The URL can be used to link to this page

Home My WebLink AboutPV2020-089 - Permits�1°4r City of Newport Beach - Building Divistion ` k PO Box 1768 Newport Beach, California 92658-8915 h rN11X1]Yt� Job Address: 20284 ESTUARY LN NB Description:SFR SOLAR PHOTOVOLTAIC SYSTEM 10 PANELS 3.6 kw Inspector Area: 8 Legal Desc.: SOLAR Permit: PV2020-089 Permit Counter Telephone (949)644-3288 Inspection Requests/Telephone (949)644-3255 Owner: MORON SEAN Contractor: URBAN ENERGY Address: 20284 ESTUARY LN Address: 10192 CONSTITUTION DR NEWPORT BEACH, CA 92646 HUNTINGTON BEACH, CA 92646 Phone: 714-381-0275 Phone: 562-447-4971 Applicant: ALEXANDER MITCH Con State Lic: 944115 Address: 10192 CONSTITUTION DR Lic Expire: 12131/2021 HUNTINGTON BEACH, CA 92646 Bus Lic: BT30064588 Phone: 530-515-5561 Lic Exp Date: 09130/2020 Code Edit: 2019 Worker's Compensation Insurance Type of Construction: V-B Carrier: STATE FUND Occupancy Group: R3/U Policy No: 9021421 No of Stories: 1 Expire: 06/01/2021 Building Setbacks Rear: Use Zone: Front: Bldg Height: 0 Left: Right: Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: Project No : 1081-2020 Issued Date : State Lic: TRUONG PHONG 20754 TIMBERLINE LN WALNUT CA 91789 949-254.2751 State Lic:C-070784 as uas� Valutaion: $11,000.00 Building Permit Fee $240.00 Record Management (8 112 X 11) 80.D0 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: ,' �f//IV " PUBLIC WORKS APPROVAL: ZONING APPROVAL: (7 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 8 315.2 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 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 licensum 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 (_) 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 1t 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 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 Corle, Is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Propa, ty Owner or Authorized Agent Date LICENCED CONT.-=TOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with 'coon 7000) of Division 3 of the Business an Professions Code, and my license is in full force and eftent. �J ' }I, License Class _ License No Date L W Contractor Signature.,(, WORKERS' COMPENSATION DECLARATION ✓OARNNU: FAILURE, TO Scr.ORE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYE TO CRIMINAL PENALTIES AND CIVIL FINES up TO O E HUNDRED THOUSAND DOLLARS (5100,000), IN ADDITION TO THE COST nF COMPENE kTr7N, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hArehy affirm under penalty of perjury one of the following declarations: ❑ 1 Lava 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 tht p�Aorma.ice of toe work for which this permit is issued. Policy No. ftInave and will rrsirtain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work far which this permit is issued. My workers' compensatior in�laLia--e11carder and policy nu bar are: /� CarrieriRltG fM �45..t1t1w� Policy Number gb2141Z 1 Expiration D �j (/ ZA Name of Agent '7L5 rA_gii o_ Phone# N� �ZD O ❑I certify that, in the perfor ance of the work for which this permit is issued, I shall not employ any person in any manner so as to became subject to the workers' ompensation laws of California, and agre( that, if I should become subj ct t th workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant K7, _�ir/I'IZa DECLARATION REGARD G CONSTRUCTION LENDING AGENCY I hereby affirm under pen Ity of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 30vil 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 ha provided is correct. I agree to comply with all applicable city and count ordinances and state laws relating to building construction. I authorize representatives of this city or county to ter the ab e-identified property for inspection purposes. /� Signature of Property Owner or Authorized Agent I�ri ��i Print Property Owner's or Authorized Agent's Name 'Nam D e AC7701V DATE BY DECLARATION OF COMPLIANCE iMTN CODEOF FOR OFFICE U5E ONLjI FEDERAL REGULATIONS PART 61 OF TITL.E40 AND AQMORULE 1403. - PERMITEXPIRED ❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMIT EXTENDED ❑ ASBESTOS NOTIFI ATIONIS NOT APPLICABLE TO ,.4gQPOSEDDEMOLITION. PERMITFINAL Q /ZVZQ W. c- SAs. CERTI RCATE OF OCCUPANCYISSUEO SIGNATURE: