HomeMy WebLinkAboutPV2020-143 - PermitsCity of Newport Beach - Building Divistion SOLAR Permit: PV2020-143 'PV2020-143'
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PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288
Project No : 1677-2020
pest s�l�py of rr^ ^ tis^e (�
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Date: b- I - 2 If applicable:
Job Address: 11 JASMINE CREE L DR NB Issue I Date : 09/26/2020
Description:MFR SOLAR PHOTO OLTAIC SYSTEM 24 PANELS 8.16 ❑ 80% or ❑ 100% refund
Inspector Area: (� gal c.: - 26 ,/1�� 1��q
Owner: DUDA BRENDAN tractNS%dR=t0 �APchite f' SPEC T®1
Address: 11 JASMINE CREE DR Address: 2102 ALTON PARKWAY #B Address:
CORONA DEL MA CA 1 IT
Phone: 831-236-1248 - Phone: State 1c:Applicant: STABLEIN SAM C to c: 7 Engineer: CHILDS JAMESAddress: 2102 ALTON PKWY TE1 Address: 1504 SPICE SKY DR
IRVINE, CA 92606 Bus Lie: BT3002682T LAS VEGAS NV:89128 • °
Phone: 714-496.0688 Lie Exp Date: 0212812021 Phone: State ic:C-050776
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Code Edit: Zulu Worker's Cam satlon Insurance • esi er:
:1 Dig rd plan ee
Type of Construction: V-S de ICH AMERI
Occupancy Group: R31U �, ley 3107458502 No of Stories: 2 - I 10131/2020 o
(work sfz�r`��d} (no won't started)
Building Setbacks Rear:
Use Zone: Front:
Bldg Height: 0 s Note:
e®e® U
O O eee0
Right:
Insp. initials:
Valutalon : $48,960.00 - -
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: $240.00
PROCESSED BY: l�� 1��/ysomwo�� PUBLIC WORKS APPROVAL:
ZONING APPROVAL: �ll�� PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
INSTALL OR VERIFY SMOKE AND CARBON MONOXIDE DETECTORS ARE EXISTING PER CRCR 314.1 &. 315.2
I hereby affirm in
:don 7031rLttsl
permit to fil`;F,�,' I
ressions GOO�ryOr
more than fidhw
1, as owner ofthe
iness and PrOfesE
rovements ai*.nol
roved for the purp
I, as owner of the
ly to an owner of 1
1 am exemp4fram
ny signaitio bplpl
alstrocture that I J
%csions Gode' is,
3ature of PtopM
'@LASED CONTf
eby affirmundan
•Elffeof. •.. Cl
ruse Class��.
gKERS;CQ$V
WING: FAILURE TO SI
7 QF COMPENSATIM
nVy affirrip fingdl:
L have and wlli a
Ince QMfle %
avand 4v11 ms
once carrier and
penalty of perjury that 1, am exempt from the Contractors' state License Law Tor me reasont3i mOlcareu u 1 - -
s a err, Improve, emclish. or repair any structure, prio
statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with
he sh I gxempI from Hoppe and the asis for the alleged exemption. An viola b an applicant for a
ri d Ion, ,� I- e p y 1�'I'f4P�: v v pp I
)arty, or my employees with wages as their sole compensation, will do U all of or Uzi q(�he worl�,.�nd tpg,�(�µclure II tt I
I C ntrado Lice L es t a n party wl o Fliro tjrarr4j1�Y@etlI of [A2i(f9I 6�MrtlUl1
Ind or o fors we a b g i ov sold N one year of completion, the Owner -Builder will haw
of le).
under the Contractors' State License Law for the following
the Contractors' State
one year pnor to completion ore
. I understand that a copy of the
1 of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profs
license No 888104 A."ex 9/{255//20 (�[C`�ntractor Ignstur dZ
1 ION E yx�yrrqq�,■ � I +�
V RKER CO I gwyE Is N D HALL sUBJEOTYE L E UNORED'
V10 OR S 3 60 E O ,INTEREST, AN FEES.
I of perjury one (no (no Work started)
i a certificate o consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for
which this permit is issued. Policy No.
compensation
numberare: , Is
WC-1074582-02
;an Policy Number Insp. initit3fnn Gate_ 1 /3
placed next to the applicable Item(s)
issuance, also requires the applicant for
m 7000) of Division 3 of the Business and
subjects the appit -.ant to a civil penalty of
Id or offered for sale (Section 7044,
mproves the property, provided that the
urden of proving teat it was not built or
ontractors' Stale License Law does not
Tse Law).
ants covered by this permit, I cannot legal
1w,-Section 7044 cf the Business and
Date
ions ..ode, !aand my license is in full force
,;f.
OUS DOLLARS (t 100,000), IN ADOITiON TO TH
a�
S. 'on 3700 c. the Labor Code, for t
+ issued. My workers' compensati,
me 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 lays of California, and ag
t, if I should become subject to the workers'
compensation provisions of Section 3700 of the tabor Code, I shall forthwith comply with those provisions.
nature of Applicant dCLhZ 4C,�Gr Dated/ 9/� 25/2020
CLARATION REGARDING ING CONSTRUCTION LENDING AGENCY
treby 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).
ider's Name Lenders Address
my signature below, I certify to each of the following:
I am the property owner or authorized to act an the property owner's behalf.
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 enter the above -I a dried property for inspection purposes. 9/25//20
_ .. _ _ _ ,i Sam Stablein ._
pffw-r* T
DATE I BY
I PERMITCANCELLED I I I
❑ f SUBh91TfEDASSESTOS NO71FfCATION W:
❑ EPA
❑ AQMD
❑ ASBESTOS NOTIFICADONIS NOTAPPLICABLE TO
PROPOSEDDEMOLITIOAL
CERTIFiCATEOF
OCCUPANCYWUED
SIGNATURE.,