The URL can be used to link to this page

Home My WebLink AboutPV2021-195 - Permitshr, City of Newport Beach - Building Divistion a �` PO Box 1768 Newport Beach, California 92658-8915 `�.'t� I4 ,�'�c ��,� SOLAR Permit: PV2021-195 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Permit Counter Telephone (949)644-3288 Inspection Requests/Telephone (949)644-3255 Project No : 2362-2021 Job Address: 2036 GALAXY DR NB - ; -Issued pate 11123(2021 Description:SFR SOLAR PV SYSTEM- 26 PANELS 9.68 KW Inspector Area: 3 Legal Desc.: N TR 4224 LOT 9 F A.'_ Owner: SALENE DAVID TR Contractor: ORANGE COUNTY CONTRACTING Architect: t Address: 2036 GALAXY DR Address: 358 S WHEELER PL Address: NEWPORT BEACH, CA 92660 ORANGE CA 92869 Phone: 949/734-4683 Phone: 714401-7242 Phone: State Lic: Applicant: YEAGER SARAH Con State Lic: 1023627 Engineer: MUNYANZIZA, EUGENE Address: 24 EXECUTIVE PARK #230 Lic Expire: 02/2812023 Address: 250 WILKERSON AVE APT 160 IRVINE CA 92614 Bus Lic: BT30061755 PERRIS CA 92570 Phone: 5621315-3497 Lic Exp Date: 01/31/2022 Phone: 951.355-3348 State Lic:C-088783 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: 04/0812022 Phone: Building Setbacks Rear: - Use Zone: Front: Bldg Height: 0 Left: Right: i N %E CTO Valutaion : $59,280.00 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: ZONING APPROVAL: GRADING APPROVAL: PUBLIC WORKS APPROVAL: PLAN CHECK BY: 6-D yr Tr 141iL APPROVAL TO ISSUE: m ®mo mom mGm o m m o o ... P9UMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. 0 INSTALL OR VERIFY SMOKE AND CARBON MONOXIDE DETECTORS ARE EXISTING PER CRCR 314.1 & 315.2 m ono 0 0 0 o m m c ° •e m m ° m ° °mo moo o e •m° •• •°• OWNER -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 th7ap�licttn+,for bleyltem(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 ree applican+,forthe 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 Divisioe Business andProfessions 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 applicivil penalty ofnot 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 U portions of the work, and the structure is not intended or offered for son 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 propided that theimprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Builderwill have the burden of proving ts not built or improved for the purpose 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 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 Iicensure 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, I cannot Iegall 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://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I 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 and effect. License Class License No Dat Contractor Signature 1\ 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 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: bave 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 tmmance 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' compensationce carrier and policy number are: r Policy Number Expiration Date Name 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 agre that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant t)k:�� \ te_ 11/z3 �L I DECLARATION REGARDIN ING AGENCY I hereby 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). Lender's Name Lender's Address By 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 en he -a -identified property for inspection purposes. 1� Signature of Property Owner or Authorized Agent -,Print Property Owner's or Authorized Agent's Name tGS S Xa Date 1J 2 ACTION DATE BY DECLARATION' OF COMPLIANCE IMfTH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART &'! OF T17tE40 AND AQMD RtItE'l4d3. •:. ';• �.. . PERMITEXPIRED ❑ I SUBMITTED ASBESTOS AY7T1r/CAT�f3N T0: , • • ❑ EPA • • • • � • • � ... • • • • . � PERMITCANCEttEQ ❑ AQMD � � �•� •.: •�• •: PFRMITEh7ENQEQ ASBESTOS ND'RRCATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. • • � • � � � PERMIT FINAL CERTIFfCATEQF SIGNATURE: : ; ;�• �•• ;•, OCCUPANCYISSUEQ � • . • � �• . �