HomeMy WebLinkAboutPV2019-067 - Permits0,�, City of Newport Beach - Building Divistion SOLAR Permit: PV2019-067 IIIIIIIIIIIIIIIIIIIIII�IIIIIIIIjl�llllllllllllllllllllll
�. PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288
`� Inspection Requests/Telephone (949)644-3255
�� �� Project No :1110-2019
Job Address: 1342 GALAXY DR NB Issued Date : 0511612019
Description:SFR SOLAR PHOTOVOLTAIC (12.6 KW) 42 PANELS
Inspector Area: 3
Owner:.
MOREFIELD STEVEN
Address:
1342 GALAXY DR
Occupancy Group:
NEWPORT BEACH, CA 92660
.Phone:
1
Applicant:
DJOKOVICH TOM
Address:
65 ENTERPRISE
Bus Lie:
ALISO VIEJO CA 92656
Phone: -
714-269-6895
Cade Edit:
2016
Type of Construction:
V -B
Occupancy Group:
RXI
No of Stories:
1
Legal Desc.: N TR 4224 LOT 88
Use Zone:
Bldg Height: 0
Valutaion : $75,600.00
Building Permit Fee $240.00
Plan Check Fee : $210.00
TOTAL FEE: $450.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor:
XSUNX INC
Address:
65 ENTERPRISE
ALISO VIEJO, CA 92656
Phone:
.949-330-8062
Con State Lie:
987636
Lie Expire:
1013112019
Bus Lie:
BT30067326
Lie Exp Dater
05/31/2020
Worker's Compensation Insurance
Carrier:
STATE COMP
Policy No:
9141839
Expire:
09/1512019
Building Setbacks
Rear:
Front:
Lek:
Right:
Plan Check Fee
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Architect
Address:
d A
Phone: State Lie:
Engineer:
Address:
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Phone: State Lie: • •:
Designer: DJOKOVICH TOM ° • ° °
Address: 65 ENTERPRISE .. o
ALISO VIEJO CA 9CT e°m°se
Phone: r- RIGAL METALLIC 7�1B NG
(C -MT) I�S/Nr�OT�A�LLO WED°FQ
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Record Management (8 1/2 X 11) $0.00
Record Management (Plans) :. $0.00
$0.00 Fee Due at Permit Issuance : $450.00
PUBLIC WORKS APPROVAL: y�
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
)WNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items)
lection 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
'rofessions 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
of more than five hundred dollars ($500).
1, 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,
lusinesa 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
n roved 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
only 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 legal
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 available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm unCarpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se 'on 7 00) of Division 3 of the Business and Profe s' s Codi nd m licen in full force
hd ElfeLR••• • � //'' \
(cense Class • License No Date ('J Contractor Signature
I(ORKIERS' CO114PENSATION DECLARATION
%%RNIAd: FAILURE TP SECILRE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLAR$($100,000), IN ADDITION TO THE
:OCT OFCOMPENSAiION,i)AMAGES AS PROVIDED FOR IN SECTION 7706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
•...
2•1•173vp and �ill'FQ>T,iAtain 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 the
it nce of the work for which this permit is issued. Policy No.
f ,Xand 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
rand ca rl flojlc tuber ar
jetrtET••yll 1 Policy Number "1 1 CJExpiration Date
4afrte of Agent • _ • Phone #
:1I certify that, in the performan o work for which this perms ' , I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree
hat, if I should become subject orkere' o p provisions of S ction 3700 of the Labor Code, i shall forthwith comply with those provisions. /�
signature of Applicant Ze 1 Dater//
]FCLARATION REGA I�&MRUCTION LEN NG AG
hereby affirm under penalty of perjury that there is a ons Ion lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
.ender's Name Lender's Address
3y 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 ed is correct.
I agree to comply with all applicable city and county c dinan s and state laws rel ilding construction.
I authorize representatives of this city or county to 5WO abov -i� entifie operty f spection purposes. r-
8ignature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name lw./Jr r�1K0✓L Gn Date
ACTION
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