HomeMy WebLinkAboutPV2022-137 - PermitsCity of Newport Beach - Building Divistion
PO Box 1768 Newport Beach, California 92658-8915
Job Address: 304 JASMINE AVE NB
Description:SFR SOLAR PHOTOVOLTAIC SYSTEM 9 PANELS 3.6 kw
Inspector Area:
BLK 2 37
SOLAR Permit: PV2022-137
Permit Counter Telephone (949)644-3288
Inspection Requests/Telephone (949)644-3255 Project No : 1293-2022
NO CONSTRUCTION NOISE
Legal Desc.: CORONA DEL MAR LOT 4 BLKGNETYfJEFT( EEIKEf V (PT 6
Owner:
DANZ FAMILY TRUST
Contractor:
STELLAR SOLAR ELECTRIC
Address:
774 MAYS BLVD #10368
Address:
265 VIA DEL MONTE
INCLINE VILLAGE NV 89451-7620
OCEANSIDE CA 92058
Phone:
Phone:
760-603-8500
Applicant:
MOCK FRIDA
Con State Lic:
749095
Address:
265 VIA DEL MONTE
Lic Expire:
06/31/2024
OCEANSIDE, CA 92058
Bus Lic:
BT30068376
Phone:
760-412-1017
Lic Exp Date:
08/31/2022
Code Edit:
2019
Worker's Compensation Insurance
Type of Construction: V-B-SPR
Carrier:
CYPRESS INS CO
Occupancy Group:
R3/U
Policy No:
TMWC224860
No of Stories:
0
Expire:
0812912022
Building Setbacks
Rear:
Use Zane:
Front:
Bldg Height:
0
Left:
Right:
Valutaion : $21,600.00
Building Permit Fee $240.00
Plan Check Fee : $210.00
Architect:
Address:
Phone:
Illlliiigiiiiiiigllll
Date : 06/1412022
State Lic:
Engineer: WU HAROLD PING -HUNG
Address: 1168 N SAN GABRIEL BL, STE N
ROSEMEAD CA 91770
Phone: 626-288-0708 State Lic:C-035693
Designer:
Address:
Phone:
Record Management (e 1/2 X 11)
Record Management (Plans) :
$0.00
$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:
APPROVAL TO ISSUE:
PERMITS EXPIRE 180 DAYS A=fER ISSHANfiE OR I -AS; VALIDWSPECTION.
INSTALL OR VERIFY SMOKE AND CARBON MONOXIDE DETECTORS ARE EXISTING PER CRCR 314.1 8 315.2
)WNER-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
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 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
of more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U 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).
7 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
pply 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:
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 legalh
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 Sec/f)o /7000 of �Diivision 3 of the Business and Professions Co e, and my license is in full force
nd effect. ,y� pGq b { L 2- L Contractor Si natur
icense Class 0 License No _ I ` Date g
VORKERS' COMPENSATION DECLARATION
IARNING: 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
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
have 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 th
rmance of the work for which this permit is issued. Policy No.
3ve and will neintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this pe It is issued. My workers' compensatiol
ante car era d licy numb�ra n it r,,f ��/J ^7 l� /y}g %�Q rt//(�17 / n
:r IiC mber J"r v`r `— L t ✓ Expiration Date ICJ 1 L-L' [�
a of AgentPhone #
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 la72--z-
CLARATIONP=tx of California, and agre
I. if I should become s�ub/('Rct to the w�orkers'��om�p\ensa�tion provisions of Section 3700 of the Labor Code, shall forthwith comply with those provisions. ��nature of Apx—i� Cat 1 CONSTR CTI ENDING AGENCY
:reby affirm under pe alty of perjury tha e e 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 owners behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county rdinances and state laws relating to building construction.
I authorize representatives of this city or county ter th ab Ide tified property for inspection purposes. 1{�,,/
nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Na t 1 4✓ A_J W ( V— D e
ACTION
DATE -
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