HomeMy WebLinkAboutPV2022-038 - Permits (4)City of Newport Beach - Building Divistion
r. 1. PO Box 1768 Newport Beach, California 92658-8915
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SOLAR Permit : PV2022-038
Permit Counter Telephone (949)644-3288
Inspection Requestslrelephone (949)644-3255 Project No : 0471-2022
Job Address: 424 FERNLEAF AVE NB
Description:MFR SOLAR PHOTOVOLTAIC SYSTEM 13 PANELS 4.94 kw
Inspector Area: 5
Legal Desc.: CORONA DEL
MAR BILK 433 LOT 6
Owner: MONTESANTOS GEORGE
Contractor:
TRUE POWER SOLAR
Address: 424 FERNLEAF AVE
Address:
201 CLARK AVE
NEWPORT BEACH, CA 92625
POMONA CA 91767
Phone:
Phone:
714-676-8888
Applicant: LERDO ARIANNA
Con State Lic:
970591
Address: 201 CLARK AVE
Lic Expire:
03/31/2024
POMONA, CA 91767
Bus Lic:
BT30067386
Phone: 909-753-3178
Lic Exp Date:
0513112022
Code Edit: 2019
Worker's Compensation Insurance
Type of Construction: V-B
Carrier:
STATE COMP
Occupancy Group: R31U
Policy No:
9147686
No of Stories: 2
Expire:
12/02/2022
Building Setbacks
Rear:
Use Zone:
Front:
Bldg Height: 0
Left:
Right:
Building Permit Fee $240.00
Plan Check Fee : $210.00
TOTAL FEE : $450.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee : $210.00
Issued Date : 04/04/2022
NOo.
Architect: CONS `c✓✓� ,�
Address: 4r
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Phone: State Lic: 0�
Engineer: Nd/Sp
N
Address: �j�'vpy, "''t-;,_
Phone: ste --
Designer: CHANG MAOCHEN
Address: 201 CLARK AVE
POMONA CA 91767
Phone:
3
Record Management (81/2 X 11)
Record Management (Plans) : $0.00
Fee Due at Permit Issuance : $240.00
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 6 315.2
)WNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law forthe reason(s) indicated below by the checkmarik(s) I hav0 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
ie 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
'rofessions 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
of 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 L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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
nprovements 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
nproved 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
poly 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:
ly 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 legally
ell 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
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 Professions Code, and my license is in full force
nd effect.
Class _ _ License No Date Tl ;Q Contractor Signature
— _ t
4rORKERS' COMPENSATION DECLARATION 41
ARNING: FAILURE TO 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
04T or COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
nereh;' affirm under penalty of perjury one of the following declarations:
1 I hggggggve and will mat, stain 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 thl
o . ance of the work for which this permit is issued. Policy No.
nave and will m�infain 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' compensation
I.ance carrier and policy number are:
ler_
e of Agent _ _
Policy Number Expiration Date
11 certi'y that, in the pLrformance 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 agn
sat, it I should ba-ome sub t to a workers' com tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of Applicant Date/ Wy/a)_
IECLARATION REGAikDlkG CONSTRUCTION LENDING AGENCY
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).
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 county ordinances and state laws relating to building construction.
I authorize representatives of this city or county t nter bove-identified pro erty for inspection purposes.
ignature of Property Owner or Authorized Agent ./�� Print Property Owner's or Authorized Agent's Name /yi (beet /YlaY+lneZ to ��>f�aa
ACTION
DATE
BY
DECLARATIONOF COMPLIANCE YWTN CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 61 OF T17LE40 AND
AQMD RULE i403.
PERMIT EXPIRED
❑ I SUBMITTED ASBESTOS M077FICATION TO:
❑ EPA
❑ AQMD
PERMIT CANCELLED
PERMITEXTENDED
❑ ASBESTOS N077FICATIONIS NOTAPPLICABLETO
PROPOSED DEMOLITION.
PERMIT FINAL
CERTIRCA TE OF
OCCUPANCYISSUED
SIGNATURE: