HomeMy WebLinkAboutPV2021-226 - PermitsCity of Newport Beach - Building Divistion
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SOLAR Permit: PV2021-226
Permit Counter Telephone (949)644-3288
Inspection Requestslrelephone (949)644-3255
Job Address: 1227 HIGHLAND DR NB
Description:SFR SOLAR PHOTOVOLTAIC SYSTEM 21 PANELS 7.77 kw
Inspector Area: 3
Legal Desc.: N TR 3031 LOT 42
Owner: MESERVE II EDWIN A
Contractor:
GREEN MILE ENERGY
Address: 1227 HIGHLAND DR
Address:
569 E TUJUNGA AVE #G
NEWPORT BEACH, CA 92660
BURBANK CA 91501
Phone:
Phone:
800-714-8935
Applicant: MCLAUGHLIN EDDIE
Con State Lic:
1035512
Address: 3125 LIMERICK LANE
Lic Expire:
07/31/2022
COSTA MESA, CA 92626
Bus Lic:
BT30075237
Phone: 714-910-2906
Lic Exp Date:
05/3l/2022
Code Edit: 2019
Worker's Compensation Insurance
Type of Construction: V-B
Carrier:
STATE COMP
Occupancy Group: R31U
Policy No:
9235200
No of Stories: 1
Expire:
07/20/2022
Building Setbacks
Rear:
Use Zone:
Front:
Bldg Height: 0
Left:
Right:
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
*PV2021-226*
Project No : 2698-2021
Issued Date : 11/17/2021
State Lic:
MUNYANZIZA, EUGENE
250 WILKERSON AVE APT 160 e
PERRIS CA 92570
951-355-3348 State Lic:C-088783
INSPECTOR
Valutaion $46,620.00
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: �V✓ PUBLIC WORKS APPROVAL:
ZONING APPROVAL: PLAN CHECK BY:
GRADING APPROVAL: 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
OWNER -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 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, priorto 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 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 -Builder will have the burden of proving that it was not built or
improved 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
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).
I 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/mlaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED COArAACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professls Code, and license is in full force
and erf=ct.
License Class C`� C/ License No 1 7 ��j 2 Date I ` 'C� 1 Contractor Signature
4VURkERS' COMPENSATION DECLARATION
WARNING: FAILUR�.T'1 !-CURE 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
^,O`T OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm ;:nde. 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 Code, for th
performance of the'work for which this permit is issued. Policy No.
III havp and will maimain 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' compensatioi
vgtlfance c�fl•�rrier and licy number are:
Carrier /.-Fcn ^G 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 ssybject t/gkp workers' compensatio provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant _,� Date
DECLARATION REGA:klNG C S UC ION LEN NG 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 Lender's 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 ordin nces and state laws relating to building construction.
I authorize representatives of this city or count to nt Vie ove-I ntified pro erty for inspection purposes. _d D/ �rr�-y L
Signature of Property Owner or Authorized Agent �� � Print Property Owner's or Authorized Agent's Name l�/'(l �NI S r�q I (� Dated(
ACTION
DATE
OY
DECLARATION OF COMPLIANCE WITH CODEOF
FOR 01 CE US€ONLY
FEDERAL REGULATIONS PART 61 OF TITLE40 AND
AQMD RULE 1403.
PERMIT EXPIRED
❑ I SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
PERMITCANCELLED
PERMITEXTENDED
❑ TION(SNOTAPPL(CABLE7fl
DEMOLITION.
PROPOSED DEMOLITION.
PERMITFINAL
-Z .��
CERTIFICATEOF
SIGNATURE:
OCCUPANCYISSUED