HomeMy WebLinkAboutPV2020-166 - Permits���wrt4 City of Newport Beach - Building Divistion
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PO Box 1768 Newport Beach, California 92658-8915
4 yam.
SOLAR Permit: PV2020-166
Permit Counter Telephone (949)644-3288
Inspection RequestsTTelephone (949)644-3255
Job Address: 1524 PRISCILLA LN NB
Description:SFR SOLAR PHOTOVOLTAIC SYSTEM 25 PANELS 10 kw
Inspector Area: 3
Legal Desc.: N TR 1763 LOT 33
Owner: MANWELL ROBERTS
Contractor:
GIGAWATT INC
Address: 1524 PRISCILLA LN
Address:
1630 S SUNKIST ST #E
NEWPORT BEACH, CA 92660
ANAHEIM CA 92806
Phone: 714-963-8541
Phone:
866-798-4435
Applicant: HYTER BRIAN
Con State Lic:
972791
Address: 131 S BATAVIA ST
Lic Expire:
05131/2022
ORANGE, CA 92868
Bus Lic:
BT3003238
Phone: 714-926-5403
Lic Exp Date:
10131/2021
Code Edit: 2019
Worker's Compensation Insurance
Type of Construction: V-B
Carrier:
STATE COMP INS FUND
Occupancy Group: R31U
Policy No:
9103708
No of Stories: 2
Expire:
04/24/2021
Building Setback$
Rear:
Use Zone:
Front:
Bldg Height: 0
Left:
Right:
Jalutaion : $60,000.00
Building Permit Fee $240.00
Plan Check Fee: $210.00
Project No : 1943-2020
Issued Date : 11/0612020
INSPECTOR
Architect:
Address:
Phone:
State Lic:
Engineer:
PROCTOR JACOB
Address:
651 E GALENA PARK BLVD #101
DRAPER UT 84020
Phone:
801-990-1775
State Lic:C-070567 '
Designer:
Address:
�-
Phone:
Record Management (8 1/2 X 11)
Record Management (Plans) :
$0.00
$0.00
II TOTAL FEK".-' $450.00 ' Plan Check Fee : $210.00 Fee Due at Permit Issuance : $240.00 II
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(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 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 -Builder will have the burden of proving that it was not built or
im roved 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 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
LICENSED CCN 1A9ITOR'S DECLARATION
affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7P001 of Division 3 of the Business and Professions Code d-my-Iis se ism full force
and effect.
Liens Class License No Date-C-(/ Contractor Signature
WORKERS' COMPENSATION DECLARATION
NARNING: FAILURE. TU SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNG-0 THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE
JOST PF COMPENS.l1fW, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNETS FEES.
`IA.rehy affirm uir'er penalty of perjury one of the following declarations:
'la
sE.S- ve and will' r,Iaintain 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 the
nce of tha work for which this permit is issued. Policy No.
v 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' compensation
nwla carrier and policy number are:
Policy Number Expiration Date
of Agent
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 agree
t, if I should become subject to the co nsation provisions 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant
CLARATION REGAFIDING CONSjRA&MON LEND -
?reby affirm under pe alty of perldry that there is a construction lending agency for the performance of the work for which 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 co
I agree to comply with all applicable city and county ordinances a state laws relating to building construction.
I authorize representatives of this city or county t t.. ove' ki' d property f Inspection purposes.
nature of Property Owner or Authorizebd Agen Print Property Owner's or Authorized Agent's Name �� 11 + / Date _!
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 61 OF TITLE40AND
AOMD RULE 1403.
PERMIT EXPIRED
❑ I SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
PERMIT CANCELLED
PERMIT Da ENDED
D ASBESTOS
A~ SDON fS NOTAPPLICABLE TO
EO DEMOLITION.
PERMIT FINAL
J )/ I6 / ZU
Two .
CERTIFICATEOF
OCCUPANCYISSUED
SIGNATURE:.