HomeMy WebLinkAboutPV2021-163 - Permits0ware City of Newport Beach - Building Divistion SOLAR Permit: PV2021-163
' .v PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288
_� Inspection Requests/Telephone (949)644-3255
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Job Address: 706 MARIGOLD AVE NB
Description:SFR SOLAR PV SYSTEM. 61 MODULES. 24.4 KW 4 Inspector Area: Legal Desc.: CORONA DEL MAR ELK 740 LOT 8
Owner: INOUYE WAYNE
Address: 703 HELIOTROPE AVE
CORONA DEL MAR CA 92625
Phone
Applicant: MILLERTIM
Address: 801 GLENNEYRE ST A
LAGUNA BEACH CA 92651
Phone: 714-906-1549
Code Edit: 2019
Type of Construction: V-B-SPR
Occupancy Group: R3/U
No of Stories: 2
Contractor: SADLER SOLAR
Address: 801 GLENNEYRE ST #A
LAGUNA BEACH CA 92651
Phone: 949-584-4800
Con State Lie:
982533
Lie Expire:
04/30/2023
Bus Lie:
BT30073175
Lie Exp Date:
1013112023
Worker's Compensation Insurance
Carrier: EXEMPT NO EMPLOYEES
Policy No:
Expire:
Building Setbacks Rear:
Use Zone: Front:
Bldg Height: 0 Left:
Right:
Project No : 2026-2021
Issued Date : 09/30/2021
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Valutaion : $35,000.00
Building Permit Fee $375.00 Record Management (8 1/2 X 11) $0.00
Plan Check Fee : $328.13 Record Management (Plans) $0.00
TOTAL FEE: $703.13 Plan Check Fee : $328.13 Fee Due at Permit Issuance : $375.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
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
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)
action 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
Ifessions 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 U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
>iness 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).
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
fly 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 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
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
Ifessions Cq�prig available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.html.
nature of Pro p ertrOwner or Authorized Agent Date
TENSED CONTRACTOR'S DECLARATION
iregy affirm underpenalty 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
I effect. "" 7
nse Class • License No Date 7TZ% Contractor Signature
;iKERS'SCQNA;ENSATION DECLARATION
1NG: FAILURE TIT 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
I COMPENiATiON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
Fei1y affirm wdeb penalty of perjury one of the following declarations:
Lrpe and vJ711 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 thl
rmance of the wok for which this permit is issued. Policy No.
ye and wilima stain 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' compensatior
J�rarlce cam: c 9d Qolicy number are:
Tier ' Policy Number Expiration Date
e of Agent Phone #
:ertify 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 agrer
if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
of Applicant / ///!
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IECLARATION REGARDING INSTRUCTION LENDING AGENCY
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
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 county ordinances and state laws relating to building construction.
I authorize representatives of this city or county enter the above -identified property for inspection purposes.
signature of Property Owner or Authorized Agent t� 2 Print Property Owner's or Authorized Agent's Name
Civil Code).
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ACTION
DATE
BY
DECLARATION OF COMPLIANCE VATH CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONSPART B4 OFTITLE40 AND
AQMD RULE 1403.
PERPAITEXPIRE➢
❑ I SUBMITTED ASBESTOS NOTIFICATION 10:
❑ EPA
❑ AQMD
PERMIT CANCELLED
PERMIT EXTENDED
P❑ASBESTOS ROPOSED DEMOLITION. LION 1S NOT APPLICABLE TO
PERMIT FINAL
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CERPORCATE OF
SIGNATURE.'
OCCUPANCYISSUED