
MCPHERSON RYAN JAMES
Address:
6169 SUNNY CIR
MIRA LOMA CA 91752
Phone:
909-569-2244 State Lic:C-082088
Designer:
SADLER MICHAEL
Address:
801 GLENNEYRE ST #A
LAGUNA BEACH CA 92651
Phone:
949.906.1549
Valutaion : $49,920.00
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 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: I 1
GRADING APPROVAL: m m m ®• • APPROVAL m0 ISSUE:
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PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR CAST VALID INSPECTION.
INSTALL OR VERIFY SMOKE AND CARBON NIyQItOXQE DETEC oOR S ARE EXISTING PER CRCR 314.1 & 315.2
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ER -BUILDER 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)
iection 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
ie 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
'rofessions 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
of more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do L) 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
nprovements 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
nproved for the purpose of sale).
1, 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
pply 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:
y 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 legally
ell 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/caiaw.htm].
ignature of Property Owner or Authorized Agent Date
ICENSED CONTRACTOR'S DECLARATION
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
nd effect.99 ��
—
icense Class License No Date ��b Z t Contractor Signetj /7 '
JORKERS' COMPENSATION DECLARATION
ARMING: 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 ($100,000), IN ADDITION TO THE
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:
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
)rmance of the work for which this permit is issued. Policy No.
have 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' compensa
rance carrier and policy number are:
Policy Number
Date
die of Agent Phone 9
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 s//.Ibject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant Y ✓Z-- D `�( —Z'4 24
CLARATION REG/2IF�� G CONSTRUCTION LENDING AGENCY
rreby affirm under natty 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).
Ider'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 ordinances and state laws relating to building construction.
I authorize representatives of this city or county t enter bove-identified property for inspection purposes. f'� f ./- �{
nature of Property Owner or Authorized Age QG`� Print Property Owner's or Authorized Agent's Name !� °-yrtl Cto 41Date L
ACTION I DATE � I f BY
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