HomeMy WebLinkAboutPV2022-033 - Permits$v City of Newport Beach - Building Divistion
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PO Box 1768 Newport Beach, California 92658-8915
P'IUPa>A�3 .
Job Address: 1242 SOMERSET LN NB
Description:SFR INSTALL SOLAR PANELS (24) 8.6 kW
Inspector Area: 3
Owner: HOFFMAN ERIC
Address: 1242 SOMERSET LN
NEWPORT BEACH CA 92660
Phone
Applicant: MYERS RYAN
Address: 119 CAMINO LEON
CAMARILLO CA 93012
Phone: 714/330-2240
Code Edit : 2019
Type of Construction: V-B
Occupancy Group: R3/U
No of Stories: 0
Legal Desc.: N TR 3032 LOT 31
SOLAR Permit: PV2022-033
Permit Counter Telephone (949)644-3288
Inspection Requests/Telephone (949)644-3255
Contractor:
R 3 BUILDERS
Address:
119 CAMINO LEON
CAMARILLO, CA 93012
Phone:
714-330-2240
Con State Lie:
936205
Lie Expire:
08/31/2023
Bus Lie:
BT30066407
Lie Exp Date:
12/31/2022
Worker's Compensation Insurance
Carrier: NO EMPLOYEES
Policy No:
Expire: Phone:
Architect:
Address:
Phone:
IIIlliiiiiiiiiiii91111
Project No : 0439-2022
Issued Date : 0310412022
State Lie:
Engineer: XUAN GANG
Address: 28367 INDUSTRIAL BLVD
HAYWARD CA 94545
Phone: 800-227-9523 State Lic:S-006504
Building Setbacks Rear:
Use Zone: Front:
Bldg Height: 0 Left:
Right:
Designer: GUERRO MARCO
Address: 2815 JUNIPERO AV
SIGNAL HILL CA
Valutaion : $18,000.00
Building Permit Fee $240.00 Record Management (8 1/2X 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:
PUBLIC WORKS APPROVAL: //�
PLAN CHECK BY: ew Ls
GRADING APPROVAL: •�, APPROVAL TO ISSUE:
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0 0
00 0 0 0 0 0 0 0
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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
00 o 0 0 0 °o •oo
0
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IWNER-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 items)
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
le 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 ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
nproved for the purpose of sale).
1 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
7 I am exempt from licensure under the Contractors' State License Law for the following reason:
ly my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally
ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profession$.6a�Le, a my license is in full force
nd effect. r�l CJ
icense Class License No Date Contractor Signature y
PORKERS' COMPENSATION DECLARATION
IARNING: 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
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37D6 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
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 th
Du
rmance of the work for which this permit is issued. PolicyNo.
eve 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' compensatiol
ance carrier and policy number are:
Policy Number
Date
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 subject to themNSe worl�I{I�—rs1 pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ^�I ^� natureofIONpIlican'REGINGCOTRU IT�06 NZEND GENCY 0 3
CLARAT;reby 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).
rder'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 owners behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county ordinan d state laws relating to building construction.
I authorize representatives of this city or county to enter t abov Id tified property for inspection purposes. /' gA e)K
mature of Property Owner or Authorized Agent �- l Print Property Owners or Authorized Agent's Name l / T/' Date
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF
FOR OFFICE USE ONLY
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FEDERAL REGULATIONS PART 61 OF T17LE40AND
AQMD RULE 9403.
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