HomeMy WebLinkAboutPV2021-035 - Permits (3)4wtYyk City of Newport Beach - Building Divistion
c v PO Box 1768 Newport Beach, California 92658-8915
SOLAR Permit: PV2021-035
Permit Counter Telephone (949)644-3288
Inspection Requests/Telephone (949)644-3255
Job Address: 441 MORNING CANYON RD NB
Description:SFR SOLAR PV SYSTEM. 14 MODULES. 4.75 KW
Inspector Area: 5 Legal Desc.:
N TR 1237 LOT 38
Owner: PILSITZ MICHAEL E
Contractor: BETTER EARTH ELECTRIC INC
Address: 441 MORNING CANYON RD
Address: 1815 E WILSHIRE AV STE 9081909
CORONA DEL MAR, CA 92625
SANTA ANA CA 92705
Phone
Applicant: RUIZ VICTORIA
Address: 1815 E WILSHIRE AV STE 9081909
SANTA ANA CA 92705
Phone: 888-373-9379
Code Edit :
2019
Type of Construction:
V-B
Occupancy Group:
R3/U
No of Stories:
1
Use Zone:
Bldg Height: 0
Phone:
888-373-9379
Con State Lic:
1024460
Lic Expire:
03/31/2023
Bus Lic:
BT30072439
Lic Exp Date:
07/31/2021
Worker's Compensation Insurance
Carrier:
STATE FUND
Policy No:
9229868
Expire:
0411712022
Building Setbacks
Rear:
Front:
Left:
Right:
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
Project No : 0475-2021
: 04/05/2021
`e
State Lic:
IN LOYD
V 237TH ST #206 =
ONCE CA 90505 c ,
4-1776 State Lic:C-058724
m
Valutaion : $21,932.00
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 : $450.00 Fee Due at Permit Issuance : $0.00
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 14.1 & 315.2
z
r
R-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, priorto 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 Iicensure 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).
❑ 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 Iicensure 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 following Web site:http://www.leginfo.ca.gov/calaw.html.
Signature of Property-Cpvner 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 Contractor Signature
WORKERS' COMPENSATION DECLARATION
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:
U 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 th(
performance of the work for which this permit is issued. Policy No.
❑I 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' compensatior
insurance 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.
ignature of Applicant De
IECLARATION REGARDING CONSTRUCTION LENDING 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
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 county ordinances and state laws relating to building construction.
I authorize representatives of this city or county to enter the above -identified property for inspection purposes.
'signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name
Civil Code).
Date
ACTION
DATE
RY
DECLARATIONOF COMPLIANCE MTNCODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 61 OF TITLE40AND
AQMD RULE 1403.
PERMIT EXP1 RED
❑ I SUBMITTED ASBESTOS NOTIFICATION' TO:
❑ EPA
PERP,47 CANCELLED
❑ AQMD
PERMIT EXTENDED
❑ ASBESTOS NODFICADON IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMIT FINAL
44 -Vt,
CERTIFICATEOF
SIGNATURE:.
OCCUPANCYISSUED