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HomeMy WebLinkAboutPV2019-065 - PermitsCity of Newport Beach - Building Divistion - PO Box 1768 Newport Beach, California 92658-8915 SOLAR Permit: PV2019-065 IIII P �V�III0III�6�l� 5 llll Permit Counter Telephone (949)644-3288 Inspection Requestslrelephone (949)644-3255 Project No : 1107-2019 Job Address: 2501 SIERRA VISTA NB Issued Date : X05/1612019 Description:SFR SOLAR PHOTOVOLTAIC 6.61kw (21) ROOF MOUNTED PANELS Inspector Area: 3 Legal Desc.: N TR 1801 LOT Owner: DAVISIBARTEL Contractor: BRIGHT LIFE REMODELING Architect: Address:. 2501 SIERRA VISTA Address: 933 NEWHALL ST Address: NEWPORT BEACH, CA 92660 COSTA MESA CA 92627 - Phone: Phone. 908-409-3911 Phone: - State Lie: Applicant:. MEYERS SEAN Con State Lie: 1029267 - Engineer: VINCI RICHARD JAMES Address 933 NEWHALL ST Lie Expire: 0713112019 Address: 175 E WILBUR RD #103 COSTA MESA CA 92627 Bus Lie: BT30060662 THOUSAND OAKS CA 91360 LJLJ Phone: 949-326.3162 Lie Exp Date: 09/3012019 - Phone: 805-496-2100 State Lio:S-004411 Code Edit`. 2016 Worker's Compensation Insurance Designer: BARBA VIN '" Type of Construction: VB Carrier: STATE FUND Address: 933 NEWHALL ST c1f "It Occupancy Group: R3 Policy No: 9053332 COSTA MESA CA 926276, No of Stories: 1 Expire: 04/19/2020 Phone: 908-489-3933 Building Setbacks Rear: Use Zone: _ Front: Bldg Height: 0 Left: ' Right: Valutaion : $39,660.00 Building Permit Fee $240.00 : Record Management (8 1/2X 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:, PUBLIC WORKS APPROVAL: ZONING APPROVAL:. I PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: o o �• • eo•• o ne .. a o 4 Y 4 6 PERMITS EXPIRE 980 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. INSTALL OR VERIFY SMOKE AND CARBON MQNOXIDE QETEQTOgy j1Rf EXISTING PER CRCR 314.1. & 315.2 • v ne • o oo a . IWNER-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) 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 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 of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, ',usiness 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 nproved for the purpose of sale). 7 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 holy 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 legally 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:hltp://www.leginfo.ca.gov/calaw.htmi. signature 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 with Section 7000 of Division 3 of the Business and Professions Code, and my license is in full force nd effect. ® n, icense Class License No Date ! f �' Contractor Signatu Jar �� VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOO E HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 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 ,erffoormance®rnda0p for which this permit is issued. Policy No. JI have anin 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' compensatioi Isurance cacy number,.g�') �. I 1Mi .Le._ Expiration Date Tie of Agent 'A-' vyc `✓ ur / 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 agre, t, if I should becomes fact lo, workers' c pensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. nature of Applicant Dat CLARATION REG#RDfRl3 CONSTRUCTION LENDING AGENCY ;reby affirm underpenalty of perjurythat there is a construction lending agency for the performance of the work for which this permit is issued (Section 309 ,Civil Code). 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 or count���rrro nter thyqr�R above-identi led property for inspection purposes. �1J - / (nature of Property Owner or Authorized Agent!V= d _'t_ ��,9Q-"-A Print Property Owner's or Authorized Agent's Nam s tr.U� y L/f a x..riL--=S Dat l ACTION DATE 1 BY - rwsev.s�+..+,,,,r.�..,...,_.........,....�.., o QpE L REGfLrgS PARI' 67 OF TITLE40.AND LAT1g - 1i003 . • • . 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