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Home My WebLink AboutPV2019-141 - Permitsf, City of Newport Beach - Building Divistion SOLAR Permit: PV2019-141 I *PV2019-141* N. •.� PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288 Inspection Requests/Telephone (949)644-3255 Project No : 2289-2019 Job Address: 1003 BONNIE DOONE TER NB Issued Date : 11101/2019 Descriphon:SFR SOLAR PV SYSTEM. 11.05 KW. 34 MODULES Inspector Area 2 Legal Desc.: N TR 5130 LOT 17 /� �q Owner HAUGH JOHN Contractor: VIVINT SOLAR DEVELOPER LLC". Architect i.J��•'"ym e Address: 1430 DOLPHIN TERRACE Address 1800 W ASHTON BOULEVARD Address: o NEWPORT BEACH CA 92625 LEHI LIT 84043 - Phone, 216.533-4203 Phone: 855-877-2974 Phone:. State Lia Applicant: FINOCCHIO VANESSA Con State Lic 973756 Engineer. WALSH JAMES Address: 9847 PIONEER BLVD Lic Expire: 06130/2020 Address: 1174 W KORADINE DR • `� °� SANTA FE SPRINGS CA 90670 .Bus Lia BT30044731 SOUTH JORDAN UT 94085 e.• m o eo e e Phone: 562-942-1270 Lic Exp Date: 09/3012020 Phone: State Lic:C-073567 Code Edit2016 Worker's Compensation Insurance Designer. DRAM CODY E Type of Construction: V -B Carrier AMRICAN ZURICH Address: 1800 ASHTON BLVD Occupancy Group: -R31U Policy No WC5096013 - LEHI UT 84043.2019 ° ° • ° o o ° ° No of Stories: 2 .Expire 1110112020 Phone: 0 " Building Setbacks : Rear. e000 Use Zone Front Bldg Height 0 Left: Right: Valutaion $24,31000 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: CHECK G� ZONING APPROVAL: ,�s a PLAN BY:'. GRADING APPROVAL: TO ISSUE: - PERMITS EXPIRE 188 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. INSTALL OR VERIFY SMOKE AND CARBON MONOXIDE DETECTORS ARE EXISTING PER CRCR 314.1 & 315.2. i OWNER -BUILDER DECLARATION I 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 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 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). 11 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 improved 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). .••••. ❑ I am exempt from licensure under the Contractors' State License Law for the following reason: Byimy algnature 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 th'af Pf tj 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.html. Signatmns of Property Owner or Authorized Agent Date LICENSED CON AQTOR'S DECLARATION I IfprftAirm und4T pctnalty of perjury that I am licensed under provisions of Chapter 9 (commencing with S tion 70001) f Division 3 of the Business/andPessions Code, and my license is in full force Llcan'Vilass : License No Date ` Contractor Signatur W,O,IjK€ftS' COMPENSATION DECLARATION NPRNING: PAILURE TOSECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ON HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE COST OF C6MPENSITrTdM9Jl:SAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I *TEdV**irm undgr per>ipity of perjury one of the following declarations: •• ❑. I have•ll. Rle and wiinlain 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 INekr• formance 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. Pity workers' compensatior nsu ce carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent',. Phone # ❑,I certify that, yi1pe ante 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'/( mpensation laws of California, and agref !halt, if I should bct to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �� Signature of AppD e DECLARATION CONSTRUCTION LENDING AGENCY I hereby affirm uof perjury that there is a construction lending agencyfor the performance of the work for which this permit is issued (Section 3 7, Civil. Code). Lender's Name- Lender's Address By my signaturey 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. Si�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 ante h a ve-id d property for inspection purposes. //pp ' '�/ JJ/ I/I /,I nature of Property Owner or Authorized Agent t Print. Property Owner's or Authorized Agent's Name U't{� IcCf rC C{ 5 Date--f,�-r--F-r-- ACTION DATE BY DECLARATION OF COMPLIANCE AITN CODEOF FOR OFFICE US ONLY FEDERAL REGULATIONSPART 61 OFTITLE40AND AQMDROLE 1403. !PERMITEXPtRED I SUBMfTTEDASSESTOS NOTIFICATION T0: ❑ EPA ❑ AQMD P€RMITCANCELLED PERMITEXT€NDED ❑ ASBESTOS N017RCA770MIS NOT APPLICABLE TO PROPOSED DEMOLITION, PERMtTFfNAt CERTIFICATE OF OCCUPANCYISSUED SIGNATURE: