HomeMy WebLinkAboutPV2019-183 - Permitseaaly p ,, City of Newport Beach - Building Divistion
a =,j �_ PO Box 1768 Newport Beach, California 92658-8915
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SOLAR Permit: PV2019-183 IIIIIIIIIIIIIIIIIIIIIIIIIII
Permit Counter Telephone (949)644-3286
Inspection Requestslrelephone (949)644-3255
Project No :2674-2019
Job Address: 61 CAMBRIA DR NB
� . .; Issued bat6..,'1211151 01V -t
Description:SFR SOLAR PHOTOVOLTAIC SYSTEM 44 PANEL 13.86 ow
NOTAU WED
Inspector Area: 4
Legal Desc.: N TR 7844 LOT 121
Owner: TOLLMAN STEVEN
Contractor:
B V I SOLAR
Architect:
Address: 61 CAMBRIA DR
Address:
4747 EXECUTIVE DR STE 210
Address:
CORONA DEL MAR, CA 92625
SAN DIEGO CA 92121
Phone:
Phone:
877.359-3749
Phone:
State Lie:
Applicant: MILLS MICHAEL
Con State Lie:
1033754
Engineer:
ARSANIOUS POLA
Address: 6611 LONGFELLOW
PAR�
, CA 90620
Lie Expire:
Bus Lie:
1 2131/2 01 9
W LIC
Address:
A
1419 DELAWARE ST 2BUENA
�9�"'p IEC U
HUNTINGTON BEACHSt
Phone: 7714-336-6519
Lie Exp Date:
12131/2020
Phone:
L1b:L-0885
Code Edit : 2016
Worker's Compensation Insurance
Designer:
FIELD TYLER
Type of Construction: V -B
Carrier:
EMPLOYEE SVC GROUP
Address:
4747 EXECUTIVE DR
Occupancy Group: R31U
Policy No:
WC080390684
SAN DIEGO, CA 92121
No of Stories: 1
Expire:
07101/2020
Phone:
877-359-3797
Building Setbacks
Rear:
Use Zone:
Front:
Bldg Height: 0
Left:
Right:
Valutaion: $83,160.00
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 : $210.00 Fee Due at Permit Issuance : $240.00
PROCESSED BY: PUBLIC WORKS APPROVAL:
ZONING APPROVAL: PLAN CHECK BY:
14
GRADING APPROVAL: e o eti� s�m. APPROVAL TO ISSUE:
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PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION,
... INCTALL.OR VERIEV SMOKE AND CARBON MONOXIDE DETECTORS ARE EXISTING PER CRCR 314.1 & 315.2
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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 U 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 legal]
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.leginfo.ca.gov/calaw.htmi.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secti n 700 ) of Division 3 of the Business and Profession Co e, and nse is in full force
and effect. c/-/�
License Class License No ` 1��� V 1 %ate _� Contractor Signatur
INORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDREI(TH SAND DOLLARS ($700,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
1 have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the
0 ormance of the work for which this permit is issued. Policy No.
Z$Vave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which t is p rmit is issued. My workers' compensation
ns ante carne nd policy nymbe are: p J/ey '--�
.,arrier � i�-GIiT� E Policy Numbe&J Expiration Date / `�
Vame of Agent Phone #
certify that, in the performance of the wqSk4or which this permit is issued, I shall not employ any person in any manner so as to become subject tD the workers' comp nsation laws of California, and agree
I, if I should become subject to r ers' comp ns rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant
CLARATION REGARDING CONST}20 ON LENDING AGENCY
rreby affirm under penalty of perjury - there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097
Idler'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 ordinan and state laws relating to building construction.
I authorize representatives of this city or county to an r th , o /- ide - I d property for inspection purposes.
nature of Property Owner or Authorized Ag �/ !C Print Property Owner's or Authorized Agent's Nam
ACTION
DATE I ' 1 / SY
I PERMITEXPIRED I I I
I PERMIT CANCELLED I I I
PERNRTFINAL
CERTIFICATEOF
OCCUPANCYISSUED
t-tUtKALKLUULA(IUNV PAKID'IUrfiiLC9 AIVU ••-
AQMD RULE 1403.
❑ 1 SUBMITTED ASBESTOS NOTIFICATION T0:
EPA
❑ AQMD
❑
ASBESTOS NOTIFICATIONIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
SIGNATURE:
Civil Code).
&/u,s Date
VZOTAR1941414414#1041
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