HomeMy WebLinkAboutPV2021-109 - Permitswart, City of Newport Beach - Building Divistion SOLAR Permit: PV2021-109
PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288
Inspection Requestsrrelephone (949)644-3255
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171
Job Address: 38 CORAL REEF NB
Description:SFR NEW PV SYSTEM 6.4 KW (DC)/4.98 KW (AC) 16 PANELS
Inspector Area: 6 Legal Desc.: N TR 14859 LOT 73
Owner:
TAYLOR BRADLEY
Contractor:
Address:
38 CORAL REEF
Address:
Occupancy Group:
NEWPORT COAST, CA 92657
Policy No: BNUWC0152487
Phone:
714-932-8238
Phone:
Applicant:
ANDREWS SANTO
Con State Lie:
Address:
10713 NORWALK BLVD
Lie Expire:
Bldg Height:
SANTA FE SPRINGS, CA 90670
Bus Lic:
Phone:
714-404-5063
Lie Exp Date:
SEMPER SOLARIS CONSTRUCTION Architect:
1805 JON TOWERS AVE Address:
*PV2021-109*
Project No : 1531-2021
ELECTF11CAL MET LLIC TUBING
(EMIT) IS NOT ALLOWED FOR
EL CAJON CA 92020 EX T EIRIOR APPLICATIONGe ..
0 0
619-715-4054 Phone: State Lie:
00o e
978152 Engineer: • • o
10/31/2022 Address: e
BT30075814
07/31/2022 Phone: State Lie: e
cooaco
Code Edit :
2019
Worker's Compensation Insurance
Type of Construction:
V -B
Carrier: STATE FUND
Occupancy Group:
R3/U
Policy No: BNUWC0152487
No of Stories:
2
Expire: 1011012021
Phone:
619.715.4054
Building Setbacks Rear: 0
Use Zone:
PC52
Front: 10
Bldg Height:
0
Len: 0
Right: 0
Valutaion: $20,000.00
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
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Designer:
SEMPER SOLARIS
Address:
10713 NORWALK BLVD
00 om
SANTA FE SPRINGS, CA 90670
°
Phone:
619.715.4054
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Valutaion: $20,000.00
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
PUBLIC WORKS APPROVAL:
PLAN CHECK BY: �T�\�)
APPROVAL TO ISSUE: s J
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
INSTALL OR VERIFY SMOKE AND CARBON MONOXIDE DETECTORS ARE EXISTING PER CRCR 314.1 8 315.2
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PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
PUBLIC WORKS APPROVAL:
PLAN CHECK BY: �T�\�)
APPROVAL TO ISSUE: s J
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
INSTALL OR VERIFY SMOKE AND CARBON MONOXIDE DETECTORS ARE EXISTING PER CRCR 314.1 8 315.2
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VNER-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)
Iction 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
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
rfessions 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
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 L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
siness 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
)rovements 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
)roved 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
)Iy 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:
my signature bA"%l 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 legal:
a structure tAgt l Jip9e 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
ifessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
naiurc of Propekty Miner or Authorized Agent Date
TENSED CONTRACTOR'S DECLARATION e
aNpjjlaffirm undgr penalty of perjury that I am licensed under provisions of Chapter 9 (commencing it Section 7000) of Division 3 of the Business an Pry essjons Code, and my f en 's -in full force
I effgct. ��� )
arse Class . License No Date �1 Contractor Signature
)RKERS' COMPENSATION DECLARATION
1ARNING:4AILURffM SEBURE 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
UST CPCOMPENSATIDN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
r9(�t9'Vffirm unger penalty of perjury one of the following declarations:
I 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 the
••••••
ormance of thg work •for which this permit is issued. Policy No.
ave and will
sumaintain 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' compensation
rance carrier nd p _licy tuber are: .t/` �7 P
;artier '� a Policy Number �O'V C ([Lj C�y Expiration Date
lame of Agent fi n.AI-C,t ��GTr l Phone # � L-( — C- 1n
I certify that, in the erfo man�e of th ork for which this per issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre,
tat, if I should become u j Cf"to the workers' comp nsation vi ons of Section 3700 of the Labor Code, shall forthwith comply with those provisions. -�) /( c
Iignature of Applicant Date / / I L
)ECLARATION REGAR INC NSR CTI L NDI AGE CY
hereby affirm under penalty f perjury that there is a const ucti lending agency for the performance of the work for which this permit is issued (Section 3097, Ci 'I Code).
ender's Name Lender's 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 have provided is correct.
I agree to comply with all applicable city and my ordinances and state laws relating to building construction.
I authorize representatives of this city or coup o enter the abov ' ntified property for inspection purposes.
Iignature of Property Owner or Authorized Agent—�%".',/� /Y1� Print Property Owner's or Authorized Agent's Name to c
ACnON DATE ) BY 4-t7+trl+rfulr ur UVIVIV"AIVUE vn r n � Vuc yr ruff urtrt,t u3t ulvi.r
FEDERAL REGULATIONSPART 6f OF T17LE40 AND
PERMIT EXPIRED AQMDRULE 1403.
❑ I SUBMITTED ASBESTOS NOTIFICATION TO:
PERMIT CANCELLED ❑ EPA
PERMIT EXTENDED ❑ AQMO
PERMIT FINAL ?,13-2,1 P❑ROPOSEDTDEMOLITIION.OS TION l5 NOT APPLICABLE TO
CERTIFICATE OF
OCCUPANCYISSUED SIGNATURE:
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