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Home My WebLink AboutPV2021-115 - PermitsCity of Newport Beach - Building Divistion - PO Box 1768 Newport Beach, California 92658-8915 i�zo�l —I i s 127 T 1 SOLAR Permit : PV2021-115 Permit Counter Telephone (949)644-3288 Inspection Requests/Telephone (949)644-3255 Job Address: 127 JADE AVE NB Description:SFR - INSTALL SOLAR PANELS (12) 4.08 KW Inspector Area: 2 Legal Desc.: BALBOA ISLAND SEC 5 BILK 3 LOT 16 Owner: BAKSHI BOB & GAYLE Contractor: ENLIGHTENED SOLAR Address: PO BOX 801504 Address: 927 CALLE NEGOCIO UNIT D SANTA CLARITA CA 91380 SAN CLEMENTE CA 92673 Phone: Phone: 949-427-8400 Applicant: HELD JOSH Con State Lie: 1064613 Address: 927 CALLE NEGOCIO Lie Expire: 03/31/2022 SAN CLEMENTE CA 92673 Bus Lie: BT30073693 Phone: 480/221-3639 Lie Exp Date: 12/31,12021 Code Edit : 2019 Worker's Compensation Insurance Type of Construction: VB Carrier: STATE COMP Occupancy Group: R3/U Policy No: 9283669 No of Stories: 2 Expire: 09/05/2021 mmmeo °mmmo� mmomc< Building Setbacks Rear: Use Zone: 000000 o moeoo Front: Bldg Height: 0 Left: Right: *PV2021-115* Project No : 1622-2021 C.CT 1N POR Architect: Address: Phone: State Lic: .... e Engineer: TRUONG PHONG ..ee Address: 20754 TIMBERLINE LN °°°• m °e°Oeo„ WALNUT CA 91789 ° ° • e Phone: 949-254-2751 State Lic:C-070784 Designer: oa m Address: e m •• ° Phone: 0 om o m mm m mmmeo °mmmo� mmomc< o m mommrm m mo 000000 o moeoo Valutaion : $8,000.00 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 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: PUBLIC WORKS APPROVAL: PLAN CHECK BY: 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 )WNER-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) '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 he 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 Df the Business and 3rofessions 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 iot 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, 3usiness 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 mprovements 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 mproved 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: 3y 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 legalll 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 ••• 'rofessions Code! , Is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. jlgnaturg of PropgRf Owner or Authorized Agent Date t�CtW,JED CQNIRI CTOR'S DECLARATION hereby affirm uMer penalty of perjury that I am licensed under provisions of Chapter 9 (commencin with Section 7000) of Division 3 of the Business n ProtQSWerts and y�cense is in full force andeffeet. lcen'sa Class License No Date Contractor Signature MORIZERS' CbMPASATION DECLARATION 14ARNING: FAILURE•TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUI GRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE AS15P C$OMPENt.110V .DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. IM" affirm under penalty of perjury one of the following declarations: • t RaI 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 th Aerforma•I1ce of fhg!ArKfor which this permit is issued. Policy No. ••••• hada 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. My workers' compensatiol surance carrier<anti p&icy number are: .,arrier Cn * Policy Number Expiration Date r! f \lame of Agent JJ Phone # I certify that, in the p rformance of the work for which this it 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 :hat, if I should become ubject to thewo o an rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applica-t /Datea DECLARATIONRE6DI`CCONSTRLTCTION 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 3097, Civil ode). -ender's Name Lender's Address 3y 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 cou y ordinances and state laws rel ng to building construction. I authorize representatives of this city or counfI�/ o en e -ab v Mi�fied "p/y� any for inspection purposes. .'µ/,,� ) Signature of Property Owner or Authorized Agent /— '_ �L—! Print Property Owner's or Authorized Agent's Name 'F) 1 'G Datp rY ACTION DATE BY DECLARATION OF COMPLIANCE VA TN CODE OF FOR FEDERAL REGULA TIONS PART 61 OF TI7LE40 AND AQMD RULE 1403. ❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA El AQMD PERMIT EXPIRED PERMITCANCELLED PERMiT EXTENDED ❑ ASBESTOS NORFICATIONIS NOTAPPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL CERTIFICATEOF V SIGNATURE: OCCUPANCYISSUED