HomeMy WebLinkAboutPV2022-039 - Permits} City of Newport Beach - Building Divistion
r~.. �. PO Box 1768 Newport Beach, California 92658-8915
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SOLAR Permit : PV2022-039
Permit Counter Telephone (949)644-3288
Inspection Requests/Telephone (949)644-3255
Job Address: 25 RUE GRAND DUCAL NB
Description:SFR SOLAR PHOTOVOLTAIC SYSTEM 19.98 kw & 47 PANELS
Inspector Area: 4 Legal Desc.: N TR 7788 LOT 31
Owner: LIN CAN Contractor: BAKER ELECTRIC HOME ENERGY Architect:
Address: 25 RUE GRAND DUCAL Address: 2120 HARMONY GROVE RD Address:
NEWPORT BEACH, CA 92660 ESCONDIDO CA 92029
Phone:
Applicant: STOA RHIANNA
Address: 2120 HARMONY GROVE RD
ESCONDIDO, CA 92029
Phone: 760-310-5114
Code Edit :
2019
Type of Construction:
V-B
Occupancy Group:
R3/U
No of Stories:
2
Use Zone:
Bldg Height: 0
Phone:
877-578-8080
Phone:
Con State Lic:
858088
Engineer:
Lic Expire:
04/30/2023
Address:
Bus Lic:
BT30065942
Lic Exp Date:
02/28/2023
Phone:
Worker's Compensation Insurance
Designer:
Carrier:
OLD REPUBLIC INS
Address:
Policy No:
MWC31255521
Expire:
03/0112023
Phone:
Building Setbacks
Rear:
Front:
Left:
Right:
*PV2022-039*
Project No : 0472-2022
Issued DD,fte : 0412712022
'ON -
State Lic: Cll� 1�1•7 VINCI RICHARD JAMES
175 E WILBUR RD #103
THOUSAND OAKS CA 91360
805-496-2100 State Lic :S-004411
Valutaion: $126,880.00 ' ' '
Building Permit Fee $300.00 Record Management (8 112 X 11) $0.00
Plan Check Fee : $262.50 Record Management (Plans) 30.00 - -- -
TOTAL FEE: $562.50 Plan Check Fee : $262.50 Fee Due at Permit Issuance : $300.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
INSTALL OR VERIFY SMOKE AND CARBON MONOXIDE DETECTORS ARE EXISTING PER CRCR 314.1 & 315.2
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason($) 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 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 (_) 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).
❑ 1 am exempt from Iicensure 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 legalll
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://w .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 Prof ssions Code, and y lice 's in full force
and effect. I �f �9
License Class %1 I (A (e License No X �> D6�g Date Q oZCi Contractor Signature
WORKERS' CO'MI-LNSATION DECLARATION
WARNING: FAILURE TU 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
C-)CT CR COMPENS^701" DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm unde- �-malty of perjury one of the following declarations:
' 1 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
perfo ante of thL wo;:< for which this permit is issued. Policy No.
1 hav= 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' compensatioi
insuranr.AAe��c,ayyrrri�ier' d po,icy numller are:
Ca,ri=r_ 171�1.J ��oJVJ��.0 . Policy Number nA t �_ ( !}�, Expiration Date
Nems or Lget Phone #
UI certif7 that, ir, 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 Ehould became subj to the workers' compensatiioorr��' P ow/sio ection 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of ApplirPnt _' ^ 1 L I �-CY Date ��/ a 6
DECLARATION REGARDING CONSTRUCTION LENDING AGE Y
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 ordinances and at a a relating to building construction. �/ p /
I authorize representatives of this city or coun t ��nter the abov property for inspection purposes. �.�/InJ6'Wl r%/y,�/ _
Signature of Property Owner or Authorized Agent �-!/tA Print Property Owner's or Authorized Agent's Name _ 6l Date T7.� LPA'
ACTION
DATE
BY
FEDERAL REGULATIONS PART 61 OF TITLE 40 AND
...,.....--......
AQMD RULE 1403.
❑ I SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
PERMIT EXPMED
PERMITCANCELIED
PERMIT EXTENDED
❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION,
SIGNATURE:
PERMIT FINAL
CERTIFICA TE OF
OCCUPANCYISSUED