HomeMy WebLinkAboutPV2021-231 - PermitsCity of Newport Beach - Building Divistion
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PO Box 1768 Newport Beach, California 92658-8915
SOLAR Permit: PV2021-231
Permit Counter Telephone (949)644-3288
Inspection Requests(Telephone (949)644-3255
Job Address: 1418 KEEL DR NB
Description:SFR SOLAR PV SYSTEM 28 MODULES. 10.36 KW
Inspector Area: 6 Legal Desc.: TR 6634 LOT 65 AND POR OF LOT 35
Owner:
VONKLEINSMID WALTER B
Contractor:
ORANGE COUNTY CONTRACTING
Architect:
Address:
1418 KEEL OR
Address:
358 S WHEELER PL
Address:
CORONA DEL MAR, CA 92625
ORANGE CA 92869
Phone:
Phone:
714-401-7242
Phone:
Applicant:
RAYMOND JESSE
Con State Lie:
1023627
Engineer:
Address:
24 EXECUTIVE PARK STE 230
Lie Expire:
02/28/2023
Address:
IRVINE CA 92614
Bus Lie:
BT30061755
Phone:
949-441-9386
Lie Exp Date:
01131/2022
Phone:
Code Edit:
2019
Worker's Compensation Insurance
Designer:
Type of Construction:
V-B
Carrier:
STARNET INS
Address:
Occupancy Group: R3/U
Policy No:
BNUWC0153760
No of Stories:
2
Expire:
04/08/2022
Phone:
Building Setbacks Rear:
Use Zone: Front:
Bldg Height: 0 Left:
Right:
Valutaion : - $26,500.00
Building Permit Fee $240.00
Plan Check Fee: $210.00
TOTAL FEE: $450.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee : $210.00
*PV2021-231*
Project No : 2748-2021
R c r f---% Issued Date : 12/08/23)91 •:m
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State Lie: • ° •
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MUNYANZIZA, EUGENE
250 WILKERSON AVE APT 160 o e e
PERRTS CA 92570
951-355-3348 State Lic:C-088783
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Record Management (8 1/2 X 11)
Record Management (Plans) :
Fee Due at Permit Issuance:
$0.00
$0.00
$240.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
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
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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)
(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
ithe 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
Professions 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
not more than five hundred dollars ($500).
I, as owner of the pfpperty, 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,
Business and PfdfdsW*s 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
TvionePnents 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
improved for thapurposz of sale).
• I, 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
appiyto 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: ay i 619nature VIM 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
441•%.%tructure (;jPat (Rave 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
QrofesyslDns Coda, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
Si nature of Property Owner or Authorized Agent Date
E612_HED CONTRACTOR'S DECLARATION
iherebt affirm dr}QpT 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
and' ef%tt. (z,<p
License Class .:...� License No Date Contractor Signature��
WORKERS' COMPENSATION DECLARATION
WARNING: 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
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0106 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under 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
performance of the work for which this permit is issued. Policy No.
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'
carrier and policy number are:
Policy Number
Date
me of Agent Phone #
I 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 agree
It, if I should becomesubjectto the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
(nature of ApplicartK Da/
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areby 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 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 coun ordinances and state laws relating to building construction.
I authorize representatives of this city or county en verrlentifiad property for inspection purposes.
nature of Property Owner or Authorized Agent H % Print Property Owner's or Authorized Agent's NameA-
ACTION
DATE
BY
DECLAHAI ION Of- COMPLIANCL WI I H CUUL Uf-
FOR OFFICE USE ONLY \
FEDERAL REGULATIONS PART 61 OF T1I LE40 AND
AOMD RULE 1403.
PERMIT EXPIRED
❑ t SUBMITTED ASBESTOS M071FICATION TO:.
❑ EPA
PERMITCANCELLED
❑ AQMD
PERMFFEXTENDED
❑ ASBESTOS NOTIFICARON IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMIT FINAL
CERTFiCAT€OF
SIGNATURE:
OCCUPANCYISSUED