HomeMy WebLinkAboutPV2020-109 - Permitsw14 City of Newport Beach - Building Divistion
PO Box 1768 Newport Beach, California 92658-8915
a
2MiiYp4TF.
SOLAR Permit: PV2020-109
Permit Counter Telephone (949)644-3288
Inspection Requests/Telephone (949)644-3255
Job Address: 3700 CHANNEL PL NB
Description:SFR SOLAR PHOTOVOLTAIC 3.2kw, (8) ROOF MOUNTED PANELS
Inspector Area: 1 Legal Desc.: CANAL SECTION LOT 1 BLK 637 ALL -INC BET SAME & HIGH TIDE
LINE -
Owner: SIMMONS/BRIGHTWELL
Address: 3700 CHANNEL PL
NEWPORT BEACH CA 92663
Phone:
Applicant: ALEXANDER MITCHELL
Address: 10192 CONSTITUTION DR
HUNTINGTON BEACH CA 92646
Phone: 530-515-5561
Code Edit:
Type of Construction
Occupancy Group:
No of Stories:
Use Zone:
Bldg Height:
2019
VB
R31U
E'
Contractor:
URBAN ENERGY
Address:
10192 CONSTITUTION DR -
HUNTINGTON BEACH, CA 92646
Phone:
562-447.4971
Con State Lie:
944115
Lie Expire:
12/31/2021
Bus Lie:
BT30064588
Lie Exp Date:
09/3012020
Worker's Compensation Insurance
Carrier.
STATE FUND
Policy No:
9021421
Expire: 0610112021
Building Setbacks Rear:
Front:
0 Left:
Right:
�V 2 02o00 9�iiiii
Project No : 1294-2020
Issued Date : 08/1312020
Architect:
INSPECTOR
Address:
= =
Phone:
State Lie: ° 4d.
ao�j,o
aGa o0
Engineer:
TRUONG PHONG °
Address:
20754 TIMBERLINE LN
�' s
WALNUT CA 91789
°
Phone:
949-254-2751 State Lic:C-07078z o
s
Designer:
Address:
y� o
,Jaaca
Phone:
ELECTRICAL RICAL METALLIC TUBING = °v
(EMT)
sacs
IS NOT ALLOWED
FOR =wa'
EXTERIOR APPLICATIONS
Valutaion : $19,200.00
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: _ PUBLIC WORKS APPROVAL: L
ZONING APPROVAL: PLAN CHECK BY: y
GRADING APPROVAL: APPROVAL TO ISSUE: 'ON.,
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
a
J-
m
L=o 0
000
ocooa a.
»o
oa=aeeo
arsec�
m
V W NER-BUILDER DECLARATION
I hereby afRrm under penalty of perjurythat 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, after, improve, demolish, or repair any structure, prior to its issuance, also inquires the applicant for
r 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 Divis!an 3 of the Business and
)fessions 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 applcant to a civil penalty of
more than free huncred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do (, j all of or O portions of the work, and the structure is not intended or offered for s ale (Section 7044.
siness and Professions Code: The Contractors' State License taw 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 irtended 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).
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
Ay to an owner of pre party 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 licensum under the Contrac(drs' 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 INS permit, I cannot Iegall; a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
rfessions Godepis available upon request when this application is submitted or at the following Web site:http://www.leginfo-�.gov/calm.htmi.
nature ofeyppWfy O.vner or Authorized Agent Date
:€NSEDFQIJTRACTOR'S DECLARATION
ueby affirmemder penalty of perjury hat 1 am licensed under provisions of Chapter g (commencing with Sectio 0 If D vr'3i0D 3 of the Business and Pro Ions Code, and my license is in full force
I effect. License Class G License No 944115 Date g�10/�ULU Contractor Signature
)*RKERS' COM6`PE:.-JSATION DECLARATION
UDNG: FAI%,OWITapEM'RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 0100000), IN ADDITION TO THE
i OFCOMPENSATIYN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEYS PEES.
reby affira under pe:ialty of perjury one of the fallowing declarations:
h have and --rill mai-.itain 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 thi
'ormance ofthe work for which this permit is issued. Policy No.
and will"alntain workers' Compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. IAy workers' caster and pclicy number are:
r �iar�;pmpEnsatlon Insurance Fund Policy Number 9021421 6/1/21
of Agea6.. ` Expiration Date ^_
Beach Cities Insurance
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 agree
t, if I should becom jec(((((t thLg w//orkers' c pensatt n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions, e
nature of Applicant Date 8/10/2020
CLARATION REGA OIRIG�(.4STR„CTION LENumb Ab CNOT
Ireby affirm under pe,ialty of perjury that then: is a construction lending agency for the performance of the work forwhich this permit is issued (Section 3097, Civil Code) -
myName Lender's Address
my signature below, , 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 represenratives of this city or cou ant r h'ative5 of this city or art abov-emtifi�property for ientiFe property for inspection purposes.
nature of Property Owner °r Authorized Agent���� Print Property Owner's or Authorized Aaent's NamP�P Mitch Alexander A/8/10/2020
BY I ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
R�PULATfONS PART 61 OF TITLE 40 AND AQMD RULE
PERMITEXTENDED ft QMD
PERMfTFINAL
CERTIFICATE OF I,' l�{,l� Jtt SBESTOS I' T ICATION IS NOTAPPUCABLE TO
6 OPQSED DEM ON rt/l ,,_/,Q
OCCUPANCY ISSUED _ SIGNATURE: ��G!/ /S`�j""""