HomeMy WebLinkAboutPV2018-096 - PermitsCity of Newport Beach - Building Divistion SOLAR Permit: PV2018-096 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII33
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PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288
Inspection Requests/Telephone (949)644-3255 Project No : 1943-2018
04.-Wm
Job Address: 20172 CYPRESS ST NB Issued Date : 08/16/2018
Description:SFR SOLAR PHOTOVOLTAIC (5.94 KW) 18 PANELS
Inspector Area: 8 Legal Desa: TR 706 LOT 175 NELY1/2(AND SWLY 12 FT LOT 176INSF-IMOR
Owner: HUGHES JOHN L Contractor: OWNER/BLDR Architect:
Address: 20172 SW CYPRESS ST Address: HUGHES JOHN L Address:
NEWPORT BEACH CA 92660
Phone:
Phone:
Phone:
State Lie:
Applicant: HUGHES JOHN L
Con State Lie:
O/B
Engineer:
MARTIN LOYD
Address: 20172 SW CYPRESS ST
Lie Expire:
Address:
2510 W 237TH ST #206
NEWPORT BEACH CA 92660
Bus Lie:
TORRANCE CA 90505
....
Phone: 949-852-1004
Lie Exp Date:
Phone:
310/534-1776 State Lic:C-058724
Code Edit : 2016
Worker's Compensation Insurance
Designer:
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Type of Construction: VB
Carrier:
Address:
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Occupancy Group: R3/U
Policy No:
No of Stories: 1
Expire:
Phone:
Building Setbacks
Rear:
Use Zone:
Front:
....
Bldg Height: 0
Left:
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Right:
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Valutaion: $35,640.00 0.
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: $0.00 Fee Due at Permit Issuance : $450.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
PERMITS EXPIRE 180 DA YS AFTER ISSUANCE OR LAST VALID INSPECTION.
INSTALL OR VERIFY SMOKE AND CARBON MONOXIDE DETECTORS ARE EXISTING PER CRCR 314.1 & 315.2
(04
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 IL`.
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 (_) all of or (_) 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
93uvements are. not -intended .or gffereQ 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
ed for the purpose of sale). ,
a 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
appy#o. an owner of property who builds opimproves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
E31 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 cover d by this permit, I cannot legally
sell a structure that I have built as an owner -builder if it has not be n)construc d in its entire y by licensed contractors. I understand that a copy of the applicable law, Sectio 7044 of re Busi ss and
Professions Code, is available upon request when this lication is ubmitt rat a foll in Web site:http://www.leginfo.ca.gov/calaw.htmi. -
Signature of Property Owner or Authorized 'V4 Da _ 5
LICENSED CONTRACTOR'S DECLAN 1-13
I hereby affirm and erpenalty of perjury that I am license der 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.
�icens%Class "" License No Date Contractor Signature
DVOR?1i2ERS' G6WriNSATION DECLARATION
WPRNING: 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 OFCOMPENSA RON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
fherefry affirm ender Penalty of perjury one of the following declarations:
JOS JLa6e 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 IN
g%joJrpance of JI14C* k 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'
yrg;lW carrier and policy number are:
nrer : .:... : Policy Number Expiration Date
oof,Agent Phone aF
Ri that, Trl,the pErformance of thework for h'ch this permit is ' sued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree
should beco e- bject to the rkers' co p nsation pr Vis! of Section 3700 of the Labor Code, I shall forthwith comply with those provisions... 9
natur o plicant
CLARATI REGARDIN ONSTRUCTION E DING CY
rreby affirm under penaitkQDperjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Cod ).
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 o count to ant he abo -identified roperty for inspection purposes. — -
nature of Property Owner or Authorizi;; g t_ L'�+ Print Property Owner's or Authorized Agent's (� - � (J ate
ACTION —DAF BY
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FEDERAL REGULATIONSPART 61 OF TITLE40AND
AQMD RULE 1403.
PERMITEXPIRED
1SUBMfTTEDASBESTOSNOTIFfCAT!ONTO:
❑ EPA
❑ AQMD
PERMITCANCELLED
PERMITEXTENDED
❑ ASBESTOS NOITHCA17ONIS NOT APPLICABLE TO
PROPOSEDDEMOLITION-
PERMtTFINAL -
CERTIFICATEOF
SIGNATURE:
OCCUPANCYISSUED