HomeMy WebLinkAboutpv2021-128 - Permits0City of Newport Beach - Building Divistion SOLAR Permit: PV2021-128 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
), v0, PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288
" " Inspection Requestslrelephone (949)644-3255
�,�x��a Project No : 1703-2021
Job Address: 1437 DOLPHIN TER N8
Issued Date
Description:SFR SOLAR PHOTOVOLTAIC
SYSTEM 42 PANELS 16 kw
Inspector Area: 2
Legal Desc.: TRACT NO 2334 LOT 12 POR OF LOT
Owner: LONG RANDY
Contractor:
PEAK POWER SOLUTIONS INC
Architect:
Address: 1437 DOLPHIN TER
Address:
151 KALMUS DR #L2
Address:
CORONA DEL MAR, CA 92625
COSTA MESA CA 92626
Phone:
Phone:
800-265-6357
Phone:
State Lic:
Applicant: HRISTOV NIKO
Con State Lic:
973253
Engineer:
MARTIN LOYD
Address: 1007 W GROVE AVE
Lic Expire:
05/31/2022
Address:
9924 UNIVERSAL BLVD #224
ORANGE, CA 92865
Bus Lic:
BT30053975
ORLANDO FL 32819
Phone: 714-202-5422
Lic Exp Date:
02128/2022
Phone:
3101534-1776 State Lic:C-058724
Code Edit : 2019
Worker's Compensation Insurance
Designer:
STOUTENBURG MATT
Type of Construction: V-B
Carrier:
STATE FUND
Address:
151 KALMUS DR STE L2
Occupancy Group: R3/U
Policy No:
9204002
COSTA MESA CA 92626
No of Stories: 2
Expire:
02/01/2022
Phone:
Building Setbacks
Rear:
Use Zone:
Front:
Bldg Height: 0
Left:
Right:
Valutaion : $52,000.00
Building Permit Fee
$255.00
Record Management (8 1/2 X 11)
$0.00
Plan Check Fee :
$223.13
Record Management (Plans) :
$0.00
IITOTAL FEE: $478.13 Plan Check Fee
PROCESSED BY: J
ZONING APPROVAL: Ckrz
GRADING APPROVAL:
$223.13 Fee Due at Permit Issuance : $255.00
PUBLIC WORKS APPROVAL:
s
PLAN CHECK BY:
APPROVAL TO ISSUE:
0
0
R, ERA.IKS 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
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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 S500).
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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
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 Code, is available upon request when this application is submitted or at the fallowing Web site:http://v .leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty 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. /
License Class License No Date 1 � Contractor Signature
WORKERS' COMPENSATION DECLARATION �I
WARNING: 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 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
I 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 thl
"omlance of the work for which this permit is issued. Policy No.
Ldl ave 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
insu nce carrier and policy number are:
Policy Number
of Agent
Date
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 orkers' com ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ������
nature of Applicant D��P�
CLARATION REGAR STRU NDING AGENCY
Ireby affirm under penalty of perjury 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 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 an r t e abo -' entif T6perty for inspection purposes. /j ��— , / (/� 64
nature of Property Owner or Authorized Agent V Print Property Owner's or Authorized Agent's Name ! � I ZED i , �I Y/((Date 1 I /
ACTION
DATE
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DECLARATION OF COMPLIANCE WITH CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 51 OF T17LE40 AND'
AQMD RULE 1403. •
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PERMIT CANCELLED
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SIGNATURE.,-
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PERMIT FINAL
CERTIFICATEOF
OCCLIPANCYISSUED
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