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HomeMy WebLinkAboutPV2019-040 - PermitsCitybf Newport Beach - Building Divistion 1 PO Box 1768 Newport Beach, California 92658-8915 ExkArra��. � SOLAR Permit: PV2019-040 Permit Counter Telephone (949)644-3288 Inspection Requests/Telephone (949)644-3255 Job Address: 1401 E BAY AVE NB Description:SFR SOLAR PHOTOVOLTAIC 3.3 KW (10 PANELS) Inspector Area: 1 Legal Desc.: BALBOA TR EAST SIDE ADD LOT i BLK 23 ALL -INC FOR ST ADJ-(AND BALBOA Plan Check Fee ; $210.00 Record Management (Plans) °WO.• Owner. KENT VALLEY FAMILY TRUST Contractor: BRIGHT LIFE REMODELING. Architect: Address: 3 GOLDFINCH Address: 933 NEWHALL ST Address: IRVINE CA 92603.. TOTAL FEE: $450.00 COSTA MESA CA 92627 $450.110-:1 Phone: Phone: 908-489-3911 Phone: Applicant: BRIGHT LIFE REMODELING Con State Lie: 1029267 Engineer: Address: 933 NEWHALL ST - Lie Expire: 07/31/2019 address: COSTA MESA CA 92627 Bus Lie: BT30060662 Phone:. `908-4893911 Lie Exp Date: 09/30/2019 Phone: Code Edit : 2016 Worker's Compensation Insurance Designer: Type of Construction: V -B -SPR Carrier: STATE FUND. Address: Occupancy Group: R31U Policy No: 9063332 No of Stories: 3 - Expire: 04/1912019 Phone: Building Setbacks Rear: Use Zone: Front: Bldg Height: 0 Left: Right: *PV2019-040' Project No : 0678-2019 Issued Date :.03/28/2019 a o a State Lie MORALES DOUGLAS 20751 KELVIN LN HUNTINGTON BEACH CA 92656 949-285-5104 State Lic:C-069163 moan ° m m•mm ° ° 0 oom000 o � o ° D co • °°oma PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL:. PLAN CHECK BY: GRADING APPROVAL: 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 Valutaion : $19,800.00 Building Permit Fee $240.00 Record Management (8 1/2 X 11) SAO& Plan Check Fee ; $210.00 Record Management (Plans) °WO.• • °°,;° TOTAL FEE: $450.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $450.110-:1 ° °°oma PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL:. PLAN CHECK BY: GRADING APPROVAL: 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 tNER-19UILUtK UtL:LAKAI IUN 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) ction 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 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 fessions 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 more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, iness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or roved for the purpose of sale). 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not ly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). J I am exempt from licensure under the Contractors' State License Law for the following reason: Iy my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements cover ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. ,ignalure of Property Owner or Authorized Agent Date. .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing itfi Section 000) of Division 3 'a uainess and Professions � ��ssions Code, and my license is in full force effect. is icense Class License No pate 2-$ � 1 Contract Signature WORKERS' COMPENSATION DECLARATION his permit, I cannot of the Business and IARNING: 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 ($100,000), IN ADDITION TO THE :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 970$ OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 'e 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 the Ince of the work for which this permit is issued. Policy No. .••. and w11; gVirrtain 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' compensation e carrhy and Policy number are: _• • • Policy Number Expiration Date Agent Phone # Y 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 worty rs' compensation laws of California, and agree rhouldIW8 sub' ct to the workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. s ofA M = YVUA/.Pitta a tATI N•R RA DING CONSTRUCTION LENDING AGENCY. 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 097, Civil Code). Name. Lender's Address my signat&8 below I certify to each of the following: :I ant the prpgertyowner or authorized to act on the property owner's behalf. I•have re.%ttp%;plication 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 representativesoft cit r county to nter the abov = entified property for inspection purposes. nature of Property Owner or ut d Agent Print Property Owner's or Authorized Agent's N• AC77ON dATE BY DECLARATION OF COMPLIANCEMTH CODE OF FEDERAL REGULATIONSPART 61 OF TITLE40AND PERMITEXPIRED AQMDRULE 1401 0 I SUBMITTEDASBESTOS NOTIFICATION TO: PERMITCANCELLED © EPA PERMITEXTENDED 0 AQMD 0 ASBESTOS NOTIFfCATIONIS NOT APPLICABLE TO PER IITFINAL t.— r-, PROPOSED DEMOLITION. 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