HomeMy WebLinkAboutPV2021-208 - Permitsa a¢ City of Newport Beach - Building Divistion
F PO Box 1768 Newport Beach, California 92658-8915
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SOLAR Permit: PV2021-208
Permit Counter Telephone 949 644-3288
Requests/Telephone (949)644-3255
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Project No : 2475-2021
Job Address: 1201 OUTRIGGER DR NB
Issued Date : 1210212021
Description:SFR SOLAR PHOTOVOLTAIC 7.10kw, 20 ROOF MOUNTED PANELS
Inspector Area: 6
Legal Desc.: N TR 6634 LOT 48
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Owner: PRICE JAMES
Contractor:
SEMPER SOLARIS CONSTRUCTION
Architect:
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Address: 1201 OUTRIGGER DR
NEWPORT BEACH CA 92660
Address:
10713 NORWALK BLVD
SANTA FE SPRINGS CA 90670
Address:
Phone:
Phone:
619-715-4054
Phone:
State Lic:
Applicant: ANDREWS SANTO
Con State Lic:
978152
Engineer:
WU HAROLD PING -HUNG
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Address: 10713 NORWALK BLVD
SANTA FE SPRINGS CA 90670
Lic Expire:
Bus Lic:
1013112022
BT30075814
Address:
1168 N SAN GABRIEL BL, STE N
ROSEMEAD CA 91770
Phone: 714-4045063
Lic Exp Date:
0713112022
Phone:
626.288-0708 State Lic:C-035693
Di
Code Edit: 2019
Worker's Compensation Insurance
Designer:
GROONTONK JOSH
Type of Construction: V-B
Carrier:
MIDWEST INS CO.
Address:
10713 NORWALK BLVD
Occupancy Group: R31U
Policy No:
BNUWC0155108
SANTA FE SPRINGS CA 90670
No of Stories: 2
Expire:
10110/2022
Phone:
Building Setbacks
Rear.
Use Zone:
Front:
Bldg Height: 0
Left:
Right:
Valutaion : $42,600.00
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:
APPROVAL TO ISSUE:
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PERMITS EXPIRE 18C-DAYS AFTER I,'SUANCE•OR L-Rs r VALID INSPECTION.
INSTALL OR VERIFY SMOKE AND CARBON MONOXIDE DETECTORS ARE EXISTING PER CRCR 314.1 & 315.2
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DWNER-BUILDER DECLARATION
1 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 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 property, or my employees with wages as their sole compensation, will do L) all of or U 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
improvements 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 the purpose of sale).
❑ 1, 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 licensure 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 legall)
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 PvelLlpsions Code, and y license is in full force
and effect.
License Class License No D Contractor Signa
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUB.IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOL RS ($100,000(, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
111 have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
performance of the work for which this permit is issued. Policy No.
and will armain workers' com$ensation insurance, as re L +[ad by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
carrier nh d'lsolicv number area.
IS of Agent
certify that, in h erformance of the w
if I should become
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workers'
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this permit is issued, 1_sW not employ any person in any manner so as to become subject to the workers' compensation laws of California, and
atien provisions o c ion 3700 of the Labor Code, I shall forthwith comply with those provisions. — . _ - „ ,-.,7
hereby affirm under penalty of perjury that there is 9 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
y 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 countyordinances and a laws relating to b ' g construction.
I authorize representatives of this city or coun to r the abgve- Pied prope r inspection purposes.
signature of Property Owner or Authorized Agent �/%i/ er Print Property Owner's or Authorized Agent's Name �am OlAy ✓5
ACTION
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