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Home My WebLink AboutPV2019-035 - Permitsir1 City of Newport Beach - Building Divistion `t PO Box 1768 Newport Beach, California 92658-8915 -'rttrr�s� Job Address: 4615 ORRINGTON RD NS Description:SFR - ROOF MOUNTED PV SYSTEM. 16.5 KW. 50 PANELS Inspector Area: 5 Legal Desc.: N TR 3367 LOT 68 SOLAR Permit: PV2019-035 Permit Counter Telephone (949)844-3288 Inspection Requests/Telephone (949)844-3255 Owner: MALONE MICHAEL Contractor: BRIGHT LIFE REMODELING Address: 4615 ORRINGTON RD Address: 933 NEWHALL ST CDM CA 92626 COSTA MESA CA 92627 Phone: Phone: 908.489-3911 Applicant: MEYERS SEAN Con State Lie: 1029267 Address: 933 NEWHALL ST Lie Expire: 0713112019 COSTA MESA. CA 92627 Bus Lie: BT30060652 Phone: 949-326.3162 Lie Exp Date: 09/30/2019 Code Edit: 2016 Worker's Compensation Insurance Type of Construction: V-BSPR Carrier: STATE FUND Occupancy Group: R3/U Policy No: 9053332 No of Stories: 1 Expire: 04/19/2019 Building Setbacks Rear: Use Zone: Front: Bldg Height: 0 Left: Right: Valutaion: $99,000.00 Building Permit Fee $255.00 Plan Check Fee : $223.13 TOTAL FEE: $478.13 Plan Check Fee : $223.13 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: Project No: 0631-2019 *PV2019-035* Issued Date : 03/2812019 State Lie MORALES DOUGLAS 20751 KELVIN LN HUNTINGTON BEACH CA 92656 949-285.5104 State Lic:C-069163 FT - 0000 0 0000 �, 0 coe000 o� c oc co 0 0 Record Management (8 1/2 X 11) 00$ O.00- Record Management (Plans) ° $0100 oe o 0 o e eo e Fee Due at Permit Issuance $255.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: PERMITS EXPIRE 180 DA YS AFTER ISSUANCE OR LAST VALID INSPECTION. INSTALL OR VERIFY SMOKE AND CARBON MONOXIDE DETECTORS ARE EXISTING PER CRCR 314.1 & 315.2 0 0 em 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 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). ❑ I, 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 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). IJ I 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 legally 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 Section Division 3 of the B siness and Professions Code, and my license is in full force and effect. 1 y (� _ � License Class License No ate - L Contractor ig sture �1 214—'eA NORKERS' 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 HUNDRED THOUSAND DOLLARS ($100,000(, 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 terfgMrance of the work for which this permit is issued. Policy No. and wjll•ITIeiRain 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, end. 3 icy number are: Policy Number Date ne Of Agent•• •• Phone# CIS th t, in the pe mance 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 1f4 should b€c -subje�to the workers' compensation provisions of Section 3700 of the Labor Code, shall forthwith comply with those provisions. 'thereby affirm.Gnder penalty, of perjury that there is a construction lending agency for the performance of the work for which this permit is issued .encler'c Name • Lender's Address 3y my Qignaturpfip on I certify to each of the following: ..1 am the property owner or authorized to act on the property owner's behalf. • . ,I bave read tM s application and the information I have provided is correct. I agree to cemply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of thi i y or county to nter the ,a�bove^-identified property for inspection purposes. Signature of Property Owner or A Ariz Agent 2de"..-. Y ' v1i e4'S Print Property Owner's or Authoring 's Name compensation laws of California, and Civil Code). ACTION /DATE BY ucr.r-trrwttvly yr wrn'rursrvi.c"tin t. cvr rurr urnut uaLJwvLr FEDERAL REGULATIONS PART 61OFTITLE40.AIVD AOMD RULE 1401 PERMITEXPIRED ❑ ISUBMITTEDASBES7'OSN077FIC4TIONTO: ❑ EPA ❑ AQMD PERMITCANCELLED PFRMITEXTENDED ❑ ASBESTOS NOTTFTC4170HIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMITFINAL CERTIFICATE OF OCCUPANCYISSUED SIGNATURE: