HomeMy WebLinkAboutPV2021-234 - Permits*�:wtfr� City of Newport Beach - Building Divistion SOLAR Permit: PV2021-234
,� r
:: v , � �,.. PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288
U � � Inspection Requests/Telephone (949)644-3255
r'acJr�iti�'��
Job Address: 1934 WINDWARD LN NB
Description:SFR SOLAR PHOTOVOLTAIC SYSTEM 23 PANELS 8.395 kw
Inspector Area: 3
Owner:
FUDGE EVE
Address:
1934 WINDWARD LN
NEWPORT BEACH, CA 92660
Phone:
Applicant:
VASOUEZJOSH
Address:
30135 LITTLE HARBOR DR
CANYON LAKE, CA 92587
Phone:
951.219-6146
Code Edit :
2019
Type of Construction:
V-B
Occupancy Group:
R3/U
No of Stories:
0
Use Zone:
Bldg Height: 0
Legal Desc.: N TR 4463 LOT 14
Contractor:
PACIFIC COAST GENERATION INC
Architect:
Address:
30135 LITTLE HARBOR DRIVE
Address:
CANYON LAKE, CA 92587
Phone:
951-219-6146
Phone:
Con State Lic:
1074469
Engineer:
Lic Expire:
04/30/2023
Address:
Bus Lic:
BT30077853
Lic Exp Date:
01/31/2023
Phone:
Worker's Compensation Insurance
Designer:
Carrier:
EXEMPT
Address:
Policy No:
Expire:
Phone:
Building Setbacks
Rear:
Front:
Left:
Right:
Valutaion : $50,370.00
Building Permit Fee $240.00
Plan Check Fee: $210.00
TOTAL FEE: $450.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
I^v
Project No : 2756-2021
Issued Date : 01/31/2U22
WYSSLING SCOTT
76 N MEADOWBROOK DR ,
ALPINE UT 84004
State Lic:C-083664
Record Management (8 1/2 X 11)
Record Management (Plans) :
Plan Check Fee : $210.00 Fee Due at Permit Issuance
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
*PV2021
$0.00
$0.00
$240.00
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 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 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 L) 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 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 legally
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.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm ur. der peralty 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
and effect. / 9
Li,lur,sa Class License No Date-31-7Contractor Signature X %7y vz-�
WORKERS' COMPENSATION DECLARATION
WARN,NG� 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
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm urder nPnalty of perjury one of the following declarations:
I have and wit; 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 IN
performance of the work `or which this permit is issued. Policy No.
I havq 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' compensatior
insurance carrier aad puCcy number are:
'ier_ _ Policy Number Expiration Date
1e of r gent — _ Phone #
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
if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
of
Date I-
CLARATION REGARDING CONSTRUCTION LENDING AGENCY
:reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work forwhich this permit is issued (Section 3097, Civil Code).
Ider's Name Lender's Address
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 counttrryv, �0 enter the above -identified property for inspection purposes.
nature of Property Owner or Authorized Agent tiL� Print Property Owner's or Authorized Agent's NamY NM � y' L& K f K zT- Date / -3I- 2
ACTION
DATE
BY
DECLARATIONOF COMPLIANCE WITH CODE OF
FEDERAL REGULATIONS PART Of OF TITLE40 AND
AQMD RULE 1403.
❑ I SUBMITTEOASBESTOS NORFICATION TO:
❑ EPA
❑ AQMD
❑ ASBESTOS NOTIFICATIDNISNOT APPLICABLE TO
PROPOSED DEMOLITION.
SIGNATURE:
FOR OFFICE USE ONLY
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMITFINAL
2-) -
CERT(R LATE OF
OCCUPANCYISSUED
v
l<
0
c
0
m
0
0
N
S
a ai
a'
zZr
� s
m
0
c c w
N N 3
N
� O
`<< U), O
m N. W
C 0
N 7
cn .r
0 0
0
N Q
-0 w, c
�p9m
G
co CD N
Ml
q CD
-n 3 N
D ' 0
CD -^ m
o ° 0
0 -n Cal
=r c o
o o. _S
a o
rt O
d �0
co r
A N
N N
0
7
m
rn
O n
m
o
N
r'0
y D
�4DcoM�
NO3 CA
N _
f0 40,
A