HomeMy WebLinkAboutPV2019-178 - Permits� Ivy n City of Newport Beach - Building Divistiorl SOLAR Permit: PV2019-178 IIIIIIIIIII�IIIIIIIIIIIIIIIIlIIIIIIIIIIIIIIIIIIIIIII II
':. PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288
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,res � Inspection Requests(relephone (949)644-3255 project NO :2654-2019
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Job Address: 2930 ALTA VISTA DR NS
Issued Date : 12/04/2019
Description:SFR SOLAR PHOTOVOLTAIC SYSTEM 18 PANELS 6.48 kw
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Inspector Area: 8
Legal Desc.: N TR 5016 LOT 22
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Owner: KROUTJEREMY
Contractor:
BRIGHT LIFE REMODELING
Architect:
® ma
m
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Address: 2930 ALTA VISTA DR
Address:
933 NEWHALL ST
Address:
•sem
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NEWPORT BEACH, CA 92660
COSTA MESA CA 92627
° •
• °
Phone:
Phone:
908489.3911
Phone:
State Lic:
some
Applicant: MEYERS SEAN
Con State Lic:
1029267
Engineer:
MORALES DOUGLAS
Address: 933 NEWHALL ST
Lic Expire:
07/31/2021
Address:
20751 KELVIN LN
•
memo°
COSTA MESA, CA 92627
Bus Lic:
BT30060662
HUNTINGTON BEACH CA 92656
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m m • m o
o e e
Phone: 949-326-3162
Lic Exp Date:
09/30/2020
Phone:
949-285.5104 State Lic:C-069163
Code Edit: 2016
Worker's Compensation Insurance
Designer:
; ,OOm
°mmaot'
Type Construction:
Carrier:
STATE FUND
Address:
Itl
Occupancy Group: U
Occupancy
Policy No:
9053332
'$� PS
No of Stories: 1
Expire:
0411912020
Phone:
Building Setbacks Rear:
Use Zone: Front:
Bldg Height: 0 Left:
Right:
Valutaion : $38,880.00
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: l �l
GRADING APPROVAL:
PUBLIC WORKS APPROVAL:
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 6 315.2
)WNER-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 for
he 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.
lot more than five hundred dollars ($500).
1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness and Prqfessiqns 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
Tiprovements areneUintended 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
Ym roved for the purpose of sale).
•I as ownerwf the 1p�operty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
Ipply to an owne'r of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
301•amo exempt from licensure under the Contractors' State License Law for the following reason:
3y my signature MIUJ 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
elF%5tfucture tIM T Rave 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
rrofessions Codepia available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
gnaiuce of Prop",Qwner or Authorized Agent Date
JCENSED CONTRACTOR'S DECLARATION
1`14M jaffirm ugder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wit Section 70 0) of Division 3 of the Business and Prgf�ssions Code, and my license is in full farce
ind effect. • • • • • •
JceRse.Class • License No Dat Contractor Signature /
VOIRKERS' 39"HPENSATION DECLARATION
4
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 ($700,000), 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 the
erfprmance of the work 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'
rance arner and policy numberg
ier_i�WZ/Yld ftkt.l Policy Number%D5'3332 Expiration Date
ie of Agent
certify that, in the pi
. if I should become
of Applicant
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
0 workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
:reby 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
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 cou y ordinances and state laws relating to building construction.
I authorize representatives of this city or county o e r the above -id tified property for inspection purposes.
nature of Property Owner or Authorized Agent A Print Property Owners or Authorized Agent's Na e
Civil
laws of California, and
ACTION DATE BY VCLLAfwrIvnur LUMVU Nrn Wirnwutvr ( PUK UITILt U�t UNLY
FEDERAL REGULATIONSPART 61 OF TITLE40AND
PERMIT EXPIRED AQMD RULE 1403.
❑ 1 SUBMITTED ASBESTOS A1077FICATION TO:
PERMIT CANCELLED ❑ EPA
PERMITEXTEND€D ❑ AQMD
❑ ASBESTOS N077FICA710NIS NOT APPLICABLE TO
PERMITFINAL PROPOSEDDEMOLiTION.
CERTIFICATEDF
OCCUPANCYISSUED SIGNATURE;
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