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Home My WebLink AboutPV2019-071 - Permits7 # City of Newport Beach- Building Divistion' SOLAR Permit: PV2019-071 III II IIII II III III9IIIIIII0I� VIII VIII 0 PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288 Inspection Requests/Telephone (949)644-3255 4, � �P�°" Project No :1222-2019 Job Address: 4615FAIRFIELD DR NB Issued Date : 0610512019 Description:SFR - PHOTOVOLTAIC SYSTEM 16.43 KW. 53 PANELS - Inspector Area:. 5 Legal Desc : N TR 3357 LOT 49 Owner CAMEO SHORES LLC Contractor: CORONA CONTRACT CONSTRUCTION Architect: ' t" n `-1u L s �"`y FW a ' Address: 4516 FAIRFIELD DR Address: 2137 RANCHO CORONA Address: CORONA DEL MAR, CA 92625 CORONA CA 92882 Phone:. Phone: Phone: State Lie: Applicant: KOEPP GUILHERME PP Con State Lie: 446725 Engineer. CAVANAGH TERENCE JEFFREY ..... Address:. 2832 N OLIVE AV : Lie Expire: 0613012020 Address: P O BOX 2059 �.. e. o - ORANGE CA 92865 Bus Lie: BT30067588 FOLSOM CA 92763 9 ° "• ° ° Phone: 951.281-9557 Lie Exp Date: <" 30 -rL.O Phone: State Lic:S-003107 Code Edit: 2016 Worker's Compensation Insurance Designer: DEPINHO JOE Type of Construction: V-B Carrier: CA INS CO Address: 2137 RANCHO CORONA ....., • • J ° Occupancy Group: R3/U Policy No: 828268990110 CORONA CA 92682 No of Stories: 1 Expire: 05/01/2020 Phone: Building Setbacks Rear. .•..° Use Zone: Front: Bldg Height: 0 Left: Right •.-a . ., ° Valutaion : $98,580.00 Building Permit Fee $255.00 Record Management (8 1/2 X 11) $0.00 Plan Check Fee : $223.13 Record Management (Plans) $0.00 TOTAL FEE: $478.13 Plan Check Fee: $223.13 Fee Due at Permit Issuance; $255.00 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 - 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 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 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 U 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 im 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 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 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 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.teginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CQNftCTOR'S DECLARATION hereby affirm unrW(Senalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sect' n 7000) of Division 3 of the usiness and Professions ,gde, and my license is in full force and•BFfert. .... License glass : • • • • License No 121ete�) Contra or, aturo N/URKCRS' COMPENSATION DECLARATION WARNING: FAILURE 10•SESURE 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 C081 OP C•0MPENS•AdIQN,1JAMAGEs AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I+iereby affirm upQgr pgnalty of perjury one of the following declarations: 0•I`Rave and %*011nmaintain 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 Cade, for the Mnce of the .work for which this permit is issued. Policy No. �and wiil7gaiptjlin 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 ins((�Irance carrier and poficy number are: • •rner Policy Number Expiration ^ • ° Co „ , Date Name of Agent •... Phone# ❑I 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 subjec a workers' compensation laws of California, and agre that, if I should become subjecttoto the -workers mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions Sign of Applicant " Date—L /l15. DEC N REG DING-EON§TRUCTION LENDING AGENCY 1 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, Civil Code). Lender's Name Lender's Address By 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?LGounfv to anter ve-I fed property for inspection purposes. ��/�//� Signature of Property Owner ori ent 1��a—�— Print Property Owner's or Authorized ent's Name ( €�.✓I�Date 9 P Y J 9 »' at ACTION �� DATE I BY FINAL AQMD RULE 1403, 1 SUBMfTTEDASBESTOS N071FI(:ATION TO: ❑ EPA ❑ AQMD ❑ ASBESTOS NOITFICARONIS NOT APPLICABLE TO PROPOSEDDEMOLITION. SIGNATURE: V � C N � m Q C W m �m Q p OZ a .y ui Q > U Q J W d > p _d z w N U o — 'CU v Cu 0 a —Cu N ti C: L c O 'O C U m o >1 N N N E a ° m LL N N LO y c NT w m c ca � f6 oO O Q U O 7 O +L N O o y � o_ C N O O O N C a) (0 0 O N C U w N 16 — c Q a) a w .� N U p a U N O_ N L U t c 3 O N V cu 0rn c `O o _.a) .N__Qy_ CO O L 'a m 0 ..