HomeMy WebLinkAboutPV2022-031 - PermitsCity of Newport Beach - Building Divistion SOLAR Permit : PV2022-031 111I111111l ll111111111111111111111IIl11II i
' PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288
Inspection Requests/Telephone (949)644-3255 Project No : 0427-2022
'Irl;Inu!''
NO CONSTRUCTION NOISE
Job Address: 1 BAY ISLAND NB Issued Date : 04/26/2022
Description:SFR INSTALL SOLAR PHOTOVOLTAIC 3.4 kW (10) PANELS
Inspector Area: 1 Legal Desc.: STWP6 E1R ON THE WEEKEND;
Owner: BAY ISLAND CLUB Contractor � 4N'jEG ENERGY SYSTEMS CA INC If apAg 1dffble.
Address: 1 BAY ISLAND Address. 747 N MAIN STREET Address:
NEWPORT BEACH CA 92661 - ORANGE QC 9 ti'$ `3. 1:1 80% or ❑ 100% refund
Phone: Phone: 714 771-8098 T� Phone: State Lic:
Applicant: MELLUSI SCOTT Con State Lic 925513 J:.,t, r. dgi
rrMr.��6--I�NTG%PBHE Nam_-
Address: 747 N MAIN ST Lic Expire 12131/2022
ORANGE CA 92868 Bus Lic BT30077288 WALNUT CA 91789
Phone: 949/295-5896 \ Lic Exp Date 11130/20,22kl �„ hone: 949-254-2751 State Lic:C-070784
i
Code Edit : 2019 Worker'ts Compensation Insurartc`u;15"�< signer: BEVERLY MARK
Type of Construction: V-B-SPR ; .M„: C�-MFfy,�— ZUjdICH $, ,. dress: 747 N MAIN
Occupancy Group: R3/U a '"- '^"" Pb(icyiNo - W6I 56577 2 ORANGE CA 92868
No of Stories: 3 Expire: 01101/2023 Phone: 949-295-5896
'- Bing Setbacks Rear s r�
Use Zone: 1 s 'a;q. "b 'rpnragt +. N i �^ r%m— Ii � '� Nan
-
Bldg Height: 0 3 ,' ��: € @ I (.w d ' 9' e `+3, 5 N €..k
Right $
(Work a= E: G-1 (no
Valutaicn $17,40000 ° Ji _
Building Permit Fee �2.40.00 --- -Record ManagemenT(8 1j $0.00
Plan Check Fee $210.00 Record Ma $0.00
TOTAL FEE: $450.00 Plan Check Fee : $210.00 Fee Due at Permit Issuance : - $240.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
F.PPRCVAL TO ISSUE:
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
r
INSTALL OR VERIFY SMOKE AND CARBON MONCXIDZ GEREGTGRS A.4E EiJS ,-ING PER CRCR 314A & 315.2
fNER-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 item(s)
ction 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
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
fessions 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
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,
liness 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
rovements 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
roved for the purpose of sale).
I, as owner of the pPartpe }"I*`c�' Code: The Contractors' State License Law does not
ply to an owner of pr y who builds or improv y♦�q, 'iereayGd w19 C6ZtZcts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
J I am exempt from I ensutop nth ContractU to Q�Li ens etr�efthe following reason:
ly my signature below acknowIs ge fhat-eRMpt r Iry^pels .. ,� ......ust-havaresided f a for to completion of the improvements covered by this permit, cannot legally
ell a structure that I h e 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 a ilabE'�S
est wh a Dion is4,ub ed ^ he eb site: ®/8Tr (qf . / Ig htmL .
lignature of Property deor`s d Ag 5 Date
.ICENSED CONTRACT( E AR ON f tr,,.hereb affirm under dolt at I atfeeJ e n e csio f 9 ntly h It -Division 3 of the Business and P fessio Code, and m license is in full force
nd effect. — ---_.-
icense Class License No Da Contractor Sig natury��// �—
VORKERS' COMP NS LAR T�€ m Irr pir ,, {{ '4,
IARNING: FAILURE TO SE RE R S' PENS `G�QN', VE Is ,,44W@, D `'Sp L E LO TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
DST OF COMPENSATION, AMA S PRO CEO FON aECTIONyi OF EO Otl�RET NE FEES.
hereby affirm under p nalt I of VL IPDE"ota g d" 1 tlons
�Ihave
h and will m ntain 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
ante of the wo for whit is permit is issued. Policy No.
and wil me tam e�' c nsation insurance, required by Section 3 he Labor Code, for the performance of the work for which this permit is issued. My workers' compensatioi
isurance carrier 'd licy um r , ®°" C -
:arrier t c+ - Expiration Date
lame of Agent Phone #
]I certify that, in the erform nce oft work for which this permit is issued, I shall not employ any person in any manner sous to become subject to the workers' compensa ion law of California, and agre
tat, if I should becomo j t to th or ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith c p y Use provisions.
9 e'
lignature of ApplicaA -- D
IECLARATION REG R N CONSTRUCTION LENDING AGENCY
hereby affirm under e of pegly }hat thaoeis a construction lending, agency for the performance of the worn f which is pe sued (Section 3097, Civil Code).
adder's Name - - Lender's Address
ly my signature below, 1 certify to eat o e U owl "' - - -
am the property owner or authorized to act on the property o ner's behalf.
I have read this application and the information I have provi is correct.
I agree to comply with all applicable city and county ordin as and state Taws relating to building construction.
I authorize representatives of this city or county e e bove-identified property for inspection purposes. J n
lignature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's N D 4
ACTION
DATE
8Y
DECLARATION' OF COMPLIANCE WITH CODE OF
FOR OFFICE USE ONLY
FrOERAL PEGUL 4TIONS PART 51 OF TITLE 40 AND
(- AQ4:D RULE 1403.
PERP,4IT EXPIRED
❑ I SYBMITTEDASREFI0S Pf0'IFICATION TO:
I ❑ EDA
❑ AQMD
PERMIT CANCELLED
PERMIT EXTENDED
I P CPOASBESSEDTDEOS a OOLITON TfUN IS NOTAPPLICABLE TO
-
PERMIT RAIAL
CERTFICATEOF
5.""GNATUPE:
OCCUPANCYISSUED
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