HomeMy WebLinkAboutPV2021-096 - Permitsx City of Newport Beach - Building Divistion
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PO Box 1768 Newport Beach, California 92658-8915
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SOLAR Permit: PV2021-096
Permit Counter Telephone (949)644-3288
Inspection Requests/Telephone (949)644-3255 Project No : 1323-2021
*PV2021-096*
Job Address: 401 15TH ST NB
Issued Date : 06/24/2021
Description:SFRSQLAR PV SYSTEM 12.58kw
(34) MODULES.
CTI
Inspector Area: 3
Legal Desc.: N TR 1218 LOT 31
Owner: FLORIANI DAN
Contractor:
SADLER SOLAR Architect:
Address: 401 15TH ST
Address:
801 GLENNEYRE ST #A Address:,,
NEWPORT BEACH, CA 92663
LAGUNA BEACH CA 92651
Phone:
Phone:
949-584-4800 Phone:
State Lic:
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Applicant: MILLER TIM
Con State Lic:
982533 Engineer:
MCPHERSON RYAN JAMES
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Address: 801 GLENNEYRE ST STE A
Lic Expire:
04/30/2023 Address:
6169 SUNNY CIR
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LAGUNA BEACH CA 92651
Bus Lic:
BT30073175
MIRA LOMA CA 91752
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Phone: 714.906-1549
Lic Exp Date:
10/31/2023 Phone:
909-669.2244 State Lic:C-082088
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Code Edit: 2019
Worker's Compensation Insurance Designer:
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Type of Construction: VB
Carrier:
EXEMPT NO EMPLOYEES Address:
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Occupancy Group: R3/U
Policy No:
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No of Stories: 2
Expire:
Phone:
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Building Setbacks
Rear:
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Use Zone:
Front:
Bldg Height: 0
Left:
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Right:
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Valutaion : $75,480.00
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 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 AFTER ISSUANCE OR LAST VALID INSPECTION.
INSTALL OR VERIFY SMOKE AND CARBON MONOXIDE DETECTORS ARE EXISTING PER CRCR 314.1 & 315.2
IWNER-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
is 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
Irofessions 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 df
of more than five hundred dollars ($500). -
I, as owner of the property, or my employees with wages as their sole compensation, will do `) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
nproved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I am exempt from licensure under the Contractors' State License Law for the following reason:
ly my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally
ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
'rofessions Code,••Is.a.vailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
signature of Prop*eBq owner or Authorized Agent Date
IL'FIO$ED CQ%TF%CTOR'S DECLARATION
Hereby affirm dnde. penalty of perjury that I am licensed under provisions of Chapter 9 (commencing X
tion 7000) of Division 3 of the Business and Pr essions Code, and my license is in full force
nche�fect. •icense Class License No DateV Contractor Signature
VO&RS' L(ROPE NSATION DECLARATION
'ARNING: FAILURE i0 SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HU DRIED THOUSAND DOLLARS (W0,000), IN ADDITION TO THE
CSI'TIFFOMPENSAT.1INJi DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
1t2r@lty affirm un per penalty of perjury one of the following declarations:
Md �h0ave and will nyaintain 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
e Dance of%q &ol( for which this permit is issued. Policy No.
..•••
���jve and will��iMain 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
Isurance carrier and pplicy number are:
:arr Policy Number Expiration Date
of Agent Phone #
r
�( c ify that, in the perfor nce 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' ompensation laws of California, and agref
lat, i I should become b' ct to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
atureofApplicant Da
IECLARATION REGA IN TRUCTION L DING AGENCY
hereby 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 ode).
Ender's Name Lender's Address
y 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 unty ordinances and state laws relating to building construction.
I authorize representatives of this city or coun o enter above -identified property for inspection purposes. /
ionature of Prooertv Owner or Authorized Agent//- _--�Z_ Print Property Owner's or Authorized Agent's Name /'mil r, l en D
ACTION
DATE
BY
DECLARATION OF COMPLIANCE MTR CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 61 OF T17LE40 AND
AOMD ROLE 1403,
PERMIT EXPIRED
❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO,.
❑ EPA
❑ AQMD
PERMIT CANCELLED
PERMITEXTENDED
❑ ASBESTOS NOTIFICARON1SNOTAPPLICABLETO
PROPOSED DEMOLf TtON.
SIGNATURE:.
PERMIT FINAL
CER77FICATEOF
OCCUPANCYISSUED
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