HomeMy WebLinkAboutPV2021-078 - Permits (3)9";ty of Newport Beach - Building Divistion SOLAR Permit: PV2021-075 IIIIIIIIIIIIIIIIII�II�ll�ll�lulllll
nPO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288
O � Inspection Requestsrfelephone (949)644-3255
t� ���. Project No : 1100-2021
Job Address: 402 38TH ST NB
Issued Date : 0611112021
Description:SFR SOLAR PHOTOVOLTAIC 4.Okw (10) ROOF MOUNTED PANELS
Inspector Area: 1
Legal Desc.: CANAL SECTION
BLK 437 LOT 2
Owner: 402 38TH ST LLC
Contractor:
BARNES SOLAR INC
Architect:
gr.
' P L 0
Address: 402 38TH ST
Address:
704 N VALLEY ST
Address:
NEWPORT BEACH CA 92663
ANAHEIM CA 92801
Phone:
Phone:
949.652-6446
Phone:
State Lic:
Applicant: CHA KOOK
Con State Lic:
943909
Engineer:
MUNOZ-MORRIS GABRIEL
Address: 704 N VALLEY ST#R
Lic Expire:
0212812022
Address:
2518 DELAWARE ST#B
ANAHEIM CA 92801
Bus Lic:
BT30072050
HUNTINGTON BEACH CA 92648 ....
Phone: 949.468-6091
Lic Exp Date:
06/30/2021
Phone:
805-712-8080 State Lio:C-0087574
Code Edit: 2019
Worker's Compensation Insurance
Designer:
•°°• ° °
.._ • • • ;°°Op;
Type of Construction: VB
Carrier:
ACE AMERICAN
Address:
Occupancy Group: R31U
Policy No:
C68643892
' •• •••
No of Stories: 2
Expire:
02I01/2022
Phone:
°•
�L a ._ a:•'u3t �V � �'
Use Zone:
Building Setbacks
Rear:
Front:
�,_, • °°
�,^,-' o rt F'°lacy. °°••
``:':� jail (-�;a'�
,—Iv,s�, ,-'rbw�J
Bldg Height: 0
Left:
Right:
�,�;. �)ii' r"' =r'.'_,., ......
� ° Q4G°G•
4Gaco •
Valutaion : $24,000.00
Building Permit Fee
$240.00
Record Management (8 1/2 X 11) $0.00
Plan Check Fee :
$210.00
Record Management (Plans) : $0.00
TOTAL
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee: $210.00
PUBLIC WORKS
PLAN CHECK BY:
Fee Due at Permit Issuance : $240.00
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 114.1 & 315.2
DWNER-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 U 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 cofFnpletion, the Owner -Builder will 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 Contradtor 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. 1'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 ■Rder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 ) of Division 3 of the Business and Professions Code, and my license is in full force
and effect. •....
License Class 116J,'gA / R License Nog 9 Date 411(12121 Contractor Signature
WORRERS'r(5MPtNSATION DECLARATION 7�
A FNP: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOY TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE
C[ATSSSj IpF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORN S FEES.
I Jiere.by affirmandel•penalty of perjury one of the following declarations:
Nave and �yill 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 thI
once oftfie aJblk for which this permit is issued. Policy No.
T 6 ve and willmaintain 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
rose tie carrierand,pplicy number are:
am'r 7 i :.t iR'l5a ra2�r Co Policy Number ,3 Z Expiration Date bZ/B l Q O Z Z
lRq%M1?b2Agent .- 1-4' S r - Phone# gYC/ — 290 — 4/VC-i
certify that, in the p2rPormance of the work for which this permit is issued, I shall not employ any person in any me
t, if I should become sut))Mct to the wor ers' compensation provisions of Section 3700 of the Labor Code, I shall fo
nature of Applicant -
CLARATION REGA ING CONSTRUCTION LENDING AGENCY
;reby affirm under pe alty of perjury that there is a construction lending agency for the performance of the work for
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 county to eenttel the above -identified property for inspection purposes.
mature of Property Owner or Authorized Agent, / 9'� — Print Property Owner's
so as to become subject to the workers' compensation laws of California, and agre
t comply with those provisions.
Date 04Z llI 2nz J
i this permit is issued (Section 3097, Ivd Code).
uthonzed Agent's N e 1C AMA/
ACTION
DATE
BY,
DECLARATION OFCOMPLIANCE IMTH COITUt
FOR OFFICE USE ON
FEDERAL REGULARONSPART 61 OF T17LE40AND
AQMD RULE 1403.
PERMIT EXPIRED
❑ ISUBUTIEDASBESTOSNO17FICATIONTO:
❑ EPA
❑ AQMD
PERMITCANCELLED
PERMIT EXTENDED
� PROPOSED DEMOLITION.MOLITION ASBESTOS ifONIS NOT APPLICABLE TO
PERMIT FINAL
L � � Z
(L
CERTIFICATE OF
SIGNATURE:.
OCCUPANCYISSUED