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HomeMy WebLinkAboutPV2018-152 - Permits�. City of Newport Beach - Building Divistion 0 a� PO Box 1768 Newport Beach, California 92658-8915 Job Address: 1321 OUTRIGGER DR NS Description:SFR - PV SYSTEM 9.2 KW, 28 PANELS, 28 MICRO INVERTERS Inspector Area:. 4 Owner: LOEB KAREN Address: 1321 OUTRIGGER DR CDM CA 92625 Phone: Applicant: CHONDROPOULOS ANDREW Address: 3080 12TH ST RIVERSIDE CA 92507 Phone: 951.300-0773 Code Edit: Type of Construction: Occupancy Group: No of Stories: Use Zone: Bldg Height: Legal Desc.: N TR 6634 LOT 38 Contractor: Address: Phone Con State Lic: Lie Expire: Bus Lie: Lie Exp Date: SOLAR Permit: PV2018-152 Permit Counter Telephone (949)644-3288 Inspection Requests/Telephone (949)644-3255 SOLARMAX RENEWABLE ENERGY Architect 3080 12TH ST Address: RIVERSIDE CA 92507 Carrier: STATE COMP 951-300-0768 Phone: 972048 Engineer: 0413012020 Address: BT30063779 Front: 0713112019 Phone: 2016 Worker's Compensation Insurance Carrier: STATE COMP R31U Policy No: 9070313 1 Expire: 0410112019 Building Setbacks Rear: Front: 0 Left: Right: Designer: Address: Phone: Project No: 2751-2018 Issued Date : State Lie MORALES DOUGLAS 20751 KELVIN LN HUNTINGTON BEACH CA 92656 949.285.5104 State Lic:C-069163 e • T=.•��, e .C/2 �.. • om h a om s^m00 m 1 t 0 o or 000 00 � c occocr.: o i 00000 Valutaion : $26,000.00 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 e PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. INSTALL OR VERIFY SMOKE AND CARBON MONOXIDE DETECTORS ARE EXISTING PER CRCR 314.1 & 315.2 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) action 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 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 Aessions 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 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, siness 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 )rovements 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 )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 )[y 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: 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 legalh I a structure fhaf f gave 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 4%*Ions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. natflre of PTepdrl :Dwner or Authorized Agent Date TENSED CONTRACTOR'S DECLARATION reFiy affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wi Section 7000W Division 3 of the Business an rofessions Code, and my license is in full force I effect. ,qs9 Class• • • • License No Date Contractor Signature )'I'I'KKERS'.COW,ENSATION DECLARATION N& y& FAILURE Td SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPL YER TO CRIMINAL PENALTIES AND CIVIL FINES up TO 0 E HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE IT OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. eliy affirm under penalty of perjury one of the following declarations: J J;ve and will rll9intain 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 formance ofthe-work rk for which this permit is issued. Policy No. have and All 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' compensatior jrnce carri.e,rrA�ndp�olicygrbe�r��are: rier �//�7�. `-yJ� Policy Number Expiration Date ne of Agent Phone # JI certify that, in the pe ormance 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 agre +at, if I should become object to the work 'compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ;ignature of Applicant /De IECLARATION REG DING CON RUCTION LENDING AGENCY hereby affirm under enalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3vil Code). ender's Name Lender's Address y my signature beldv, 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 co my ordinances and state laws relating to building construction. I authorize representatives of this city or count to enter thea e -identified property for inspection purposes. ignature of Property Owner or Authorized Agent --""- Print Property Owner's or Authorized Agent's Name -�t Date ACTION DATE BY utt.Ls1e1r1++urvuruumrunnCtwr+nG�utur FEDERAL REGULATIONS PART 61 OF TIJL.E40.AND PERMITEXPIRED AOMORUL€1403. ❑ I SUBMITTED ASBESTOS M077FICA7ION TO: P€RNIfTCANCELLED ❑ FPA PERMITEXTENDED ❑ AOMD 0 ASBESTOS PFRMITFINAL /.-3-1 `1 ©il�. Foy.. r8 P OPOSEDDEMOLITION.RON(5NflTAPPLICABL€FO OCCUPANCYISSUED I I I I SIGNATURE: