HomeMy WebLinkAboutPV2020-162 - Permits1F'1 City of Newport Beach - Building Divistion SOLAR Permit: PV2020-162
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^' PO BoxJ 768 New ort Beach, California 92658-8915 ° ° ° ° ° °
P Permit @oanter 1RlephQnt(949)644-3288
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Job Address: 446 EL MODENA AVE NB
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Description:SFR SOLAR PHOTOVOLTAIC 8.05kw (23) ROOF MOUNTED PAN@ eS • • • ®• ° • • • e. • • e
Inspector Area: 3
Legal Desc.: FIRST ADD TO NEWPORT HEIGHTS BLK 27 LOT 12
Owner: LYNCH KEVINIMARY
Contractor:
SUN SOLAR ENERGY SOLUTIONS INC
Address: 446 EL MODENA AVE
Address:
8803 SCOBEE ST
Address:
NEWPORT BEACH CA 92663
BAKERSFIELD CA 93311
Phone:
Phone:
Phone:
Applicant: FISHER ZACK
Con State Lic:
1065395
Engineer:
Address: 4085 E LA PALMA AVE
Lic Expire:
04/3012022
Address:
ANAHEIM CA 92807
Bus Lic:
BT30072620
Phone: 951-285-9828
Lic Exp Date:
0713112021
Phone:
Code Edit : 2019
Worker's Compensation Insurance
Designer:
Type of Construction: V -B
Carrier:
STATE FUND
Address:
Occupancy Group: R31U
Policy No:
1934264
No of Stories: 2
Expire:
05/0112021
Phone:
Building Setbacks
Rear:
Use Zone:
Front:
Bldg Height: 0
Left:
Right:
Building Permit Fee
Plan Check Fee :
$240.00
$210.00
TOTAL FEE: $450.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee: $210.00
Architect:
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Project No: 1869-2020
Issued Date : 10/20/2020
State Lic
HAKHAMANESHIMANOUCHEHR
317 N SAN FERNANDO BLVD
BURBANK CA 91504
747-333-5991 State Lic:C-088083
Record Management (8 1/2 X 11)
Record Management (Plans) :
Fee Due at Permit Issuance
$0.00,
$0.00
$240.00
PUBLIC WORKS APPROVAL:
eift 1E0
PLAN CHECK BY: e
APPROVAL TO ISSUE:
.. PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
INSTALL OR VERIFY SMOKE AND CARBON MONOXIDE DETECTORS ARE EXISTING PER CRCR 314.1 & 315.2
)WNER-BUILDER DECLARATION •• ••• • • 00. 00. •••
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State 3-icpnset tam for the-rasons) indicated below by the checkmark(s) I have placed'next to the applicable item(s)
Section 7031.5, Business and Professions Code: Any city or county that requires a permit to cons$ruet, alta`, impiove, delnolish, or repair any structure, prior to its issuance, also requires the applicant for
is permit to file a signed statement that he or she is licensed pursuant to the provisions ohne Contraclors' State Ocen52 Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
'rofessions 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
of more than five hundred dollars ($500). • • • • _
I, as owner of the property, or my employees with wages as their sole compensaliod, veil qo '(_).aII pf Ir portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness and Professions Code: The Contractors' State License Law does not apply to -an -owner of property Who, tormlgb enployees' or personal effort, builds or improves the property, provided that the
nprovements are not intended or offered for sale. If, however, the building or improvement is sold witllis omp year of ti9rfip11VO4n, the Owner -Builder will have the burden of proving that it was not built or
nf�roved for the purpose of sale).
J 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
pply 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:
Iy 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
ell 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:hltp:/Aw .leginfo.ca.gov/calaw.html.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sqction 7p0,00) of sion 3 of the Business and ProfelCFis Code, nd is in full force
nd effect. nn,�
icense Class License No Date V Contractor Signatur
VORKERS' COMPENSATION DECLARATION
'ARNING: 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
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
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
Tnance of the work for which this permit is issued. Policy No.
have and will maintain workers' compepsation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
lance cryr'ner, and p icy number \ �� `�� �L' C`' �„� P
' �V\t„J Policy Number Expiration Date J W' l
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me of Agent Phone #
I certify that, in the performance oft ork for which this permit is ' sued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree
t, if I should become subject to w r ' o pensatio provns of Sgerkon 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applican Da
CLARATION REGARDING C TRUCTION LENDING AGENCY
)reby affirm under penalty o perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Ci ' Code).
ider'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 ordinances and s to laws relating to building construction.
I authorize representatives of this city or county to en the v -1 ntif d property for inspection purposes. %/�� )y �S IOIa.� a�
nature of Property Owner or Authorized Agent \ Print Property Owner's or Authorized Agent's Name \Z:P k �r Date
ACTION I DATE I J BY
PERMITEXPIREO
t SUBMfTfEDASBESTOS NOTIFICATION TO:
❑ EPA
❑ AOMD
PERMITCANC€ILEO
PERMITEXTENDED
❑ ASBESTOS NORFICATTONIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMITFTNAL ?.'7W
CERTIFICATE OF
SIGNATURE:
OCCUPANCYISSUED