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HomeMy WebLinkAboutPV2021-147 - PermitsCity of Newport Beach - Building Divistion . SOLAR Permit: PV2021-147 iV PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288 Inspection Requests/Telephone (949)644-32 C o : 1896-2021 RUC7 1i)n 1111111111 IIIII II ( 111III ll TI III011I1IIII1Il1 Issued Date:7)8F fu Job Address: 617 112 BEGONIA AVE NB /.�� Description:MFR NEW SOLAR PHOTOVOLTAIC SYSTEM 5.9 KW 16 MODULES � S,4 ON , Inspector Area: 5 Legal Desc.: DEL MAR BLK 629 LOT 17 OF PROJECT 938-01 LOCATED ON AP Owner: STUBBLEFIELD REBECCA Contractor: BETTER EARTH ELECTRIC INC Architect: Address: 617 112 BEGONIA AVE Address: 1815 E WILSHIRE AV STE 908/909 Address: NEWPORT BEACH, CA 92625 SANTA ANA CA 92705 Phone: State Lic: Phone: Phone: 888-373-9379 Applicant: MATTHEWS MAGGIE Con State Lic: 1024460 Engineer: Address: MARTIN LOYD 9924 UNIVERSAL BLVD #224 Address: 1815 WILSHIRE AVE STE 908/909 Lic Expire: 03/31/2023 ORLANDO FL 32819 SANTA ANA, CA 92705 Bus Lic: Lic Exp Date: BT30072439 07/31/2022 Phone: 3101534-1776 State Lic:C-058724 Phone: 714-855-0065 2019 Worker's Compensation Insurance Designer: BETTER EARTH ELECTRIC INC Code Edit : Carrier: PRAETORIAN INS Address: 1815 WILSHIRE AVE STE 9081909 Type of Construction: V-B Policy No: EQB0102943 SANTA ANA. CA 92705 Occupancy Group: R31U 2 Expire: 04/17/2022 Phone: No of Stories: Building Setbacks Rear. Use Zone: Front: Bldg Height: 0 Left: Right: Valutaion : $35,520.00 Building Permit Fee $240.00 Plan Check Fee: $210.00 Record Management (8 1/2 X 11) $0.00 Record Management (Plans) : $0.00 TOTAL FEE: $450.00 Plan Check Fee: $210.00 Fee Due at Permit Issuance: $240.00 PROCESSED BY: PUBLIC WORKS APPROVAL:` ZONING APP ROVAL: PLAN CHECK BY: �� APPROVAL TO ISSUE: GRADING APPROVAL: 8 FJ© ° © G 000 ® ® e e y3 PERMITS EXPliit 180 DAYS AZFT =,R IS, C9AN®CEcOI L4s7.VALID INSPECTION. e INSTALL OR VERIFY SMOKE AND CARBON MONOXIDE DETECTORS ARE EXISTING PER CRCR 314.1 & 315.2 . o00 0 0 0 0 09 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 ($500). El 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 completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpos&of sale). El 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). ❑ I am exempt from fice,nsure under the Contractors' State License Law for the following reason: By my signature below it 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 legalt 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 availge upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.govfcalaw.htmI. 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 Pro essions e�Jand my li�.1-4trll force and effect. 1 License Class License No Date .0 f Contractor Signatu WORKERS' COMPENSATION DECLARATION irle NARNING: 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 ATTORNEYS FEES. hereby affirm under penaltylof perjury one of the following declarations: L_I I have and will maint'ain'ia'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 perto,gRance of the work for which this permit is issued. Policy No. I have and willn-acin 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 insurance carrier ay number a c Carrier Pom e Expiration Date Name of Agent Phone # ❑I certify that, in the performance e work for which t ee ' s issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become is e o the workers' co s io provisions of Section 3700 of the Labor Code I shall forthwith comply with those provisions. Signature of Applicant DECLARATION REG CON R ION AGENCY I hereby affirm under enaltyofl perlu ere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil 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 have provi orrect. I agree to comply with all; applicable city and county o ' ances and state la I authorize representatives of this city or county en above -id tifie Signature of Property Owner,orAuthorized Age sCTt(Jl DATE BY PERMIT EXPMED PERMIT rt4 AJCE' ED PERM [TEXTENDED PE€ A41T FINAL CER7IEICA z OF OCCUPAtlCYISSUED g construction. for inspection purposes. Print Property Owner's or Authorized Agent's FEDERAL REGULATIONS PAIN 61 OF 777LE40 AND: AQMDRULE 1493 , [T, i S68MITTEQA&QESTOS M377FICATION TO: _.tom , EPA , ® ASBESTOS NO TIFICA IJON IS NOT AppLIC4BLE TO PROPOSED DIcMOLITM. SIGNARA?iE. FOR OFECE USE G&Y a