HomeMy WebLinkAboutPV2022-108 - Permitsµ•r, }&� City of Newport Beach - Building Divistion
r~ n PO Box 1768 Newport Beach, California 92658-8915
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Jab Address: 127 E BAY AVE NB
Description:SFR 2.80 KW ROOF MOUNTED SOLAR PV SYSTEM W/ (7) MODULES.
Inspector Area: 1 Legal Desc
52.40FT AND
Owner: BASSO MICHAEL
Address: 7 SHELL BEACH
NEWPORT BEACH CA 92657
Phone: 949/922-8324
Applicant:
BARBA VIN
Address:
933 NEWHALL ST
COSTA MESA, CA 92627
Phone:
908-489-3933
Code Edit:
2019
Type of Construction:
V-B-SPR
Occupancy Group:
R3/U
No of Stories:
3
SOLAR Permit : PV2022-108
Permit Counter Telephone (949)644-3288
Inspection Requestslfelephone (949)644-3255
EAST NEWPORT BLK 1 LOT 2 AND W 3FT OF LOT 1 AND E 5FT OF N
Contractor: BRIGHT LIFE REMODELING
Address: 933 NEWHALL ST
COSTA MESA CA 92627
Phone: 900-489-3911
Con State Lic:
1029267
Lic Expire:
07/31/2023
Bus Lic:
BT30060552
Lic Exp Date:
09/30/2022
Worker's Compensation Insurance
Carrier:
STATE COMPENSATION INS FUND
Policy No:
9053332
Expire:
04/19/2023
Building Setbacks Rear: 5
Use Zone: Front: 10
Bldg Height: 0 Left: 3
Right: 3
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Project No : 1097-2022
Issued Date :
State Lic:
State Lic:
Designer:
BRIGHT LIFE SOLAR
Address:
933 NEWHALL ST
COSTA MESA, CA 92627
Phone:
909-489-3933
*PV2022-108*
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Valutaion : $10,000.00
Building Permit Fee $240.00 Record Management (8 112 X 11) $0.00
Plan Check Fee : $210.00 Record Management (Plans) $0.00
TOTAL FEE: $450.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $450.00
PROCESSED BY: SJ PUBLIC WORKS APPROVAL:
ZONING APPROVAL: Ili PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
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INSTALL OR VERIFY SMOKE AND CARBON MONOXIDE DETECTORS ARE EXISTING PER CRCR 314A & 315.2
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) 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
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 Iicensure 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 U 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-Builderwill have the burden of proving that it was not built or
improved for the purpose of sale).
❑ I, as owner rif thy* 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 otoperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
,❑ 1 am exemnl f•r`•m Iicensure under the Contractors' State License Law for the following reason:
By my.;ignature be,ow. 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)
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.htrnl.
Signature of Property Owner or Authorized Agent Date
'_ICEN3ED CONTRACTOR'S DECLARATION
I hereby affirm jr,r er penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secti� Op 7000 ) of Division 3 of the Business and Professions Code, and my license is in full force
del0 eV/hr /
Liaosa Class License No Date Z� �'Z Contractor Signature
WGRKPiRS' CCIMPWSATION DECLARATION
Y.ARNING:' FAILURE TC SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,0001, IN ADDITION TO THE
COST �r COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
I ngreby 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 Cade, for th
Epe (Hance of the work for which this permit is issued. Policy No.
I 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' compensatio
insurance carrier and policy number are:
Carrier Policy Number Expiration Date
Name of Agent Phone #
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 agre
that, if I should become subject to thew rs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. yI
Signature of Applicant /�ub441_ Date /< I 12:5—Z2
DECLARATION REGARDING CONSTRUC71TON LENDING AGENCY
I 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).
Lender's Name Lenders Address
By 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 to enter the e- dentifed property for inspection purposes. /'N NE r, �� D�
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name --r ly
ACTION DATE BY DECLARATION OF COMPLIANCE tNfTN CDDEOF FOR
DEErcE USE ONLY
FEDERAL REGULATIONS PART fif OF TI RE 40 AND
AQMDRULE 1403.
PERMIT EXPIRED
❑ lSUBMITTED ASBESTOS NORFlLATION TO:
❑ EPA
AQMD
PE.R,MfT CANCELLED
PERMIT EXTENDED
ASBESTOS NOT[FlCATIDNlS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMIT FINAL
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