HomeMy WebLinkAboutPV2019-169 - PermitsCity of Newport Beach - Building Divistion
SOLAR Permit: PV2019-169
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11111
PO Box 1768 Newport Beach,
California 92658-8915
P V 2 0 1 9 i 6 9
Permit Counter Telephone (949)644-3288
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Inspection Requests/Telephone (949)644-3255
Project No :2596-2019
Job Address: 1974 PORT LOCKSLEIGH PL NB
Description:SFR PHOTOVOLTAIC SYSTEM (8.25 KW) (25 PANELS)
Issued Date : 12/2012019
Inspector Area: 4
Legal Desc.: N TR 7028 LOT 63
Owner: SCHMITT JEROME LUKE
Contractor:
BRIGHT LIFE REMODELING
Architect:
Address: 1974 PORT LOCKSLEIGH PL
Address:
933 NEWHALL ST
Address:
NEWPORT BEACH, CA 92660
COSTA MESA CA 92627
Phone:
Phone:
908.489-3911
Phone:
State Lie:
Applicant: BRIGHT LIFE REMODELING
Address: 933 NEWHALL ST
Con State Lie:
1029267
Engineer:
VINCI RICHARD JAMES
COSTA MESA CA 92627
Lie Expire:
Bus Lie:
07/31/2021
BT30060552
Address:
175 E WILBUR RD #103
Phone: 908-489-3911
Lie Exp Date:
09/30/2020
THOUSAND OAKS CA 91360
Phone:
805.496-2100 State Lic:S-004411
Code Edit: - 2016
Worker's Compensation Insurance
Designer:
Type of Construction: V -B
Carrier:
STATE FUND
Address:
Occupancy Group: R31U
Policy No:
9053332
No of Stories: 2
Expire:
0411912020
Phone:
Use
Building Setbacks
Rear:
dmL ��
Zone:
Front:
Bldg Height: 0
Left:
Right:
vaiumion: y4a,b00.00
Building Permit Fee $240.00
Plan Check Fee : , $210.00
TOTAL FEE : $450.00 Plan Check Fee
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Tdal
Record Management (8 1/2 X 11)
Record Management (Plans) :
$210.00 Fee Due at Permit Issuance :
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE
•• mo•
• m m
o• e
PERMITS EXP/RE 180 DAYS AFTER ISSUANCE OR LAST VALIB INSf4ECT10N.
$0.00
$0.00
$240.00
m -
„ m m
mm o m
o m o m
0 0 0 0 0 00
• 0 0
INSTALL OR VERIFY SMOKE AND CARBON MONOXIDE DETECTORS ARE EXISTING PER CRCR 314.1
00 000
0 o m o m • o m c
o c c c c e
0 o co e o �o mo 0
• m o m w o
OWNER -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 it the checture, prior
I have placed next to the applicable items)
(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 Fo its issuance, also requires the applicant for
se Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State Licen
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).
❑ 1, 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 7that 044,
Business and intended Code:essions Contractors' State
License not
owner of
property employees' ril rproperty, provided
tt
improvements are not or offeed fosale. If, hoever, the building or improvement ssold withnoa year of completion, the Owner -Builder have the burden of proving that it was nobuilt or
improved for the purpose of sale).
0 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
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).
0 1 am exempt from licensure under the Contractors' State License Law for the following reason:
year prior to completion of the improvements covered
By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one by this permit, I cannot legal)
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. 1 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.leginfo.ca.gov/calaw.htmi. Date
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION
I 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 Profe sions Code, and my license is in fullforce
and effect. Da %� Contractor Signatur6, Vie.,,, l
License Class License No v
WORKERS' COMPENSATION DECLARATION
WARMING CO ILURE TTOION DAM GES AS PROVIDED PORTIO SECTIOSECURE WORKERS'COMPENSAION N GE IS
THE LABOR CODE, ALL
SUBJECT
ANO ATTORNEY'S TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST
3TO
S.
I hereby affirm under penalty of perjury one of the following declarations:
'ded for by Section 3700 of the Labor Code, for the
I have
and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as prove
ce of the work for which this permit is issued. Policy No.
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'
carrier and policy number are:
Policy Number Expiration Date
ip,6f Agent
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 agree
if I should become subject to tAworkers' comIensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. DateZhu%/%9
of Applicant
CLARATIONREGARIDIN CONSTRUCTIO14 LENDING AGENCY rmance
areby affirm under penalty of perjury that there is a construction lending agency for the perfoer's Address of the work for which this permit is issued (Section 3097, Civil Code).
Ider's Name
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.
1 have read this application and the information I have provided is correct.
I agree to comply with all applicable city and Bounty dinances and state laws relating to building construction.
I authorize representatives of this city orcpunty to, ter t above -id ion purposes. Date
de Ified property for inspect
mature of Property Owner or Authorized Agent - ��� Print Property Owner's or Authorized Agent's Nari! a r
r txr nnrr v
AC77ON DATE .•. BY
•••
PERMIT
•14. 0 f SUBMITTED ASBESTOS NOTIFICATION 70:
0 EPA
0 AOMD
❑ ASBESTOS N071FICATIONIS NOT APPLICABLE 70
CERTIFICATEOF ; • • • • : • I SIGNATURE:
OCCUPANCYISSOED _._
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