HomeMy WebLinkAboutPV2021-254 - Permitst City of Newport Beach - Building Divistion
PO Box 1768 Newport Beach, California 92658-8915
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SOLAR Permit: PV2021-254
Permit Counter Telephone (949)644-3288
Inspection Requests/Telephone (949)644-3255
Job AdareSS: 16 BAY 15LAND NB
Description:SFR SOLAR PHOTOVOLTAIC 4.4kw, (11) ROOF MOUNTED PANELS
Inspector Area: 1
Legal Desc.: S TWP 6 RGE 10 SEC 34
Owner: BAY ISLAND CLUB
Contractor:
MAVERICK CONSTRUCTION
Address: 18 BAY ISLAND
Address:
6233 CHERRY AVE
NEWPORT BEACH, CA 92661
LONG BEACH CA 90805
Phone:
Phone:
800-987-7785
Applicant: MULLEN TOBY
Con State Lic:
806493
Address: 6233 CHERRY AVE
Lic Expire:
04130/2022
LAGUNA BEACH CA 90805
Bus Lic:
BT30069454
Phone: 562-244-5230
Lic Exp Date:
11130/2022
Code Edit: 2019
Worker's Compensation Insurance
Type of Construction: V-B
Carrier:
STATE FUND
Occupancy Group: R3/U
Policy No:
9049949
No of Stories: 3
Expire:
0410112022
Building Setbacks
Rear:
Use Zone:
Front:
Bldg Height: 0
Left:
Right:
Valutaion : $26,400.00
Building Permit Fee $240.00
Plan Check Fee: $210.00
TOTAL FEE: $450.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
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Plan Check Fee : $210.00
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
Project No : 2877-2021
Issued Date :
0
State Lic:
MORALES DOUGLAS
20751 KELVIN LN
HUNTINGTON BEACH CA 92656
949-285-5104 State Lic:C-069
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Record Management (8 1/2 X 11)
Record Management (Plans) :
Fee Due at Permit Issuance
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
'PV2021-254'
$0.00
$0.00
$240.00
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7WNER-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
the permit to l lg,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-Coo.el Br 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 wore than five hundred dollars ($500).
IT 0 F as owR �rdf.Ill.s property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 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 property, provided that the
Ih W8vements 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
im .roved for the Tft)ose of sale).
0:1!as Own(frVT fhe 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 bi-property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
® *12m exe; T t from licensure under the Contractors' State License Law for the following reason:
By ml 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 legal)
sp11%structuratha41.1have 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 t9V i4available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
Signature of P;opeay Owner or Authorized Agent Date
dAC ASEDCONTg2A.CTOR'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 Prof ons Code,, aandd my license is in full force
and effect. Jr' .,/iC'
License Class �"%L License No �U4% S 3 Date /� �/7/ 2" Z— Contractor Signature / l
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 ATTORNEYS FEES.
I hereby affirm under penalty of perjury one of the following declarations:
111 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.
have 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'
rance carrier and policy number are:
Policy Number
Date
1e of Agent D-K— C r1ro r L I i none s
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
if I should become subje"„the workers„ compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
of Applicant
Date y I/ 7/ Z 2
)ECLARATION REGARDING CPNSTRUCTION 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, Civil Code).
.ender's Name Lender's Address
ty 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 nances and state laws relating to building construction.
I authorize representatives of this city oz Z
r county abo f d erty for inspection purposes. LN�j l ! Date
/
signature of Property Owner or Authorized Agenf, Print Property Owner's or Authorized Agent's Name ll _[
ACTION DATE BY
FEDERAL REGULATIONS PART 61 OF TITLE40AND
EXPIRED AQMD RULE 1403.
❑ I SUBMITTED ASBESTOS NOTfFICATION TO:
CANCELLED ❑ EPA
❑ AQMD
NOT APPLICABLE TO
PERMIT FINAL 11 PROPOSED`
C✓_<Rf7FICATEOF IIJJ
OCCUPANCYISSUED SIGNATURE: