HomeMy WebLinkAboutPV2022-157 - Permitsr City of Newport Beach - Building Divistion SOLAR Permit: PV2022-157 *PV2022-157*
v PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288
4,. Inspection Requests/ Telephone (949)644-3255 Project No : 1389-2022
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Job Address: 1906 DEBORAH LN NB Issued Date : 0612312022
Description:SFR SOLAR PV SYSTEM. 8.52 KW. 24 MODULES
Inspector Area: 3
Legal Desc.: N TR 1805 LOT 37
Owner: NIBEEL MICHAEL
Contractor:
Architect:
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Address: 1906 DEBORAH LN
Address:
Address:
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NEWPORT BEACH, CA 92660
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Phone:
Phone:
Phone:
State Lie:
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Applicant: DURAN MALISSA
Con State Lie :
Engineer:
ZACHER PAUL
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Address: 2500 WHITE RD UNIT A
Lie Expire:
Address:
1478 STONE PT DR 190
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IRVINE CA 92614
Bus Lie :
ROSEVILLE CA 95661
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Phone: 949-5584171
Lie Exp Date:
Phone:
916-961-3965 State Lic:S-003878
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Code Edit: 2019
Worker's Compensation Insurance
Designer:
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Type of Construction: V-B
Carrier:
Address:
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Occupancy Group: R31U
Policy No:
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No of Stories: 2
Expire:
Phone:
Building Setbacks Rear:
9 0 0
° 8°
GC
Use Zone:
Front:
Bldg Height: 0
Left:
Right:
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 FEE: $450.00 Plan Check Fee: $210.00 Fee Due at Permit Issuance : $240.00
PROCESSED BY: 1✓�
ZONING APPROVAL: (,v„ j
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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
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).
❑ 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 purpose of sale).
❑ 1, 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 QLproperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
❑ 1 am exempiow"llcensure under the Contractors' State License Law for the following reason:
py".Ignature.Elgw I acknowledge that, except for my personal residence in which 1 must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally
gall a structure Ihaf j,gdve 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 following Web site:http://www.leginfo.ca.gov/calaw.html.
$igh4tWte of Property Owner or Authorized Agent Date
LIPEIJSED CQWT.RACTOR'S DECLARATION
l.he%Vaffirm uMtr 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 Glass :,+••• License No Data)<(o•23'ZgZz Contractor Signature X
PVURKFRS' COMPENSATION DECLARATION
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WAPNING+FAILURE A SEC6RE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIESAND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,006), IN ADDITION TO THE
COST OF COMPENS•VP14, *.MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I�'El�b�� ffirm Unger Walty of perjury one of the following declarations:
12 r have and U14aigtain 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
performance of the work for which this permit is issued. Policy No.
have 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'
rance 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
if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
of
DateX 6- Z3• 2a2,2—
IECLARATION REGARDING CONSTRUCTION LEIGDING 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 Code).
Ender's Name Lender's Address
ly 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 enter the above-identifi d property for inspection purposes. (��II
signature of Property Owner or Authorized Agent X .Iti1 Print Property Owner's or Authorized Agent's Name j�ecy, �74sNa� Date
ACTION
DATE
BY
DECLARATIONOFCOMPUANCE VATN CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 61 OF TITLE40 AND
AQMD RULE 1403,
PERMIT EXPIRED
❑ I SUBMITTED ASBESTOS NOTIFICATION TO:.
❑ EPA
❑ AQMD.
PERh4rr CANCELLED
PERMITEXTENDED
❑ ASBESTOS X07IRCA17ON IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMIT FINAL
Q .2-
CERTIFICATE OF
SIGNATURE:
OCCUPANCYISSUED