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PV2020-088 - Permits
y ` ` City of Newport Beach - Building Divistion PO Box 1768 Newport Beach, California 92658-8915 Job Address: 2032 PORT BRISTOL CIR NB Description:SFR SOLAR PHOTOVOLTAIC SYSTEM 28 PANELS 9.66 kw Inspector Area: 4 Legal Desc.: N TR 6623 LOT 65 Owner: 2032 PORT BRISTOL LLC Address: 2032 PORT BRISTOL CIR -- Address: -- NEWPORT BEACH, CA 92660 Phone: 949405-8278 Applicant: ZHANG LYNN Address: 201 CLARK AVE Phone: POMONA, CA 91767 Phone: 909.753-7885 Code Edit: 2019 Type of Construction: V -B Occupancy Group: R311J No of Stories: 2 SOLAR Permit: PV2020-088 *PV2020-088* Permit Counter Telephone (949)644-3288 Inspection Requestsrrelephone (949)644-3255 Project No : 1077-2020 Issued Date : 06/2212020 Contractor: TRUE POWER SOLAR Architect: -- Address: -- - 201CLARKAVE- -- — --- Address: INS�L R� - PECT®R POMONA CA 91767 1 �A V l Phone: 714-676-8888 Phone: State Lic: Con State Lic: 970591 Engineer: Lic Expire: 0313112022 Address: Bus Lic: BT30067385 Lic Exp Date: 05/3112021 Phone: State Lic: ° o r o Worker's Compensation Insurance Designer: °eoo CHANG MAOCHEN Carrier: STATE COMP Address: 201 CLARK AVE Policy No: 9147686 POMONA, CA 91767 Expire: 12/02/2020 Phone: 909-753-7885 ° Building Setbacks Rear: Use Zone: Front: Bldg Height: 0 Left: Right: 0 0 00°LOl ® o ° O c c 0 oe° e o o,o• c o°o°o ocmc co o � c 0 Valutaion: $57,960.00 Building Permit Fee $240.00 Record Management (8 1/2 X 11) O°$10°00 Plan Check Fee: $210.00 - Record Management (Plans) $0.00 TOTAL FEE: $450.00 Plan Check Fee: $210.00 Fee Due at Permit Issuance : $240.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: 1 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. INSTALL OR VERIFY SMOKE AND CARBON MONOXIDE DETECTORS ARE EXISTING PER CRCR 314.1 8 315.2 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 ie 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 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 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 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). 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 pply 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:http://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 Sectio 7000) of ivision 3 of the Bgsiness and P esslons Code, and my license is in full force nd effect. .� 1 y / /is Class �Veefj ontracto net-- lag `�.� /.gRLfF,RS' CQW;ENSATION DECLARATION 'ARNING!FAILURC TO$EFURE 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 g5T OF COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. jlefeJly`affrm under penalty of perjury one of the following declarations: l l have and W4I,rtJalstain 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 ' ormance of the wojlyfor which this permit is issued. Policy No. 9Je,and will.rnaintoin workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which thispe it is issu d. My workers' compensatioi IetimliSe carrier icy number are: er n VIP, I �.� r. Policy Number Q�y7 iS �js� Expiration Date � Z 19me of Agent `t.:�li 9 N/Ti�!/ 6D A Phone # �( II ce uartify• that, ir6lT2'}JWormance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the4worers' compensation laws of California, and ogre te /7-2/ 24 2 6 hereby affirm under pe y 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). ender's Name Lender's Address y 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 oM .city or county to the above -identified property for inspection purposes. //2 ignature of Property Owner oiu ofted Agent ✓ Print Property Owner's or Authorized Agent's Na 0/ a 15 ACTLON DATE BY IICLLHR!!I(VIY Vr LVMrLIHIYLL YYl (II LVYL VI FEDERAL REGULATIONS PART 6f OF TITLE 40 AND AQMD RULE 1403. XPIRED 0 1 SUBMfTTED ASBESTOS NOTIFICATION TO: ANCELLED 0 EPA 0 AQMD XTENDED 170HIS NOTAPPLICA13LE TO 3NAL f0 C� ©OASBESSED DEMOLITION. OCC UPANCYISSUED I SIGNATURE: I / p7 5 c N 0 p E 0v W N U 7L� z m 71 1 v 0 LLIV LLI a. Y m m a E V Z E J o -1 a om F- °' a = VOL = o a CL u 0 a o _ V) E m Lo 2 g H a U) w o a, W v 01 z a a, aL+ L w ° L V o d z N rL U a m °' CO) � �rN Y In f oN Qj x o a z a C M Q 'n b V' W aCal LnEtnz W v W m a 0 d. 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